Determinants of social functioning among adolescents and young adults with cancer: a systematic review
A partir d'une revue systématique de la littérature publiée entre 2000 et 2021, cette étude identifie les facteurs associés au comportement social des adolescents et jeunes adultes atteints d'un cancer
Objectives : Survivors of adolescent and young adult (AYA) cancer report deficits in social functioning relative to healthy peers. Identifying factors related to their social functioning is critical to improve their long-term social outcomes. This review addressed: (1) How is social functioning defined and measured among studies of AYAs who have had cancer? (2) What factors have quantitatively/qualitatively are associated with/predictors of social functioning? And (3) What associated factors/predictors of social functioning are modifiable and amenable to intervention? Methods : A systematic review was conducted to identify publications from 2000-2021, meeting these criteria: (1) mean/median age at diagnosis/treatment 13-40, (2) assessed social functioning with a validated measure and included factors associated with/predictive of social functioning and/or qualitatively assessed young people’s perceptions of factors related to their social functioning and (3) was peer-reviewed/published in English. Results : 37 publications were included. Definitions and measures of social functioning varied, and factors related to social functioning varied based on definition. Factors most commonly associated with decreased social functioning include treatment status (receiving or completed treatment), poor physical functioning, depression, body image, and peer rejection. Increased social functioning was commonly associated with social support, spending time with others with cancer, and quality/age-appropriateness of care. Conclusions : Social functioning is multidimensional construct for AYAs diagnosed with cancer and may not be adequately assessed with measures of adjustment or quality of life. Future studies should clarify how to optimally define and measure social functioning in this population, to ensure their functioning can be protected and promoted long-term.
Psycho-Oncology 2021