{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:31:35Z","timestamp":1787671895125,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp;amp; Cancer"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Person\u2010centred follow\u2010up care based on evidence\u2010based clinical practice guidelines and providing individualised information should help to inform and reassure survivors about their medical and psychosocial situation and provide treatment and support where needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe changes in mental health and resilience in survivors before and after a person\u2010centred follow\u2010up care intervention and analyse associations of mental health improvements with socio\u2010demographic and clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We implemented the novel person\u2010centred PanCareFollowUp Care Intervention in four clinics across Europe. Survivors aged 16+ years (cancer diagnosed at age &lt; 19 years, 5+ years after diagnosis) completed the Brief Symptom Inventory\u201018 (BSI\u201018; somatisation, depression, anxiety, overall distress), Post\u2010traumatic Stress Disorder Checklist and the Connor\u2010Davidson Resilience Scale before (T1) and 6 months after (T2) the clinic visit. We calculated a change score for resilience and a reliable change index for BSI\u201018 scales and post\u2010traumatic stress symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 798 survivors participated (51.4% males, mean age = 30.3 years [range: 16\u201360]). Mental health significantly improved, with lower scores for depression (mean change = 0.89,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001), anxiety (mean change = 0.68,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.025), overall distress (mean change = 0.99,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004) and post\u2010traumatic stress symptoms (mean change = 1.09,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004) at T2 as compared to T1. Around one\u2010third of survivors reported significant distress (no change:\n                      <jats:italic>p<\/jats:italic>\n                      = 0.659). Socio\u2010demographic or clinical characteristics were not associated with changes in resilience or overall distress. A reliable reduction of post\u2010traumatic stress symptoms was more likely in those single (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.020), unemployed or in education\/studying (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003) and with poor physical health (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mental health improved after the person\u2010centred PanCareFollowUp Care Intervention. Inclusion in regular follow\u2010up care may help to decrease survivors\u2019 distress in the long\u2010term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:bold>Trial Registration<\/jats:bold>\n                      : Netherlands Trial Register numbers: NL8918, NL\u2010OMON21449\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70611","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:54:09Z","timestamp":1785851649000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Change in Mental Health and Resilience in Childhood Cancer Survivors After Attending a Person\u2010Centred State\u2010of\u2010the\u2010Art Late Effects Clinic\u2014on Behalf of the PanCareFollowUp Consortium"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9589-0928","authenticated-orcid":false,"given":"Gisela","family":"Michel","sequence":"first","affiliation":[{"name":"University of Lucerne  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6070-4091","authenticated-orcid":false,"given":"Mieke","family":"Rijken","sequence":"additional","affiliation":[{"name":"Netherlands Institute for Health Services Research  Utrecht the Netherlands"},{"name":"University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marietta","family":"Kokla","sequence":"additional","affiliation":[{"name":"Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6535-2942","authenticated-orcid":false,"given":"Charlotte","family":"Sleurs","sequence":"additional","affiliation":[{"name":"Tilburg University  Tilburg the Netherlands"},{"name":"Katholieke Universiteit Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jurgen","family":"Lemiere","sequence":"additional","affiliation":[{"name":"Katholieke Universiteit Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Line Elmerdahl","family":"Frederiksen","sequence":"additional","affiliation":[{"name":"Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5613-4356","authenticated-orcid":false,"given":"Luzius","family":"Mader","sequence":"additional","affiliation":[{"name":"Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2133-7967","authenticated-orcid":false,"given":"Cecilia","family":"Follin","sequence":"additional","affiliation":[{"name":"Department of Oncology Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Oberti","sequence":"additional","affiliation":[{"name":"DOPO Clinic, Department of Haematology\/Oncology IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette Falck","family":"Winther","sequence":"additional","affiliation":[{"name":"Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6227-3472","authenticated-orcid":false,"given":"Selina R.","family":"van den Oever","sequence":"additional","affiliation":[{"name":"Princess M\u00e1xima Center For Pediatric Oncology  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leontien C. 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