{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:45:07Z","timestamp":1790880307005,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2002,12,10]],"date-time":"2002-12-10T00:00:00Z","timestamp":1039478400000},"content-version":"vor","delay-in-days":39,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2002,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Recent research in psychosocial oncology has pointed to the traumatic nature of the stress experienced by cancer survivors. Most of this research has focused on children, young adults survivors and their families. This investigation proposes a conceptual model for understanding general psychological distress (anxiety, hostility and depression) and symptoms of posttraumatic stress (hyper\u2010arousal, avoidance and intrusiveness) that may be associated with cancer survivorship among older adults. Findings from a survey of 180 older adult, long\u2010term cancer survivors are used to illustrate the key features of this model. Results of multivariate analysis show that most older adult long\u2010term cancer survivors do not demonstrate clinical levels of posttraumatic stress disorder (PTSD), although over 25% evidence clinical levels of depression. However, many survivors display important symptoms of psychological distress that are related to the continuing effects of cancer and its treatment. Current cancer\u2010related symptoms are the strongest predictors of depression (beta=0.27, <jats:italic>p<\/jats:italic>=0.046) and the PTSD sub\u2010dimension of hyper\u2010arousal (beta=0.377, <jats:italic>p<\/jats:italic>=0.004). These effects persist even when the effects of other stressors and non\u2010cancer illness symptoms are statistically controlled. Additionally, it appears in this sample that symptoms of PTSD are significantly correlated with traditional measures of psychological distress. Copyright \u00a9 2002 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.614","type":"journal-article","created":{"date-parts":[[2002,12,11]],"date-time":"2002-12-11T13:55:36Z","timestamp":1039614936000},"page":"479-494","source":"Crossref","is-referenced-by-count":199,"title":["Cancer survivorship and psychological distress in later life"],"prefix":"10.1002","volume":"11","author":[{"given":"Gary T.","family":"Deimling","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boaz","family":"Kahana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen F.","family":"Bowman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Schaefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,12,10]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1611(200001\/02)9:1<69::AID-PON439>3.0.CO;2-R"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.2307\/2948487"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep10478882"},{"key":"e_1_2_1_6_1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1037\/0882-7974.5.1.58","article-title":"Tenacious goal pursuit and flexible goal adjustment, explication and age\u2010related analysis of assimilative and accommodative strategies of coping","volume":"5","author":"Brandstadter J","year":"1990","journal-title":"Psychol Aging"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1611(200101\/02)10:1<1::AID-PON484>3.0.CO;2-T"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.505"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.54.5.616"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.63.6.981"},{"issue":"3","key":"e_1_2_1_11_1","first-page":"164","article-title":"Life\u2010threatening illness: The transition from victim to survivor","volume":"2","author":"Deimling G","year":"1997","journal-title":"The J Identity Aging"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0089745"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1611(199703)6:1<13::AID-PON231>3.0.CO;2-S"},{"key":"e_1_2_1_14_1","first-page":"39","volume-title":"Trauma and Its Wake","author":"Figley CR","year":"1986"},{"key":"e_1_2_1_15_1","first-page":"23","volume-title":"Life Crises and Experiences of Loss in Adulthood","author":"Filipp S","year":"1992"},{"key":"e_1_2_1_16_1","first-page":"1255","article-title":"Men' perspective on the impact of prostate cancer: implications for oncology nurses","volume":"27","author":"Fitch MI","year":"2000","journal-title":"ONF"},{"key":"e_1_2_1_17_1","volume-title":"At the Will of the Body","author":"Frank A","year":"1991"},{"key":"e_1_2_1_18_1","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1037\/0278-6133.12.4.277","article-title":"The influence of cancer patients' symptoms and functional states on patients' depression and family caregivers' reaction and depression","volume":"12","author":"Given C","year":"1993","journal-title":"Health Psychol"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/90.9.656"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(96)71516-5"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(18)30799-7"},{"key":"e_1_2_1_22_1","first-page":"117","volume-title":"Handbook of Psycho\u2010oncology: Psychological Care of the Patient With Cancer","author":"Jacobsen P","year":"1989"},{"key":"e_1_2_1_23_1","first-page":"197","volume-title":"Holocaust survivor and the family","author":"Kahana B","year":"1989"},{"key":"e_1_2_1_24_1","first-page":"145","volume-title":"Clinical and Social Psychology","author":"Kahana E","year":"1982"},{"key":"e_1_2_1_25_1","unstructured":"KiyakA LiangJ KahanaE.1976.A methodological inquiry into the Schedule of Recent Life Events. 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