{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T09:35:30Z","timestamp":1793525730953,"version":"4.5.0"},"reference-count":115,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institute for Health Research (NIHR)","award":["RP-PG-1209-10013"],"award-info":[{"award-number":["RP-PG-1209-10013"]}]},{"name":"National Institute for Health Research (NIHR)","award":["NIHR304515"],"award-info":[{"award-number":["NIHR304515"]}]},{"name":"NIHR Senior Clinical and Practitioner Award","award":["RP-PG-1209-10013"],"award-info":[{"award-number":["RP-PG-1209-10013"]}]},{"name":"NIHR Senior Clinical and Practitioner Award","award":["NIHR304515"],"award-info":[{"award-number":["NIHR304515"]}]},{"name":"UCLH Charity","award":["RP-PG-1209-10013"],"award-info":[{"award-number":["RP-PG-1209-10013"]}]},{"name":"UCLH Charity","award":["NIHR304515"],"award-info":[{"award-number":["NIHR304515"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background\/objectives: Social support can enhance psychosocial health-related quality of life (PSQOL) in adult cancer patients. Adolescents and young adults (AYAs) with cancer face unique psychosocial challenges that intersect with key developmental milestones. Theoretical models propose that illness perceptions and social support are key determinants of coping strategies and long-term health outcomes in this context. These may be especially salient for AYAs, for whom peer relationships and identity formation are central. Methods: We explored how perceived social support and illness perceptions influence PSQOL over time in AYA cancer patients through a secondary analysis of the BRIGHTLIGHT longitudinal cohort study. Results: BRIGHTLIGHT followed 830 young people aged 13\u201324 across five time points (6\u201336 months post-diagnosis). Multi-level modelling revealed that PSQOL improved over time but remained consistently lower in females (mean: 69.62, 95% CI: 70.69 to \u221268.55). Greater perceived support from friends was associated with poorer PSQOL (\u03b2: \u22120.77, 95% CI: \u22121.007 to \u22120.54) and linked to negative illness perceptions, longer hospital stays (\u03b2: 0.01, 95% CI: 0.00 to \u22120.02), longer diagnostic intervals (\u03b2: \u22120.009, 95% CI: \u22120.02 to \u22120.00), and poorer clinical communication (\u03b2: 0.52, 95% CI: 0.01 to \u22121.03). A patient interpretation exercise with BRIGHTLIGHT\u2019s Young Advisory Panel contextualized these findings. Conclusions: While peer support could promote normalcy, it could also intensify distress through emotional pressure or social isolation. Future research should address not only access to social support but its quality and relevance to AYAs\u2019 unique psychosocial needs.<\/jats:p>","DOI":"10.3390\/cancers17121918","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T06:46:01Z","timestamp":1749451561000},"page":"1918","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Longitudinal Cohort Study of the Relationship Between Illness Perception, Perceived Social Support, and Psychosocial Quality of Life in Adolescents and Young Adults Newly Diagnosed with Cancer: Outcomes from a BRIGHTLIGHT Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3855-0625","authenticated-orcid":false,"given":"Bethany","family":"Wickramasinghe","sequence":"first","affiliation":[{"name":"Department of Targeted Intervention, University College London, London WC1E 6BT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4821-8466","authenticated-orcid":false,"given":"Lorna A.","family":"Fern","sequence":"additional","affiliation":[{"name":"Cancer Clinical Trials Unit, University College London Hospitals NHS Foundation Trust, London NW1 2PG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0853-0925","authenticated-orcid":false,"given":"Rachel M.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention, University College London, London WC1E 6BT, UK"},{"name":"Centre for Nurse, Midwife and Allied Health Profession Research (CNMAR), University College London Hospitals NHS Foundation Trust, London NW1 2PG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1728-9408","authenticated-orcid":false,"given":"Richard G.","family":"Feltbower","sequence":"additional","affiliation":[{"name":"Leeds Institute for Data Analytics, School of Medicine, University of Leeds, Leeds LS2 9JT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1089\/jayao.2023.0051","article-title":"A Systematic Review of the Psychosocial Measures Used in Teenage and Young Adult Cancer","volume":"13","author":"Hughes","year":"2024","journal-title":"J. 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