{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T12:46:16Z","timestamp":1792413976666,"version":"4.4.0"},"reference-count":35,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:00:00Z","timestamp":1734134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Earl E. Bakken Center for Spirituality"},{"name":"Healing A. Marilyn Sime Faculty Research Fellowship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: To identify and analyze what is known about the psychosocial factors affecting the wellbeing and sources of support of young adult (YA) cancer survivors. Methods: The search strategy included Neoplasms, young adults, psycho* or emotional well* or mental health. The OVID Medline and CINAHL databases were searched. Included were cancer survivors (YA) ages 18\u201339 at the time of the study. The studies included qualitative and quantitative designs, written in English, and published between January 2016 and October 2024. The results were recorded according to PRISMA-ScR guidelines. Results: Thirteen studies with 4992 participants found psychosocial factors to be the most important influence on life satisfaction with social support the most decisive factor. This expands the results of previous reviews by including a variety of study designs and data collection tools to provide a comprehensive understanding of the YA experience. Psychosocial concerns affecting wellbeing led to social isolation, low connectedness with family and friends, and significant distress. Consistent with previous reviews, the greatest challenges to wellbeing were psychosocial needs, which included seeking and delivering information that is easy to understand but detailed, which can decrease frustration and anger, and needs to be readily available and accessible. Unlike older adult cancer survivors, YA survivors are more likely to have reduced psychosocial functioning compared to their peers and suffer from higher distress than their adult peers and non-YA cancer survivors with anxiety as the most reported symptom. Conclusions: Interventions need to be developed that lessen the impact of a cancer diagnosis and cancer treatments. The specific needs of YAs must be further researched and evaluated to determine specific interventions and the support needed during this crucial stage of cancer survivorship. Future research must also increase the focus on the racial and ethnic diversity of participants as well as prioritizing underserved populations and the impact of the COVID-19 pandemic.<\/jats:p>","DOI":"10.3390\/nursrep14040293","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T06:26:12Z","timestamp":1734416772000},"page":"4006-4021","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Psychosocial Factors Affecting Wellbeing and Sources of Support of Young Adult Cancer Survivors: A Scoping Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3129-4799","authenticated-orcid":false,"given":"Erica R.","family":"Timko Olson","sequence":"first","affiliation":[{"name":"School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Olson","sequence":"additional","affiliation":[{"name":"College of Saint Benedict and Saint John\u2019s University, Collegeville, MN 56321, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Driscoll","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9972-3377","authenticated-orcid":false,"given":"Donna Z.","family":"Bliss","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,14]]},"reference":[{"key":"ref_1","unstructured":"National Cancer Institute (2022, March 05). Statistics and Graphs. Statistics and Graphs|Division of Cancer Control and Population Sciences (DCCPS), Available online: https:\/\/cancercontrol.cancer.gov\/ocs\/statistics#:~:text=As%20of%20January%202019%2C%20it,approximately%205.0%25%20of%20the%20population.&text=The%20number%20of%20cancer%20survivors,to%2022.2%20million%2C%20by%202030."},{"key":"ref_2","unstructured":"American Cancer Society (2022, February 06). Cancer Treatment and Survivorship Facts & Figures 2019\u20132021. Available online: https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/cancer-treatment-and-survivorship-facts-and-figures\/cancer-treatment-and-survivorship-facts-and-figures-2019-2021.pdf."},{"key":"ref_3","first-page":"183","article-title":"Late psychiatric morbidity in survivors of cancer at a young age: A nationwide registry-based study","volume":"137","author":"Gunn","year":"2014","journal-title":"Int. J. Cancer"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1159\/000381969","article-title":"Psychosocial Care for Cancer Patients","volume":"10","author":"Weis","year":"2015","journal-title":"Breast Care"},{"key":"ref_5","unstructured":"(2022, March 19). Cancer Among Adolescents and Young Adults (AYAs), Available online: https:\/\/seer.cancer.gov\/statfacts\/html\/aya.html."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.2196\/cancer.5821","article-title":"Adolescent and Young Adult Cancer Survivorship Educational Programming: A Qualitative Evaluation","volume":"3","author":"Dahlke","year":"2017","journal-title":"JMIR Cancer"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"314","DOI":"10.4103\/2347-5625.311005","article-title":"Prevalence and Determinants of Psychological Distress in Adolescent and Young Adult Patients with Cancer: A Multicenter Survey","volume":"8","author":"Duan","year":"2021","journal-title":"Asia-Pac. J. Oncol. Nurs."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"100096","DOI":"10.1016\/j.esmoop.2021.100096","article-title":"Adolescents and young adults (YA) with cancer: A position paper from the YA Working Group of the European Society for Medical Oncology (ESMO) and the European Society for Paediatric Oncology (SIOPE)","volume":"6","author":"Ferrari","year":"2021","journal-title":"ESMO Open"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/PPO.0000000000000339","article-title":"Psychosocial Support in Adolescents and Young Adults With Cancer","volume":"24","author":"Penn","year":"2018","journal-title":"Cancer J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1037\/a0013221","article-title":"Psychosocial adjustment among cancer survivors: Findings from a national survey of health and well-being","volume":"28","author":"Costanzo","year":"2009","journal-title":"Health Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1089\/jayao.2017.0101","article-title":"Cancer!? I Don\u2019t Have Time for That: Impact of a Psychosocial Intervention for Young Adults with Cancer","volume":"8","author":"Aubin","year":"2019","journal-title":"J. Adolesc. Young Adult Oncol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2160","DOI":"10.1200\/JCO.2012.45.9222","article-title":"Trajectories of Psychological Distress in Adolescent and Young Adult Patients With Cancer: A 1-Year Longitudinal Study","volume":"31","author":"Kwak","year":"2013","journal-title":"J. Clin. Oncol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.12688\/f1000research.11902.1","article-title":"Advancing psychosocial care in cancer patients","volume":"6","author":"Grassi","year":"2017","journal-title":"F1000Research"},{"key":"ref_14","first-page":"e12558","article-title":"Needs of adolescents and young adults after cancer treatment: A systematic review","volume":"27","year":"2016","journal-title":"Eur. J. Cancer Care"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s00520-020-05642-3","article-title":"Adventure therapy for child, adolescent, and young adult cancer patients: A systematic review","volume":"29","author":"Chan","year":"2021","journal-title":"Support. Care Cancer"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"103291","DOI":"10.1016\/j.critrevonc.2021.103291","article-title":"Psychosocial, behavioral, and supportive interventions for pediatric, adolescent, and young adult cancer survivors: A systematic review and meta-analysis","volume":"160","author":"Zhang","year":"2021","journal-title":"Crit. Rev. Oncol. Hematol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Chandeying, N., and Thongseiratch, T. (2021). Online Interventions to Improve Mental Health of Pediatric, Adolescent, and Young Adult Cancer Survivors: A Systematic Review and Meta-Analysis. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.784615"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1080\/07347332.2017.1289290","article-title":"How do young adults with cancer perceive social support? A qualitative study","volume":"35","author":"Breuer","year":"2017","journal-title":"J. Psychosoc. Oncol."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Buro, A.W., Stern, M., and Carson, T.L. (2023). Reported Mental Health, Diet, and Physical Activity in Young Adult Cancer Survivors. Nutrients, 15.","DOI":"10.3390\/nu15041005"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.1002\/pon.4730","article-title":"Prevalence of mental disorders and psychosocial distress in German adolescent and young adult cancer patients (YA)","volume":"27","author":"Geue","year":"2018","journal-title":"Psycho-Oncology"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2953","DOI":"10.1111\/jocn.14899","article-title":"Young adult cancer patients\u2019 experiences of private social network support during cancer treatment","volume":"28","author":"Hauken","year":"2019","journal-title":"J. Clin. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1177\/1049732315627645","article-title":"Normative Social Support in Young Adult Cancer Survivors","volume":"27","author":"Iannarino","year":"2016","journal-title":"Qual. Health Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1093\/humrep\/deaa313","article-title":"Psychosocial stress and ovarian function in adolescent and young adult cancer survivors","volume":"36","author":"Kim","year":"2021","journal-title":"Hum. Reprod."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"4374","DOI":"10.1002\/cncr.31659","article-title":"Life satisfaction in young adults with cancer and the role of sociodemographic, medical, and psychosocial factors: Results of a longitudinal study","volume":"124","author":"Leuteritz","year":"2018","journal-title":"Cancer"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Li, X., Hathaway, C.A., Small, B.J., Tometich, D.B., Gudenkauf, L.M., Hoogland, A.I., Fox, R.S., Victorson, D.E., Salsman, J.M., and Gonzalez, B.D. (2024). Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness. Cancer, epub ahead of print.","DOI":"10.1002\/cncr.35508"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1007\/s00432-017-2424-4","article-title":"Physical and psychosocial aspects of adolescent and young adults after allogeneic hematopoietic stem-cell transplantation: Results from a prospective multicenter trial","volume":"143","author":"Pulewka","year":"2017","journal-title":"J. Cancer Res. Clin. Oncol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1007\/s00432-020-03419-z","article-title":"Clinical, social, and psycho-oncological needs of adolescents and young adults (YA) versus older patients following hematopoietic stem cell transplantation","volume":"147","author":"Pulewka","year":"2020","journal-title":"J. Cancer Res. Clin. Oncol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1002\/pon.5678","article-title":"Psychosocial aftercare of adolescent and young adult cancer survivors in Germany: Awareness, utilisation, satisfaction and associated factors","volume":"30","author":"Sender","year":"2021","journal-title":"Psycho-Oncology"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1089\/jayao.2019.0157","article-title":"Distinct Features of Psychosocial Distress of Adolescents and Young Adults with Cancer Compared to Adults at Diagnosis: Patient-Reported Domains of Concern","volume":"9","author":"Smrke","year":"2020","journal-title":"J. Adolesc. Young Adult Oncol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2105","DOI":"10.1007\/s00520-020-05723-3","article-title":"Patient-reported psychosocial distress in adolescents and young adults with germ cell tumours","volume":"29","author":"Soleimani","year":"2021","journal-title":"Support. Care Cancer"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1002\/cncr.29866","article-title":"Social well-being among adolescents and young adults with cancer: A systematic review","volume":"122","author":"Warner","year":"2016","journal-title":"Cancer"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1007\/s00520-013-2053-7","article-title":"Identifying the supportive care needs of adolescent and young adult survivors of cancer: A qualitative analysis and systematic literature review","volume":"22","author":"Tsangaris","year":"2013","journal-title":"Support. Care Cancer"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s11764-017-0613-4","article-title":"Patterns of unmet needs in adolescent and young adult (AYA) cancer survivors: In their own words","volume":"11","author":"Wong","year":"2017","journal-title":"J. Cancer Surviv."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1007\/s11764-016-0527-6","article-title":"Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): A systematic review","volume":"10","author":"Barnett","year":"2016","journal-title":"J. Cancer Surviv."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1007\/s11136-017-1520-x","article-title":"Systematic review of the health-related quality of life issues facing adolescents and young adults with cancer","volume":"26","author":"Sodergren","year":"2017","journal-title":"Qual. Life Res."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/4\/293\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:55:21Z","timestamp":1760115321000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/4\/293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,14]]},"references-count":35,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["nursrep14040293"],"URL":"https:\/\/doi.org\/10.3390\/nursrep14040293","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,14]]}}}