{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:29:43Z","timestamp":1785418183032,"version":"3.56.0"},"reference-count":119,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T00:00:00Z","timestamp":1584576000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006313","name":"Swedish Childhood Cancer Foundation","doi-asserted-by":"crossref","award":["PR2013-0039"],"award-info":[{"award-number":["PR2013-0039"]}],"id":[{"id":"10.13039\/501100006313","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100006313","name":"Swedish Childhood Cancer Foundation","doi-asserted-by":"crossref","award":["PR2016-0004"],"award-info":[{"award-number":["PR2016-0004"]}],"id":[{"id":"10.13039\/501100006313","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100006313","name":"Swedish Childhood Cancer Foundation","doi-asserted-by":"crossref","award":["PR2017-0005"],"award-info":[{"award-number":["PR2017-0005"]}],"id":[{"id":"10.13039\/501100006313","id-type":"DOI","asserted-by":"crossref"}]},{"name":"The Swedish Cancer Society","award":["13 0457"],"award-info":[{"award-number":["13 0457"]}]},{"name":"Swedish Research Council to the strategic research program U-CARE"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A subgroup of adolescent and young adult (AYA) survivors of cancer during adolescence report high levels of psychological distress. To date, evidence-based psychological interventions tailored to the cancer-related concerns experienced by this population are lacking. The present study aimed to (1) examine the feasibility and preliminary efficacy of an individualized cognitive behavioral therapy (CBT) intervention for AYA survivors of cancer during adolescence; and (2) identify and conceptualize cancer-related concerns as well as maintaining factors using cognitive-behavioral theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single-arm trial, whereby AYA survivors of cancer during adolescence (aged 17\u201325 years) were provided individualized face-to-face CBT at a maximum of 15 sessions. Clinical outcomes were assessed at baseline, post-intervention, and three-month follow-up. Intervention uptake, retention, intervention delivery, and reliable change index scores were examined. An embedded qualitative study consisted of two unstructured interviews with each participant pre-intervention. Along with individual behavioral case formulations developed to guide the intervention, interview data was analyzed to identify and conceptualize cancer-related concerns and potential maintaining factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten out of 213 potential participants invited into the study were included, resulting in an overall participation rate of 4.7%. Nine participants completed the intervention, with respectively seven and eight participants completing the post-intervention and three month follow-up assessment. The majority of reported cancer-related concerns and maintaining factors were conceptualized into four themes: social avoidance, fear of emotions and bodily symptoms, imbalance in activity, and worry and rumination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Given significant recruitment difficulties, further research is required to examine barriers to help-seeking in the AYA cancer survivor population. However, the conceptualization of cancer-related concerns and maintaining factors experienced by the population may represent an important first step in the development of psychological support tailored toward AYA cancer survivors\u2019 unique needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7717\/peerj.8714","type":"journal-article","created":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T06:33:57Z","timestamp":1584599637000},"page":"e8714","source":"Crossref","is-referenced-by-count":13,"title":["Heeding the psychological concerns of young cancer survivors: a single-arm feasibility trial of CBT and a cognitive behavioral conceptualization of distress"],"prefix":"10.7717","volume":"8","author":[{"given":"Josefin","family":"Hagstr\u00f6m","sequence":"first","affiliation":[{"name":"Clinical Psychology in Healthcare, Department of Women\u2019s and Children\u2019s Health, Uppsala Universitet, Uppsala, 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