Journal of Pediatric Psychology, Vol. 25, No. 7, 2000, pp. 493-502
© 2000 Society of Pediatric Psychology
Aggression, Antisocial Behavior, and Substance Abuse in Survivors of Pediatric Cancer: Possible Protective Effects of Cancer and Its Treatment
University of Cincinnati
All correspondence should be sent to Robert B. Noll, Children's Hospital Medical Center, Division of Hematology/Oncology, 3333 Burnet Avenue, Cincinnati, Ohio 45229. E-mail: nollr0{at}chmcc.org .
Objective: To examine aggression, antisocial behavior, and substance abuse in young adult survivors of pediatric cancer (PCS) relative to case control peers (CC).
Methods: We obtained self-reports of current aggression, antisocial behavior, and lifetime substance use from 26 PCS (time off-treatment, M = 56 months) and 26 CC using the Antisocial Behavior Checklist and the Drinking and Drug History. A report of current aggression and antisocial behavior also was obtained from primary caregivers using the Child Behavior Checklist.
Results: PCS self-reported significantly less illegal drug use and experimentation than CC. No significant differences emerged between groups for use of alcohol and tobacco nor for aggression and antisocial behavior.
Conclusions: PCS are functioning as well as, or better than, CC in terms of aggression, antisocial behavior, and substance abuse. However, given the compromised health status of survivors, efforts should focus on further reduction of drug-related risk behaviors that may amplify organ damage or increase risk for further malignancies in this population.
Key words: pediatric cancer; survivors; adolescents; young adults; substance use; aggression; antisocial behavior.
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