Developmental considerations in the transition from child and adolescent to adult survivorship

Abstract

We now expect that most children diagnosed with cancer will live long and hopefully full and happy lives. Thus, considering the long-term implications of their experience within a lifespan developmental context will help ensure optimal care and outcomes during survivorship. The developmental context of cancer has particular relevance for the child’s concept of illness and death, medical knowledge, and involvement in self-care and decision making into survivorship. Furthermore, the timing of any stressor, such as a cancer diagnosis and treatment, may have implications for the emergence of psychopathology and successful coping strategies in children. Clinical implications for the assessment and care of the childhood cancer survivor are discussed within a developmental context. Finally, directions for future research are summarized at the conclusion of this chapter.