Keyword search (4,163 papers available)

"Krull KR" Authored Publications:

Title Authors PubMed ID
1 Symptom burden, healthcare utilization, and risky behaviors in survivors of the childhood cancer survivor study (CCSS): an observation cohort study Webster R; Srivastava DK; Xie L; Darji H; Liu W; McGrady ME; Brinkman TM; Alberts NM; Ness KK; Fuemmeler B; Kunin-Batson AS; Huang IC; Armstrong GT; Howell RM; Green DM; Yasui Y; Krull KR; 41340862
PSYCHOLOGY
2 Intolerance of uncertainty, psychological symptoms, and pain in long-term childhood cancer survivors: a report from the Childhood Cancer Survivor Study Alberts NM; Stratton KL; Leisenring WM; Pizzo A; Lamoureux É; Alschuler K; Flynn J; Krull KR; Jibb LA; Nathan PC; Olgin JE; Stinson JN; Armstrong GT; 40699439
PSYCHOLOGY
3 Fear of Cancer Recurrence in Adult Survivors of Childhood Cancer Pizzo A; Leisenring WM; Stratton KL; Lamoureux É; Flynn JS; Alschuler K; Krull KR; Jibb LA; Nathan PC; Olgin JE; Stinson JN; Armstrong GT; Alberts NM; 39361286
PSYCHOLOGY
4 Neuropathic pain and neurocognitive functioning in children treated for acute lymphoblastic leukemia Partanen M; Alberts NM; Conklin HM; Krull KR; Pui CH; Anghelescu DA; Jacola LM; 34813516
CONCORDIA
5 Change in Pain Status and Subsequent Opioid and Marijuana Use Among Long-Term Adult Survivors of Childhood Cancer. Huang IC, Alberts NM, Buckley MG, Li Z, Ehrhardt MJ, Brinkman TM, Allen J, Krull KR, Klosky JL, Greene WL, Srivastava DK, Robison LL, Hudson MM, Anghelescu DL 33409451
PSYCHOLOGY
6 Wearable Respiratory Monitoring and Feedback for Chronic Pain in Adult Survivors of Childhood Cancer: A Feasibility Randomized Controlled Trial From the Childhood Cancer Survivor Study. Alberts NM, Leisenring WM, Flynn JS, Whitton J, Gibson TM, Jibb L, McDonald A, Ford J, Moraveji N, Dear BF, Krull KR, Robison LL, Stinson JN, Armstrong GT 33147073
CONCORDIA
7 Pain in long-term survivors of childhood cancer: A systematic review of the current state of knowledge and a call to action from the Children's Oncology Group. Schulte FSM, Patton M, Alberts NM, Kunin-Batson A, Olson-Bullis BA, Forbes C, Russell KB, Neville A, Heathcote LC, Karlson CW, Racine NM, Charnock C, Hocking MC, Banerjee P, Tutelman PR, Noel M, Krull KR 33112416
PSYCHOLOGY

 

Title:Intolerance of uncertainty, psychological symptoms, and pain in long-term childhood cancer survivors: a report from the Childhood Cancer Survivor Study
Authors:Alberts NMStratton KLLeisenring WMPizzo ALamoureux ÉAlschuler KFlynn JKrull KRJibb LANathan PCOlgin JEStinson JNArmstrong GT
Link:https://pubmed.ncbi.nlm.nih.gov/40699439/
DOI:10.1007/s11764-025-01865-7
Publication:Journal of cancer survivorship : research and practice
Keywords:AnxietyChildhood cancer survivorshipChronic painDepressionDistressIntolerance of uncertaintyPainPediatric cancerPsychological symptoms
PMID:40699439 Category: Date Added:2025-07-23
Dept Affiliation: PSYCHOLOGY
1 Department of Psychology, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, H4B 1R6, Canada. nicole.alberts@concordia.ca.
2 Fred Hutchinson Cancer Center, Clinical Research Division, Seattle, USA.
3 Department of Psychology, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, H4B 1R6, Canada.
4 Université de Montréal, Montréal, Canada.
5 Department of Rehabilitation Medicine, University of Washington, Seattle, USA.
6 Department of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, USA.
7 Hospital for Sick Children, Toronto, Canada.
8 Department of Medicine, University of California, San Francisco, USA.
9 Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, USA.

Description:

Purpose: Intolerance of uncertainty is central to many psychological disorders and may contribute to pain. Despite the uncertainty inherent in childhood cancer survivorship, little is known about intolerance of uncertainty in this population. This study aimed to characterize intolerance of uncertainty, its risk factors, and its associations with psychological symptoms and pain in childhood cancer survivors.

Methods: Survivors from the Childhood Cancer Survivor Study completed psychosocial measures via online survey, including the Intolerance of Uncertainty Scale-12 (score range = 12-60). Cancer and treatment variables were abstracted from medical records. Multivariable regression models with 95% confidence intervals (CI) adjusted for age and sex examined the effects of demographic, disease, treatment, pain, and psychological variables on intolerance of uncertainty.

Results: Participants included 228 adult survivors of childhood cancer (mean age = 39.6 years, 50.4% female, n = 93 chronic pain). Mean level of intolerance of uncertainty among survivors was 26.2 (SD = 10.0, 95% CI 24.9 to 27.5). Intolerance of uncertainty was associated with female sex (ß [95% CI]; 2.7 [0.2-5.3]), unemployment (5.2 [1.9-8.5]), neurologic (4.1 [0.5-7.7]) and cardiovascular (5.0 [2.2-7.8]) chronic health conditions, elevated anxiety (10.9 [8.1-13.7]), and perceived poor health status (4.5 [1.4-7.6]). Higher levels of intolerance of uncertainty were observed in survivors with chronic pain (LS mean = 29.2) compared to survivors without (LS mean = 23.5; p < 0.01).

Conclusions: Mean levels of intolerance of uncertainty in childhood cancer survivors are comparable to the general population and associated with psychological symptoms and chronic pain.

Implications for cancer survivors: Intolerance of uncertainty may be a modifiable target for transdiagnostic interventions in survivorship care.





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