Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: In their study describing adverse health outcomes in long-term survivors of childhood cancer, Dr Geenen and colleagues1 do not adequately discuss the effect of psychological trauma in these patients. Children who are exposed to chronic illnesses (especially those that are life-threatening) may experience sleep disturbances and nightmares, thought suppression, difficulties in concentration, memory problems, loss of motivation, intense fear, irritability, and aggression toward their parents and peers.2,3
Kakaki M, Theleritis C. Health Outcomes in Long-term Survivors of Childhood Cancer. JAMA. 2007;298(14):1635–1636. doi:10.1001/jama.298.14.1635-a
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