Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: Drs Kakaki and Theleritis describe the effect of psychological trauma in children exposed to chronic illness, especially life-threatening illness. They state that for these children certain preventive measures should be implemented.
In our study, 177 of 3751 adverse events (4.8%) were categorized as emotional problems. Almost 12% of these emotional adverse events were severe, life-threatening, or disabling. However, we do not know if those problems were the results of psychological trauma. Furthermore, we were not able to compare the prevalence of emotional adverse events in our survivors of childhood cancer with that in a control group without a history of cancer.
Kremer LCM, Cardous-Ubbink MC, Geenen MM, van Leeuwen FE, Caron HN. Health Outcomes in Long-term Survivors of Childhood Cancer—Reply. JAMA. 2007;298(14):1635–1636. doi:10.1001/jama.298.14.1635-b
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