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Adult survivors of childhood brain tumors experience multiple, significant, life-long deficits as a consequence of their malignancy and therapy. Current survivorship literature documents the substantial impact such impairments have on survivors’ physical health and quality of life. Psychosocial reports detail educational, cognitive, and emotional limitations characterizing survivors as especially fragile, often incompetent, and unreliable in evaluating their circumstances.

Anecdotal data suggests some survivors report life experiences similar to those of healthy controls. The aim of our investigation was to determine whether life satisfaction in adult survivors of childhood brain tumors differs from that of healthy controls and to identify potential predictors of life satisfaction in survivors. This cross-sectional study compared 78 brain tumor survivors with population–based matched controls. Chi-square tests, t-tests, and linear regression models were used to investigate patterns of life satisfaction and identify potential correlates. Results indicated life satisfaction of adult survivors of childhood brain tumors was similar to that of healthy controls. Survivors’ general health expectations emerged as the primary correlate of life satisfaction. Understanding life satisfaction as an important variable will optimize the design of strategies to enhance participation in follow-up care, reduce suffering, and optimize quality of life in this vulnerable population.

Introduction As a result of improvements in diagnosis and aggressive, multimodality treatment, there is a growing population of long-term survivors of childhood brain tumors. Cracked binding of isaac mods funny meme. Because curative therapy for central nervous system tumors typically involves intensive multimodality therapy, survivors are at risk for numerous complications related to the injury of normal central nervous system tissues that have a limited capacity for self-repair. Extended follow-up of large cohorts has confirmed that this growing group of survivors is at high risk for profound, life-altering late effects. A recent analysis from the St. Jude Lifetime Cohort study indicated a high prevalence of clinically ascertained chronic health conditions among cohort members (median age, 32 years); 98.2% of survivors had one or more chronic medical conditions, and a severe/disabling or life-threatening condition occurred in 67.6% ().

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Epidemiologic research has detailed the permanent, sometimes progressive metabolic deficits and psychopathology that negatively affect the health and functioning of brain tumor survivors and may diminish life satisfaction (). Endocrine and neurologic dysfunctions are most common. Endocrine late effects include growth hormone deficiency, diabetes insipidus, abnormal thyroid function, obesity, and adrenocorticotropic hormone deficiency (; ). Brain tumor survivors also struggle with a spectrum of neurologic sequelae such as sensory impairment, seizures, sleep dysregulation, cognitive deficits, apathy, executive dysfunction, inattention or processing speed impairment, and emotional deficits (;;; ). These substantial adverse consequences lead to disabilities that affect the daily lives of survivors who grapple with poor educational attainment, unemployment/underemployment (), lower rates of marriage (), depression or anxiety (), and physical performance limitations resulting in restricted access to the environment (; ). Cumulatively, these deficits impede successful integration into society and may adversely affect life satisfaction. Despite considerable disability among brain tumor survivors, emergent data suggest many of them report a quality of life that is similar to that of sibling or normative controls.