The correlation between improved parental coping strategies and early diagnosis, better emotional functioning of the child and siblings suggests that there have been efforts to obtaining an early diagnosis and promoting family hardiness for people living with these diseases [ 74, 75].
Patients reported better emotional functioning (n=17, HL median change=12.5, P=0.003) and coping (n=18, HL median change=8.3, P=0.02), and less pain (n=17, HL median change=−16.7, P=0.02) and sleeping disorders (n=18, HL median change=−16.7, P=0.05).
Prevalent concerns about drugs and alcohol and about interpersonal relationships were associated with worse emotional functioning, while societal and altruistic concerns was correlated with better emotional functioning.
Scale scores range from 0 100 with higher scores denoting better emotional functioning.
Robert et al. [ 29] reported that better leg function was significantly related to better emotional functioning in long-term osteosarcoma survivors.
Although this study reported no difference in overall HRQoL by sex, adolescent males were found to have better emotional functioning than adolescent females.
Males younger than the median age (53 years old) had higher sexual enjoyment scores (p = 0.00) and better emotional function scores (p = 0.01).
In terms of emotional QoL, those with a parent-rated prognosis of very good or excellent and those with savings of at least $10 000 had better emotional function, whereas those receiving intensive chemotherapy treatment were at an almost five-fold increased odds of poor emotional function.
The baseline QOL scores were comparable between two groups, with the exception of emotional functioning and a better global QOL in the ECF group.
At 18 months, global quality of life, role and emotional functioning, pain, swallowing, mouth opening and depressive symptoms were significantly better in the intervention group than in the control group, and at 24 months emotional functioning and fatigue were significantly better in the intervention group.
