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Nursing issues
High alcohol consumption in adult survivors of childhood cancer increases risk of emotional distress
  1. Yolanta Breese
  1. Sheffield University Management School, University of Sheffield, Sheffield, S10 2TN, UK
  1. Correspondence to Mrs Yolanta Breese, Sheffield University Management School, University of Sheffield, Sheffield UK; y.breese{at}

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Commentary on: Brinkman, TM, Lown EA, Chenghong L, et al. Alcohol consumption behaviors and neurocognitive dysfunction and emotional distress in adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Addiction 2018; doi:10.1111/add.14439

Implications for practice and research

  • Modifying lifestyle factors, such as alcohol consumption, should be part of interventions for adult survivors of childhood cancer.

  • Survivors need to be screened for excessive alcohol consumption from adolescence onwards.

  • Directions of causality between, for example, depression and increased alcohol consumption require further longitudinal research.


Previous studies suggest that the causal pathway from alcohol abuse or dependence to neurocognitive dysfunction and emotional distress1 may be particularly prevalent among adult survivors of childhood cancer because of cancer-specific risk factors.2 However, this has not been evaluated for ageing adult survivors. This study investigates the association between alcohol consumption behaviours of …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.