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Introduction: Central Nervous System Tumor (CNST) survivors tend to show worse HRQoLthan survivors of other types of cancer and general population. There are still many doubts about whatvariables and to what extend these are related to their HRQoL. Type and severity of late effects havenot a clear impact on HRQoL. However, Intelligence Quotient (IQ) changes as a specific late effectof this sample population, could modulate their HRQL. Furthermore, coping from both patients andparents, as well as parental distress could play a significant role modulating HRQoL in these survivors.Aim: To study whether survivors’ coping strategies and IQ, as well as coping, general stress and cancerrelateddistress of parents could modulate some psychosocial dimensions of their children HRQoL.Methodology: Correlational descriptive cross-sectional study. Thirty-seven teenagers (12-19 years old,both included) ≥1 year free of disease and 44 parents were recruited for the study. Results: When HRQoLis assessed by adolescents, the dimensions Parent Relations and Home Life, Social Support and Peer,and School Environment are related with the use of coping with problem style by adolescents. SocialAcceptance/Bullying dimension is related with nonproductive coping by the adolescent and helpseekingcoping style by parents. HRQoL assessed by parents is related with late effects, adolescents’ IQ, andtype of oncological treatment received. Discussion/Conclusion: Coping strategies, and specificallyproblem-solving strategies must be taken into account to assess and to intervene in the improvement ofHRQoL of this sample population.

Purpose and methods: The regular practice of physical exercise (PE) is one of the main behaviours related with a healthy lifestyle that has demonstrated to yield benefits both on physical and psychological health-related quality of life’ domains (HRQoL). However, in Spain, studies exploring such association in pediatric survivors of childhood cancer are scarce. For that reason, this descriptive study examines the relationship between the pattern of PE performance and self-rated HRQoL in a sample of adolescent survivors of childhood cancer (ASCC), compared to a normative group from the general population (NG). All participants filled in the SF-12v2 questionnaire and the AECEF. Results: In both groups, a significantly higher percentage of male active survivors was found and they also showed significantly higher mean scores in MCS. However, HRQoL between groups was equivalent and even higher in the case of MCS for the GS. Only 12% of explained variance for MCS was accounted in the NG, considering PE, gender and age at the assessment. Conclusions: Considering these results, we believe it’s needed to explore other factors not addressed in the present work, such as PE intensity or type of physical activity performed that might be mediating the association between PE and HRQoL in adolescent cancer survivors. It is also discussed the suitability of using specific tools to assess HRQoL in adolescent survivors of childhood cancer populations.

Objetivo: Explorar si la calidad de vida (CV) de los adolescentes oncológicos en remisión, está relacionada con el afrontamiento y/o el malestar emocional parental. Método: A partir de un diseño transversal, se recogió información de un total de 62 participantes (31 adolescentes oncológicos en remisión y 31 padres de los anteriores). La CV de los adolescentes fue evaluada a través del Cuestionario de Salud SF-12v2. Para evaluar el estilo de afrontamiento parental se administró el COPE en versión disposicional; y para medir su nivel de malestar emocional actual en relación al cáncer, se administraron dos escalas numéricas de 5 puntos. Los datos médicos y socio-demográficos se obtuvieron a partir de las historias clínicas. Resultados: El estilo de afrontamiento parental de vinculación con el problema (engagement) explicaba un 25% de la varianza del componente mental de CV de los adolescentes oncológicos en remisión (ß = -,500; p = ,004). Conclusiones: La CV del adolescente superviviente a un cáncer, no depende única y exclusivamente de sí mismo. El ámbito familiar en el que éste está inmerso va a tener un papel muy destacado en su adaptación. Por ello es necesario atender las necesidades tanto del paciente, como de sus padres; favoreciendo un mayor ajuste a la situación de remisión, ayudando a disminuir el malestar emocional una vez ha finalizado el tratamiento, y de algún modo, fomentando una mejor y más rápida adaptación a la normalidad de todo el núcleo familiar.