Objective:To describe the trajectory of patient and caregiver mental health from diagnosis through the first year of treatment for pediatric cancer and assess whether rates of clinically relevant symptoms were elevated compared to norms. We examined mean levels of internalizing and externalizing symptoms and post-traumatic stress symptoms (PTSS) in children with cancer, and depression, anxiety and PTSS in caregivers through in the first year of treatment; the proportion of patients and caregivers that scored in the clinical range at each time point; the typical trajectory of symptoms in patients and caregivers and whether trajectories differed between individuals.
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