Return to Work after Cancer: Challenges and Needs for Young Adults

Returning to work after cancer presents significant challenges for young adults (18–40 years old) who wish to continue or reintegrate into their professional life. The study Needs Assessment: Young Adults Navigating Work & Cancer, conducted by Cancer & Careers in collaboration with the Andrea Argenio Foundation, explores the experiences of this group, highlighting key problems, needs, and preferences for workplace support.

The survey included 516 participants and was conducted online from December 2024 to February 2025. Participants were young adult cancer patients or survivors, and the study focused on return to work, the difficulties they face, necessary accommodations, and the types of support they find most helpful.

Key Findings

The study clearly identifies the multiple challenges young adults face during professional reintegration:

  • Balancing treatment and work emerged as the most common challenge.

  • About 50.8% reported physical limitations, and 37.8% cognitive difficulties affecting job performance. Younger participants (18–25) reported even higher challenges (~70.3% physical, ~56.8% cognitive).

  • Concerns about job security and career progression were significant: around 1 in 3 participants worried about their position or professional identity, while for ages 35–40, concern about job security reached 50.8%.

  • Participants expressed a need for workplace support, mainly through:

    • Flexible working hours (77.5%)

    • Remote work / working from home (62.2%)

    • Additional paid leave (50%)

    • Mental health support (45.2%)

Open-ended responses also highlighted the need for better employer education, support in job search and career development, as well as broader psychosocial support.

The Greek Context and the Need for Action

Despite the importance of this issue, Greece lacks systematic data on return to work after cancer, particularly for young adults. There are few studies or official statistics documenting experiences, challenges, or needs, creating a significant knowledge and policy gap.

In this context, raising awareness, providing reliable information, and connecting survivors to trusted resources are critical. Initiatives focusing on young adults with cancer help create a more supportive environment for returning to work, addressing both practical and psychosocial aspects.

European tools and collaborations, such as the MELODIC project, in which Kapa3 participates actively, are particularly valuable. MELODIC focuses on the psychological support of young adult cancer patients, highlighting the close link between mental health, quality of life, and professional functioning after cancer.

The Cancer & Careers study demonstrates that returning to work after cancer is not a straightforward process. Physical and cognitive limitations, concerns about job security, and the need for flexibility are daily challenges for many young adults. In Greece, the lack of data does not mean the problem is absent; rather, it underscores the need for more knowledge, targeted initiatives, and meaningful support.

Through information, networking, and participation in European initiatives, returning to work can become more realistic and sustainable for young adults who have experienced cancer.

Sources: Needs Assessment: Young Adults Navigating Work & Cancer

Text/Adaptation: Ifiyenia Anastasiou for Kapa3

When Art Meets Science: How CREATE Platform May Strengthen Emotional Regulation in Cancer Care

At Kapa3, we recognize that cancer affects far more than the body, challenging the emotions, sense of self, relationships, and quality of life of those suffering. Despite the high prevalence of co-occuring mental health issues such as anxiety and depression, access to mental health services remains limited. This gap between patient needs and healthcare provisions is precisely what motivated us to help develop CREATE, an innovative digital platform designed to support emotional resilience through a powerful combination of art, technology, and emotional engagement (Ladas et al., 2025).

The CREATE (Creative and Resilience through Arts, Technology, and Emotions) platform uses computerised cognitive training (CCT) designed to enhance emotional regulation by integrating working memory training, engagement with famous artwork, and creative emotional expression. Unlike other platforms, it only targets one cognitive function: working memory. Evidence suggests that focusing on a single cognitive function is more effective than targeting multiple ones. Working memory in particular has been found to influence emotional regulation, a skillset with established benefits for anxiety and depression.

CREATE therefore introduces a unified framework that addresses cognitive function, emotional expression, and biological influences such as sleep quality and dopamine activity. Such digital health solutions are increasingly recognized as promising alternatives to standard psychotherapy, offering greater accessibility and affordability while still capable of reducing symptoms of depression and anxiety.

Findings from the pilot study on CREATE were very promising; the participants found the platform easy to use and enjoyable, and showed increased emotional and creative engagement. Although this early research focused on feasibility and validity rather than therapeutic effectiveness, initial findings indicate improvements in emotional regulation. Importantly, the study demonstrated positive relationships between working memory, emotional regulation, and expression of emotion, while also suggesting that sleep and dopamine may mediate these effects.

These insights highlight the importance of lifestyle and biological data in developing personalized digital mental health tools. It is well established in neuroscience that working memory plays a central role in emotional regulation. A stronger working memory allows individuals to better cope with distressing thoughts, shift their attention, and respond more calmly to challenges. For people living with cancer, supporting these cognitive and emotional capacities makes daily life more manageable. Improved thinking skills can facilitate treatment adherence, informed decision-making, and a more effective management of the emotional turbulence that often accompanies illness.

The study relied on a convenience sample made up mostly of cancer-related healthcare professionals, and only one cancer survivor participated. To address this limitation, the next phase of research will focus entirely on cancer patients and survivors. Their unique challenges, including cancer-related fatigue and treatment-related cognitive changes, will be central to refining the platform and ensuring that CREATE is tailored to the needs of those it aims to benefit the most. This creates not only a more impactful intervention but also empowers patients to have a voice in shaping the future of supportive cancer care.

As we look ahead, CREATE offers a hopeful vision for digital mental-health support. It is scalable, affordable, and adaptable, making it especially valuable for people who lack access to mental health care. Intervening early and supporting emotional well-being throughout treatment and survivorship may reduce the long-term strain on healthcare services associated with mental health conditions.  As cancer treatment continues to evolve, we must make sure that psychological care develops along with it. And CREATE does just that.

Read the full study

References

Ladas, A. I., Katsoridou, C., Gravalas, T., Klados, M. A., Stravoravdi, A. S., Tsompanidou, N., Fragkedaki, A., Bista, E., Chorafa, T., Petrovic, K., Vlotinou, P., Tsiakiri, A., Papazisis, G., & Frantzidis, C. A. (2025). Creativity and REsilience Through Arts, Technology and Emotions: A Pilot Study on the Feasibility and Validity of the CREATE Platform. Brain Sciences15(11), 1171.

Article by Despina Chrysostomidou, Psychologist, for Kapa3 Research Insights

Kapa3 participation in the MELODIC consortium meeting in Lisbon

We are delighted to announce that Kapa3 had the opportunity to take part in the recent MELODIC consortium meeting, which was held in Lisbon. Although our participation was online, it was in real time, and our team contributed actively to the discussions, which focused on the development of the training program for healthcare professionals and the design of the intervention study, both aiming to support the mental health of young adults living with cancer.

The MELODIC project, funded by the EU4HEALTH program with a total budget of €1.8 million, addresses a critical yet often overlooked issue: the mental health of young adults aged 18–35 living with cancer.

During the meeting, partners exchanged experiences and findings from European research and interviews with healthcare professionals, families, and young adults with cancer. These insights strengthened collaboration and the formulation of strategies for timely psychosocial support.

Next spring, the project will launch the intervention phase, focusing on social prescribing and the use of green and blue spaces—harnessing the power of nature and community to promote well-being.

Kapa3 continues to work closely with its European partners to ensure a meaningful impact on the lives of young adults facing cancer.

Read more on the Melodic project here