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Neurocognitive and Psychosocial Outcomes in Pediatric Brain Tumor Survivors
Peter L Stavinoha1, Martha A Askins2, Stephanie K Powell3
1The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. pstavinoha@mdanderson.org.
Insights
Pediatric brain tumor (PBT) survivors often experience long-term neurocognitive and psychosocial challenges impacting quality of life. Further research is crucial for developing effective interventions to improve outcomes for these survivors.
Area of Science:
- Neuroscience
- Psychology
- Oncology
Background:
- Late neurocognitive and psychosocial effects of pediatric brain tumor (PBT) treatment are significant clinical concerns.
- These effects negatively impact survivors' quality of life, education, and employment.
- Multiple factors influence these outcomes, including tumor characteristics, treatment, individual factors, and support systems.
Purpose of the Study:
- To review existing research on late effects in PBT survivors.
- To highlight the need for innovative research to improve neurocognitive and psychosocial outcomes.
Main Methods:
- Literature review of studies on pediatric brain tumor late effects.
- Analysis of factors contributing to neurocognitive and psychosocial outcomes.
- Brief description of current intervention paradigms.
Main Results:
- Declines in intelligence are common and persistent.
- Core deficits in attention, processing speed, and working memory are prevalent.
- Psychological issues include depression, anxiety, and adjustment difficulties.
Conclusions:
- Understanding PBT late effects requires ongoing research.
- Innovative interventions are needed to enhance neurocognitive and psychosocial outcomes for PBT survivors.
- Early-stage research on interventions necessitates further development.
Abstract:
The late neurocognitive and psychosocial effects of treatment for pediatric brain tumor (PBT) represent important areas of clinical focus and ongoing research. Neurocognitive sequelae and associated problems with learning and socioemotional development negatively impact PBT survivors' overall health-related quality of life, educational attainment and employment rates. Multiple factors including tumor features and associated complications, treatment methods, individual protective and vulnerability factors and accessibility of environmental supports contribute to the neurocognitive and psychosocial outcomes in PBT survivors. Declines in overall measured intelligence are common and may persist years after treatment. Core deficits in attention, processing speed and working memory are postulated to underlie problems with overall intellectual development, academic achievement and career attainment. Additionally, psychological problems after PBT can include depression, anxiety and psychosocial adjustment issues. Several intervention paradigms are briefly described, though to date research on innovative, specific and effective interventions for neurocognitive late effects is still in its early stages. This article reviews the existing research for understanding PBT late effects and highlights the need for innovative research to enhance neurocognitive and psychosocial outcomes in PBT survivors.
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