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Suicidal ideation and executive functioning in pediatric cancer.

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Summary

Pediatric cancer patients with suicidal ideation (SI) show greater executive functioning impairments and inattention symptoms. Further research is needed to screen for SI and understand its link to neurocognitive effects in childhood cancer survivors.

Keywords:
cancerexecutive functioningneurocognitivepediatricpsycho-oncologysuicidal ideation

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Area of Science:

  • Pediatric Oncology
  • Neuropsychology
  • Child Psychology

Background:

  • Neurocognitive impairments and psychological distress are common in pediatric cancer patients.
  • Suicidal ideation (SI) is elevated in cancer survivors, with a known link to neurocognitive deficits.
  • The relationship between SI and cancer-related neurocognitive effects in children remains understudied.

Purpose of the Study:

  • To investigate the prevalence of SI in pediatric cancer patients.
  • To examine the association between SI and neurocognitive deficits, specifically executive functioning and ADHD symptoms.
  • To compare executive functioning and ADHD symptoms between pediatric cancer patients with and without SI.

Main Methods:

  • 166 pediatric cancer patients (aged 6-23) were assessed for SI using informant-report measures.
  • Executive functioning, ADHD symptoms, and performance-based measures were evaluated.
  • Comparisons were made between patients with and without SI based on parent, teacher, and self-endorsement.

Main Results:

  • 17.5% of pediatric cancer patients reported SI.
  • Patients with SI exhibited significantly greater executive functioning impairments (parent and teacher reports).
  • Parents reported significantly more inattention symptoms in children with SI, but hyperactivity did not differ.

Conclusions:

  • An elevated number of children treated for cancer experience SI and related neurocognitive problems.
  • Screening for SI in pediatric cancer populations is crucial.
  • Further assessment of the connection between executive functioning and SI is needed.