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Psychiatric Considerations in Pediatric Patients With Brain Tumors
Jessie Benson1, Ashish Sarangi2,3
1Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas.
The Primary Care Companion for CNS Disorders
|December 22, 2022
Summary
Adolescents with brain tumors experience higher depression and anxiety. Treatment intensity, female sex, and tumor diagnosis are risk factors. Multifaceted interventions are crucial for managing these mental health challenges.
Area of Science:
- Oncology
- Pediatric Psychology
- Neuroscience
Background:
- Adolescents diagnosed with brain or central nervous system tumors exhibit higher rates of depression and anxiety than the general pediatric population.
- Understanding the factors contributing to these mental health challenges and effective interventions is critical for improving patient outcomes.
Approach:
- A systematic review of 1,537 articles published in English between 2000 and 2020 was conducted.
- Articles were filtered using MeSH keywords related to brain neoplasms, mental health, and pediatric populations, focusing on adolescents aged 18 years or younger.
- 36 studies were selected for data extraction on risk factors, interventions, and pharmacologic considerations for depression and anxiety in this population.
Key Points:
- Factors associated with increased depression and anxiety symptoms include the intensity of cancer treatment, female sex, and the brain tumor diagnosis itself.
- Pediatric brain tumor patients show elevated rates of antidepressant prescriptions.
- Multifaceted interventions, including behavioral and communication therapies, are essential due to the potential impact of brain tumors on psychological, social, and cognitive functions.
Conclusions:
- Depression and anxiety in pediatric brain tumor patients can lead to long-lasting psychosocial problems.
- Recognizing contributing factors and implementing appropriate interventions is vital for mitigating the long-term effects of these conditions.
- A comprehensive approach addressing psychological, social, and cognitive aspects is necessary for effective management.
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