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  3. Processing Speed In Patients With Pediatric Cancer: Psychosocial Considerations.
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  3. Processing Speed In Patients With Pediatric Cancer: Psychosocial Considerations.

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Processing speed in patients with pediatric cancer: Psychosocial considerations.

Jenna A Chiang1,2,3, Paulina T Feghali1, Ashley M Whitaker1,2

  • 1Division of Hematology, Oncology, and Blood and Marrow Transplantation, Cancer and Blood Disease Institute, Children's Hospital Los Angeles (CHLA), Los Angeles, California, USA.

Applied Neuropsychology. Child
|September 14, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Children with cancer exposed to mixed-language (ML) households showed average processing speed, similar to English-only peers. This suggests resilience in pediatric cancer survivors with Spanish language exposure, regardless of socioeconomic status.

Keywords:
BilingualismSDMTcancerpediatricprocessing speed

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Area of Science:

  • Neuropsychology
  • Pediatric Oncology
  • Health Disparities

Background:

  • Pediatric cancer treatments can impact cognitive functions, including processing speed.
  • Socioeconomic status (SES) and race/ethnicity influence cancer outcomes, with minorities often facing disparities.
  • Hispanic/Latine children have an increased risk for certain cancers, and Spanish language exposure is rising in the US.

Purpose of the Study:

  • To investigate processing speed differences in pediatric cancer survivors based on household language exposure: English vs. mixed language (ML).
  • To explore the role of socioeconomic status and time since diagnosis in processing speed among these survivors.

Main Methods:

  • 128 pediatric patients (ages 8-21) with leukemia/lymphoma completed cognitive screening.
  • Processing speed was assessed using the written and oral trials of the Symbol Digit Modalities Test (SDMT).
  • Statistical analyses compared processing speed between English-only and mixed-language groups, controlling for SES and time since diagnosis.

    • Main Results:

    • Patients from ML households had lower SES, as expected.
    • Overall processing speed was average for both groups, with no significant differences between English-only and ML survivors.
    • Time since diagnosis did not predict oral processing speed, but poorer written processing speed was observed in the English-only group further from diagnosis.

    Conclusions:

    • Mixed-language exposure, even with lower SES, did not negatively impact processing speed in pediatric cancer survivors.
    • The stable processing speed trajectory in the ML group suggests potential resilience associated with Spanish language exposure.
    • Findings highlight the importance of considering linguistic and cultural factors in pediatric cancer survivorship research.