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Developmental Foundations of Psychosocial Interventions in Pediatric Oncology: A Lifespan Framework for Resilience
Antonios I Christou1, Georgia Kalfadeli1, Flora Bacopoulou2
1Department of Special Education, University of Thessaly, 38221 Volos, Greece.
Insights
Developmentally tailored psychosocial interventions significantly improve cognitive and social outcomes for children with cancer. Focusing on long-term, culturally sensitive programs is key for enhancing effectiveness in pediatric oncology care.
Area of Science:
- Pediatric Oncology
- Developmental Psychology
- Psychosocial Care
Background:
- Pediatric cancer survival rates have increased due to innovative treatments.
- Significant challenges persist in cognitive and psychosocial development for childhood cancer patients.
- Evaluating psychosocial interventions is crucial for improving quality of life.
Purpose of the Study:
- To comprehensively review psychosocial interventions for pediatric cancer patients.
- To offer novel insights into intervention strategies and their effectiveness.
- To evaluate interventions across diverse pediatric oncology contexts.
Main Methods:
- Systematic literature search (2000-2024) across major databases.
- Included controlled studies, systematic reviews, and qualitative studies.
- Quality assessment (RoB2) and narrative synthesis by age and intervention type.
Main Results:
- Developmentally targeted interventions (e.g., therapeutic play, CBT) improve emotional regulation, cognitive function, and social adjustment.
- Interventions show promise in enhancing outcomes for children with cancer.
- Sample heterogeneity and varied measurements limit generalizability.
Conclusions:
- Integrating a developmental perspective enhances psychosocial intervention effectiveness in pediatric oncology.
- Future research should prioritize long-term, culturally sensitive programs.
- Implementation of evidence-based programs into clinical practice is recommended.
Background/Objectives:
In recent years, improvements and innovative treatments in pediatric cancer have significantly increased survival rates, but challenges in both cognitive and psychosocial development in children remain significant. This review applies a comprehensive framework to evaluate psychosocial interventions in pediatric populations, offering novel insights into intervention strategies and their effectiveness across diverse contexts.
Methods:
A systematic search was conducted in the PubMed, Scopus, PsycINFO, and Web of Science databases for the period 2000-2024. Controlled studies, systematic reviews, and qualitative studies examining psychosocial interventions for children and adolescents with cancer or survivors were included. Quality assessment was performed using the RoB2 tool, and data were analyzed using narrative synthesis by age group and type of intervention.
Results:
Studies have shown that developmentally targeted interventions, such as therapeutic play, cognitive-behavioral therapy, and school reintegration programs, improve emotional regulation, cognitive functioning, and social adjustment in children with cancer. However, the heterogeneity of the samples and the variety of measurements limit the generalizability of the results.
Conclusions:
Integrating a developmental perspective into the design of psychosocial interventions can enhance their effectiveness and sustainability in pediatric oncology. Future research should focus on long-term, culturally sensitive programs and their implementation in clinical practice.
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