儿童癌症患者的处理速度:心理社会考虑
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
概括
接触混合语言 (ML) 家居的癌症儿童显示出平均处理速度,与仅使用英语的同龄人相似. 这表明,无论社会经济地位如何,儿童癌症幸存者与西班牙语接触的弹性.
科学领域:
- 神经心理学 神经心理学
- 儿科瘤学 儿科瘤学
- 健康差异 在健康上的差异
背景情况:
- 儿童癌症治疗可以影响认知功能,包括处理速度.
- 社会经济地位 (SES) 和种族/种族影响癌症的结果,少数群体经常面临差异.
- 西班牙裔/拉丁裔儿童患某些癌症的风险增加,在美国,西班牙语的使用率正在上升.
研究的目的:
- 根据家庭语言接触,调查儿童癌症幸存者的处理速度差异:英语与混合语言 (ML).
- 探索社会经济地位和诊断后的时间对这些幸存者处理速度的作用.
主要方法:
- 128名患有白血病/淋巴瘤的儿科患者 (8-21岁) 完成了认知查.
- 使用符号数字模式测试 (SDMT) 的书面和口头试验来评估处理速度.
- 统计分析比较了仅用英语和混合语言组之间的处理速度,控制了SES和诊断以来的时间.
主要成果:
- 像预期的那样,来自ML家庭的患者的SES水平较低.
- 两组的整体处理速度均为平均,只有英语和ML幸存者之间没有显著差异.
- 自诊断以来的时间没有预测口头处理速度,但在诊断后的英语单独组中观察到较差的书面处理速度.
结论:
- 混合语言暴露,即使是较低的SES,也没有对儿童癌症幸存者的处理速度产生负面影响.
- 在ML组中稳定的处理速度轨迹表明与西班牙语接触相关的潜在弹性.
- 研究结果强调了在儿童癌症幸存率研究中考虑语言和文化因素的重要性.
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