Practical adaptive skills in pediatric brain tumor survivors: the contribution of medical factors and social determinants of health.

IF 1.6 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2024-08-01 Epub Date: 2023-11-06 DOI:10.1080/09297049.2023.2275826
Lily Nolan, Lisa A Jacobson, Rachel K Peterson
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引用次数: 0

Abstract

Pediatric brain tumor survivors demonstrate weaknesses in adaptive functioning, most notably practical adaptive skills; however, the specific areas of weakness within practical skills are unknown. This study examined the aspects of practical adaptive functions that are most impacted in brain tumor survivors, and identified medical and socio-demographic variables that predicted outcomes. The sample included 117 pediatric brain tumor patients seen for a clinical neuropsychological evaluation and whose parents completed the Adaptive Behavior Assessment System, Second or Third Edition. T-tests compared practical adaptive skills to normative means. Correlations examined associations between medical and socio-demographic variables and each of the practical adaptive subscales (Community Use, Home Living, Health & Safety, Self-Care). Significant correlations were entered into linear regression models for each practical adaptive skill. All practical subscales were significantly below the normative mean. Community Use was positively correlated with age at diagnosis and negatively correlated with treatment burden, time since diagnosis, and neighborhood deprivation. Health and Safety was positively correlated with age at diagnosis. Home Living was positively correlated with neighborhood deprivation. Self-Care was positively correlated with age at diagnosis and parental education. Specific medical and socio-demographic factors predicted practical adaptive functioning, highlighting the importance of considering the role of medical and socio-demographic determinants of health on adaptive functioning outcomes in pediatric brain tumors.

儿科脑肿瘤幸存者的实用适应技能:健康的医学因素和社会决定因素的贡献。
儿童脑肿瘤幸存者在适应功能方面表现出弱点,尤其是实用的适应技能;然而,实践技能的具体薄弱环节尚不清楚。这项研究考察了对脑瘤幸存者影响最大的实际适应功能方面,并确定了预测结果的医学和社会人口统计学变量。该样本包括117名接受临床神经心理学评估的儿童脑瘤患者,他们的父母完成了第二版或第三版的适应性行为评估系统。T测试将实际适应技能与规范手段进行了比较。相关性研究了医疗和社会人口统计学变量与每个实际适应性分量表(社区使用、家庭生活、健康与安全、自我护理)之间的关联。对于每种实际的适应技能,都将显著的相关性输入到线性回归模型中。所有实际分量表均显著低于标准均值。社区使用与诊断时的年龄呈正相关,与治疗负担、诊断后的时间和社区剥夺呈负相关。健康和安全与诊断时的年龄呈正相关。居家生活与社区贫困呈正相关。自我护理与诊断时的年龄和父母教育呈正相关。特定的医学和社会人口学因素预测了实际的适应性功能,强调了考虑健康的医学和社交人口学决定因素对儿童脑肿瘤适应性功能结果的作用的重要性。
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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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