Browsing by Subject "Pediatric oncology"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Emotional and behavioral late effects in pediatric oncology survivors(2010-12) Garcia, Michael Isaac; Robillard, Rachel West; Stark, Kevin Douglas; Tharinger, Deborah; Mercer, Walt; Borich, GaryThe most common form of childhood cancer is Acute Lymphoblastic Leukemia (ALL). Patients treated for ALL may experience short- and long-term physiological and cognitive effects due to treatment. However, delayed emotional and behavioral effects in pediatric survivors, as well as risk-factors that may make them more susceptible to developing problems with psychological and behavioral functioning are less understood. Studies investigating pediatric survivors have demonstrated that negative emotional and behavioral late effects can and do occur (Hobbie et al., 2000; Buizer et al. 2006; Novakovic et al., 1996; Mulhern, Wasserman, Friedman, & Fairclough, 1989), and it has been purported that survivors experience higher rates of depression, anxiety and low self-esteem (Koocher, O’Malley, Gogan, & Foster, 1980; Kazak, 1994). Anxiety in particular, has been identified as one of the longest lasting psychological sequelae of cancer (Kazak, 1994). Still, the data on long-term psychological sequelae is mixed, with some studies suggesting healthy, long-term, psychological adjustment (Brown et al., 1992; Fritz, Williams & Amylon, 1988; Greenberg, Kazak, & Meadows, 1989). This pilot study attempted to investigate emotional and behavioral late effects of cancer as reported by survivors and their caregivers on the Behavior Assessment System for Children, Second Edition (BASC-2). This study also investigated potential risk factors that made it more likely to develop emotional and behavioral late-effects. This study hypothesized that females, those undergoing high intensity chemotherapy, and those starting chemotherapy at an earlier age, would report significantly more internalizing and externalizing problems. Analysis revealed significant differences in reporting of anxiety, depression, attention and hyperactivity symptoms combined based on the age when treatment started. No other significant findings were uncovered; however, in an effort to provide directions for future research, patterns in the data were examined by comparing overall means on BASC-2 subscales. For example, females reported more hyperactive symptoms than males. In general, individuals who started treatment at younger ages reported more difficulty with emotional and behavioral functioning. Additionally, males and females adaptive behavior fell within normal limits. Overall, no BASC-2 mean scores were in the at-risk or clinically significant range of impairment suggesting adequate emotional, behavioral and adaptive functioning overall.Item Newly diagnosed pediatric oncology patients and their families : the effect of family therapy on anxiety and depression(2010-12) Parton, Victoria Teresa; Keith, Timothy, 1952-; Carlson, CindyThe proposed study is a preliminary investigation of a hypothesized relationship between family therapy and levels of child patient and parent anxiety and depression. Currently, medical practice does not include mental health services and familial support to oncology patients in typical treatment protocol. While anxiety and depression appear to be present during all phases of cancer, providing family therapy at the time of diagnosis is warranted as symptom alleviation at this juncture may mitigate these symptoms throughout subsequent phases and potentially decrease somatic difficulties. Research questions will be addressed by analyzing data, including scores on measures of anxiety and depression. Statistical analyses will include two and three-way analyses of variance (ANOVA) and repeated measures multivariate analysis of variance (MANOVA).