Adaptive functioning in pediatric brain tumor survivors: An examination of ethnicity and socioeconomic status

被引：14

作者：

Raghubar, Kimberly P. ^{[1
]}

Orobio, Jessica ^{[1
]}

Ris, M. Douglas ^{[1
]}

Heitzer, Andrew M. ^{[1
]}

Roth, Alexandra ^{[1
]}

Brown, Austin L. ^{[2
]}

Okcu, M. Fatih ^{[2
]}

Chintagumpala, Murali ^{[2
]}

Grosshans, David R. ^{[3
]}

Paulino, Arnold C. ^{[3
]}

Mahajan, Anita ^{[3
]}

Kahalley, Lisa S. ^{[1
]}

机构：

[1] Baylor Coll Med, Dept Pediat, Psychol Sect, 1102 Bates Ave Ste 940, Houston, TX 77030 USA

[2] Baylor Coll Med, Dept Pediat, Hematol Oncol Sect, Houston, TX 77030 USA

[3] Univ Texas MD Anderson Canc Ctr, Div Radiat Oncol, Houston, TX 77030 USA

来源：

PEDIATRIC BLOOD & CANCER | 2019年 / 66卷 / 09期

关键词：

adaptive functioning; brain tumor; ethnicity; radiation; socioeconomic status; CONFORMAL RADIATION-THERAPY; LONG-TERM SURVIVORS; PROCESSING SPEED; CHILDREN; ACHIEVEMENT; ADJUSTMENT; DEFICITS; OUTCOMES; PARENTS; MODEL;

D O I：

10.1002/pbc.27800

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background Survivors of pediatric brain tumor are at risk for adaptive difficulties. The present study examined adaptive functioning in a multiethnic sample of survivors accounting for socioeconomic status, and whether demographic, diagnostic, and/or treatment-related variables predict adaptive outcomes. Method Participants included a multiethnic sample of survivors (58 Caucasian, 34 Hispanic, and 22 other non-Caucasian; M age = 14.05 years, SD = 4.33) who were approximately seven years post-treatment. Parents rated adaptive functioning and provided demographic information. Diagnostic and treatment-related information was abstracted from the electronic medical record. Results Parent ratings of adaptive functioning were similar across Caucasian, Hispanic, and other non-Caucasian survivors covarying for family income and primary caregiver education, both of which served as proxies for socioeconomic status. All ethnic groups were rated lower than the normative mean in overall adaptive functioning as well as the specific domains of conceptual, social, and practical skills. Demographic, diagnostic, and treatment-related variables were differentially associated with adaptive functioning in survivors of pediatric brain tumor, though socioeconomic status emerged as a strong significant predictor of adaptive functioning domains. Conclusions Adaptive outcomes do not differ as a function of ethnicity after accounting for primary caregiver education and family income. Racial and ethnic minorities may be at increased risk for poorer outcomes given their overrepresentation at lower income levels. Assessing demographic and treatment-related variables early on may be helpful in identifying children likely to develop adaptive difficulties.

引用

页数：8