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Predictive factors of internalized and externalized behavioral problems in children treated for acute lymphoblastic leukemia
Background Pediatric cancer survivors are at increased risk of various neurological and psychological problems. The prevalence of behavioral problems was assessed in a longitudinal study in pediatric patients with an acute lymphoblastic leukemia (ALL). Multilevel modeling was used to identify associ...
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| Published in: | Pediatric blood & cancer 2012-06, Vol.58 (6), p.971-977 |
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| Main Authors: | , , , , |
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| Language: | English |
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| container_end_page | 977 |
| container_issue | 6 |
| container_start_page | 971 |
| container_title | Pediatric blood & cancer |
| container_volume | 58 |
| creator | Marcoux, Sophie Robaey, Philippe Krajinovic, Maja Moghrabi, Albert Laverdière, Caroline |
| description | Background
Pediatric cancer survivors are at increased risk of various neurological and psychological problems. The prevalence of behavioral problems was assessed in a longitudinal study in pediatric patients with an acute lymphoblastic leukemia (ALL). Multilevel modeling was used to identify associated predictive factors.
Procedure
ALL patients and their parents (n = 138) took part to this study. Patients were treated according to the Dana‐Farber Cancer Institute (DFCI) consortium protocols 91‐01 or 95‐01. Mothers filled out questionnaires providing a measure of behavioral problems for their child at diagnosis and during the subsequent 4 years, and of their perceived familial stress at diagnosis and post‐induction.
Results
Prevalence of internalized behavioral problems at diagnosis was increased [42% above 1 standard deviation (SD); P |
| doi_str_mv | 10.1002/pbc.24079 |
| format | article |
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Pediatric cancer survivors are at increased risk of various neurological and psychological problems. The prevalence of behavioral problems was assessed in a longitudinal study in pediatric patients with an acute lymphoblastic leukemia (ALL). Multilevel modeling was used to identify associated predictive factors.
Procedure
ALL patients and their parents (n = 138) took part to this study. Patients were treated according to the Dana‐Farber Cancer Institute (DFCI) consortium protocols 91‐01 or 95‐01. Mothers filled out questionnaires providing a measure of behavioral problems for their child at diagnosis and during the subsequent 4 years, and of their perceived familial stress at diagnosis and post‐induction.
Results
Prevalence of internalized behavioral problems at diagnosis was increased [42% above 1 standard deviation (SD); P < 0.001], but it normalized over time. Internalized problems resolved more slowly in the presence of medical variables associated with increased stress related to the disease (hospitalization duration, P < 0.001; relapse risk at diagnosis, P < 0.001). Externalized behavioral problems were within the expected normal range, but more sustained over time with the 95‐01 than with the 91‐01 treatment protocols (P < 0.05), likely due to the type of corticosteroid (CS) used (dexamethasone vs. prednisone).
Conclusions
Assessment of both internalized and externalized problems is required in this population. The impact of pharmacological variables on externalized behavioral problems is likely related to CS use. Pediatr Blood Cancer 2012; 58: 971–977. © 2012 Wiley Periodicals, Inc.</description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.24079</identifier><identifier>PMID: 22287274</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>acute lymphoblastic leukemia ; Antineoplastic Combined Chemotherapy Protocols - adverse effects ; behavioral problems ; Child ; Child Behavior Disorders - epidemiology ; Child Behavior Disorders - etiology ; corticosteroids ; Female ; Humans ; Longitudinal Studies ; Male ; Mothers - psychology ; Neuropsychological Tests ; pediatric cancer ; Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy ; Precursor Cell Lymphoblastic Leukemia-Lymphoma - psychology ; Prevalence ; Risk Factors ; Stress, Psychological - complications</subject><ispartof>Pediatric blood & cancer, 2012-06, Vol.58 (6), p.971-977</ispartof><rights>Copyright © 2012 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3629-b812d28548ff3437b6e923cd459b4a707812b24ac18597a62ee308770852bada3</citedby><cites>FETCH-LOGICAL-c3629-b812d28548ff3437b6e923cd459b4a707812b24ac18597a62ee308770852bada3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22287274$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marcoux, Sophie</creatorcontrib><creatorcontrib>Robaey, Philippe</creatorcontrib><creatorcontrib>Krajinovic, Maja</creatorcontrib><creatorcontrib>Moghrabi, Albert</creatorcontrib><creatorcontrib>Laverdière, Caroline</creatorcontrib><title>Predictive factors of internalized and externalized behavioral problems in children treated for acute lymphoblastic leukemia</title><title>Pediatric blood & cancer</title><addtitle>Pediatr. Blood Cancer</addtitle><description>Background
Pediatric cancer survivors are at increased risk of various neurological and psychological problems. The prevalence of behavioral problems was assessed in a longitudinal study in pediatric patients with an acute lymphoblastic leukemia (ALL). Multilevel modeling was used to identify associated predictive factors.
Procedure
ALL patients and their parents (n = 138) took part to this study. Patients were treated according to the Dana‐Farber Cancer Institute (DFCI) consortium protocols 91‐01 or 95‐01. Mothers filled out questionnaires providing a measure of behavioral problems for their child at diagnosis and during the subsequent 4 years, and of their perceived familial stress at diagnosis and post‐induction.
Results
Prevalence of internalized behavioral problems at diagnosis was increased [42% above 1 standard deviation (SD); P < 0.001], but it normalized over time. Internalized problems resolved more slowly in the presence of medical variables associated with increased stress related to the disease (hospitalization duration, P < 0.001; relapse risk at diagnosis, P < 0.001). Externalized behavioral problems were within the expected normal range, but more sustained over time with the 95‐01 than with the 91‐01 treatment protocols (P < 0.05), likely due to the type of corticosteroid (CS) used (dexamethasone vs. prednisone).
Conclusions
Assessment of both internalized and externalized problems is required in this population. The impact of pharmacological variables on externalized behavioral problems is likely related to CS use. Pediatr Blood Cancer 2012; 58: 971–977. © 2012 Wiley Periodicals, Inc.</description><subject>acute lymphoblastic leukemia</subject><subject>Antineoplastic Combined Chemotherapy Protocols - adverse effects</subject><subject>behavioral problems</subject><subject>Child</subject><subject>Child Behavior Disorders - epidemiology</subject><subject>Child Behavior Disorders - etiology</subject><subject>corticosteroids</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mothers - psychology</subject><subject>Neuropsychological Tests</subject><subject>pediatric cancer</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - psychology</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Stress, Psychological - complications</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1kMtOwzAQRS0EolBY8APIWxZpHSeOkyWUNwiQeC2tsTNRDUkT2WlpER9PoFCxYTWjmXPv4hCyF7JByBgfNtoMeMxktka2QhGLQLBQrq92lvXItvcvHZowkW6SHuc8lVzGW-TjzmFuTWtnSAswbe08rQtqJy26CZT2HXMKk5zi_M9B4xhmtnZQ0sbVusTKdwlqxrbMHU5o6xDajitqR8FMW6TlomrGHQm-tYaWOH3FysIO2Sig9Lj7M_vk8fTkYXQeXN-eXYwOrwMTJTwLdBrynKciTosiiiOpE8x4ZPJYZDoGyWT31zwGE6Yik5BwxIilUrJUcA05RH1ysOw1rvbeYaEaZytwCxUy9WVQdQbVt8GO3V-yzVRXmK_IX2UdMFwCb7bExf9N6u5o9FsZLBPWtzhfJcC9qkRGUqjnmzOV3T-Jy9HVlTqOPgELnIwn</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Marcoux, Sophie</creator><creator>Robaey, Philippe</creator><creator>Krajinovic, Maja</creator><creator>Moghrabi, Albert</creator><creator>Laverdière, Caroline</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201206</creationdate><title>Predictive factors of internalized and externalized behavioral problems in children treated for acute lymphoblastic leukemia</title><author>Marcoux, Sophie ; Robaey, Philippe ; Krajinovic, Maja ; Moghrabi, Albert ; Laverdière, Caroline</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3629-b812d28548ff3437b6e923cd459b4a707812b24ac18597a62ee308770852bada3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>acute lymphoblastic leukemia</topic><topic>Antineoplastic Combined Chemotherapy Protocols - adverse effects</topic><topic>behavioral problems</topic><topic>Child</topic><topic>Child Behavior Disorders - epidemiology</topic><topic>Child Behavior Disorders - etiology</topic><topic>corticosteroids</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mothers - psychology</topic><topic>Neuropsychological Tests</topic><topic>pediatric cancer</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - psychology</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Stress, Psychological - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marcoux, Sophie</creatorcontrib><creatorcontrib>Robaey, Philippe</creatorcontrib><creatorcontrib>Krajinovic, Maja</creatorcontrib><creatorcontrib>Moghrabi, Albert</creatorcontrib><creatorcontrib>Laverdière, Caroline</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marcoux, Sophie</au><au>Robaey, Philippe</au><au>Krajinovic, Maja</au><au>Moghrabi, Albert</au><au>Laverdière, Caroline</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive factors of internalized and externalized behavioral problems in children treated for acute lymphoblastic leukemia</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr. Blood Cancer</addtitle><date>2012-06</date><risdate>2012</risdate><volume>58</volume><issue>6</issue><spage>971</spage><epage>977</epage><pages>971-977</pages><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract>Background
Pediatric cancer survivors are at increased risk of various neurological and psychological problems. The prevalence of behavioral problems was assessed in a longitudinal study in pediatric patients with an acute lymphoblastic leukemia (ALL). Multilevel modeling was used to identify associated predictive factors.
Procedure
ALL patients and their parents (n = 138) took part to this study. Patients were treated according to the Dana‐Farber Cancer Institute (DFCI) consortium protocols 91‐01 or 95‐01. Mothers filled out questionnaires providing a measure of behavioral problems for their child at diagnosis and during the subsequent 4 years, and of their perceived familial stress at diagnosis and post‐induction.
Results
Prevalence of internalized behavioral problems at diagnosis was increased [42% above 1 standard deviation (SD); P < 0.001], but it normalized over time. Internalized problems resolved more slowly in the presence of medical variables associated with increased stress related to the disease (hospitalization duration, P < 0.001; relapse risk at diagnosis, P < 0.001). Externalized behavioral problems were within the expected normal range, but more sustained over time with the 95‐01 than with the 91‐01 treatment protocols (P < 0.05), likely due to the type of corticosteroid (CS) used (dexamethasone vs. prednisone).
Conclusions
Assessment of both internalized and externalized problems is required in this population. The impact of pharmacological variables on externalized behavioral problems is likely related to CS use. Pediatr Blood Cancer 2012; 58: 971–977. © 2012 Wiley Periodicals, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22287274</pmid><doi>10.1002/pbc.24079</doi><tpages>7</tpages></addata></record> |
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| source | Wiley |
| subjects | acute lymphoblastic leukemia Antineoplastic Combined Chemotherapy Protocols - adverse effects behavioral problems Child Child Behavior Disorders - epidemiology Child Behavior Disorders - etiology corticosteroids Female Humans Longitudinal Studies Male Mothers - psychology Neuropsychological Tests pediatric cancer Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy Precursor Cell Lymphoblastic Leukemia-Lymphoma - psychology Prevalence Risk Factors Stress, Psychological - complications |
| title | Predictive factors of internalized and externalized behavioral problems in children treated for acute lymphoblastic leukemia |
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