A systematic review of factors related to children's quality of life and mental health after brain tumor

Purpose Brain tumor has been found to have a major impact on children's quality of life (QOL); yet, the subjective impact of the illness is still not well understood. This review aimed to investigate factors related to children's subjective well‐being (SWB), or self‐reported QOL and mental...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2018-10, Vol.27 (10), p.2317-2326
Main Authors: Bell, Hayley, Ownsworth, Tamara, Lloyd, Owen, Sheeran, Nicola, Chambers, Suzanne
Format: Article
Language:English
Subjects:
Behavior problems
Brain cancer
brain tumor
Brain tumors
Children
Childrens health
Cognition & reasoning
Evidence-based medicine
Health status
Hydrocephalus
Intelligence tests
Mental health
oncology
Parents & parenting
pediatric
Pediatrics
Psychosocial factors
Quality of life
Radiation
Risk factors
Systematic review
Tumors
Well being
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Summary:Purpose Brain tumor has been found to have a major impact on children's quality of life (QOL); yet, the subjective impact of the illness is still not well understood. This review aimed to investigate factors related to children's subjective well‐being (SWB), or self‐reported QOL and mental health after brain tumor. A further aim was to determine the consistency between child and parent‐proxy ratings of children's SWB and common factors associated with both child and parent‐proxy ratings. Methods A systematic search of PsycINFO, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, and Scopus was conducted from 1980 to May 2018 to identify eligible studies. Methodological quality of these studies was assessed by 2 independent reviewers. Results Twenty studies investigated factors related to children's self‐reported mental health or QOL. Fourteen studies examined these factors from the perspectives of both children and their parents. Overall, risk factors for poor QOL included infratentorial tumors, radiation, hydrocephalus, lower IQ, and behavioral problems. Only 5 studies examined mental health outcomes, the findings of which were mixed. Relatively few studies examined psychosocial variables related to children's SWB. Conclusions Although several risk factors for poor QOL were identified, further research investigating mental health outcomes and the influence of psychosocial factors on children's SWB is needed to guide support interventions for pediatric brain tumor.
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.4850