title: Psychological adjustment of 'surgery-only' pediatric neuro-oncology patients: a retrospective analysis.
abstract: A recent increase in diagnoses of pediatric neuro-oncology tumors combined with recent advancements in medical treatment of such tumors has resulted in a growing cohort of pediatric brain tumor survivors. These survivors are at risk for short and long-term psychological adjustment problems. Most studies regarding these survivors have focused on children who have received combinations of surgery, radiation, and chemotherapy as medical treatment. The sub-group of pediatric neuro-oncology patients who receive surgery as the only form of medical treatment has not been closely followed for adjustment problems. In this study, data were retrospectively collected from semi-structured clinical interviews with 34 'surgery-only' pediatric neuro-oncology patients who were 2 weeks to 5 years off medical treatment for their tumor. These data suggest that these survivors may be experiencing significant short and long-term mood, behavioral, and academic adjustment problems in comparison to national averages for children regarding these issues. Additional research examining the psychological adjustment process for surgery-only pediatric neuro-oncology patients is needed to validate these preliminary findings and facilitate the development of targeted interventions to address the identified adjustment problems.
authors.affiliation: Dana-Farber Cancer Institute, Harvard Medical School, USA. tony_meyer@dfci.harvard.edu
authors.forename: Eugene A
authors.initials: EA
authors.lastname: Meyer
authors.forename: Mark W
authors.initials: MW
authors.lastname: Kieran
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001932:Brain Neoplasms / Q000523:psychology* / Q000601:surgery; D002648:Child; D002667:Child Reactive Disorders / Q000175:diagnosis / Q000523:psychology; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012803:Sick Role