Comportamento, competência social e funcionamento executivo de crianças e adolescentes sobreviventes de tumores de fossa posterior
Epidemiological data from the National Cancer Institute (INCA, 2016) estimate that pediatric cancer correspond up to 1 to 3% of the total cancer incidence in Brazil, accounting up for 12.600 new cases annually. Despite improvement in diagnostic measures and elevated survival rates in recent years...
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| Format: | Dissertação |
| Sprache: | por |
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Brasil
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| Online Zugang: | https://repositorio.ufrn.br/jspui/handle/123456789/25091 |
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| Zusammenfassung: | Epidemiological data from the National Cancer Institute (INCA, 2016) estimate
that pediatric cancer correspond up to 1 to 3% of the total cancer incidence in Brazil,
accounting up for 12.600 new cases annually. Despite improvement in diagnostic
measures and elevated survival rates in recent years, treatment for brain tumors is still
associated to elevated neurotoxicity and significantly neuropsychogical impairments,
including academic, cognitive and behavioral changes. In pediatric population, nervous
system tumors mostly develops (60%) in the posterior fossa. It is established that
children who survive these tumors are challenged with significative neurocognitive
damage. Previous studies highlight intellectual, attentional, process speed, visual
memory and executive function impairments after posterior fossa tumor treatment.
Consequently, these children can exhibit poor academic performance, low vocational
success and impaired behavior. Two non-excluding hypothesis are highlight as
alternatives for comprehension for the emergency of these impairments. The first one
suggests that diffuse damage to the neuronal white matter due to the radiotherapy is one
of the possible causes to the observed impairments, while the second one suggests that
cerebellar damage is the responsible for the cognitive, behavioral and affective
impairments. Examining how disease and it´s treatment influences the daily lives of
survivor’s highlights how academic and social impairments manifests in the functional
capacity of these children, their learning potential and vocational success and, mostly,
their quality of life. This study aims to characterize the behavioral profile and social
competence of children survivors of posterior fossa tumors. Additionally, this study
aims to correlate behavior problems and social problems - as evaluated by their parents
and caregivers - and executive functioning of this clinic population. Eighteen pediatric survivors of posterior fossa tumors have participated in this study. It was found above
average prevalence of psychiatric syndromes and marked behavior problems and altered
social competence in both clinical groups. Statistical significant correlations between
behavioral measures and executive functioning were found. |
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