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儿童脑肿瘤和急性淋巴细胞白血病幸存者的执行功能迟发效应

Executive function late effects in survivors of pediatric brain tumors and acute lymphoblastic leukemia.

作者信息

Winter Amanda L, Conklin Heather M, Tyc Vida L, Stancel Heather, Hinds Pamela S, Hudson Melissa M, Kahalley Lisa S

机构信息

a Department of Pediatrics, Section of Psychology , Baylor College of Medicine , Houston , TX , USA.

出版信息

J Clin Exp Neuropsychol. 2014;36(8):818-30. doi: 10.1080/13803395.2014.943695. Epub 2014 Aug 15.

Abstract

BACKGROUND

Survivors of pediatric brain tumors (BT) and acute lymphoblastic leukemia (ALL) are at risk for neurocognitive late effects related to executive function.

PROCEDURE

Survivors of BT (48) and ALL (50) completed neurocognitive assessment. Executive function was compared to estimated IQ and population norms by diagnostic group.

RESULTS

Both BT and ALL demonstrated relative executive function weaknesses. As a group, BT survivors demonstrated weaker executive functioning than expected for age. Those BT survivors with deficits exhibited a profile suggestive of global executive dysfunction, while affected ALL survivors tended to demonstrate specific rapid naming deficits.

CONCLUSION

Findings suggest that pediatric BT and ALL survivors may exhibit different profiles of executive function late effects, which may necessitate distinct intervention plans.

摘要

背景

小儿脑肿瘤(BT)和急性淋巴细胞白血病(ALL)幸存者存在与执行功能相关的神经认知迟发效应风险。

程序

BT(48例)和ALL(50例)幸存者完成了神经认知评估。按诊断组将执行功能与估计智商和总体标准进行比较。

结果

BT和ALL均表现出相对的执行功能弱点。总体而言,BT幸存者的执行功能比预期年龄的要弱。那些有缺陷的BT幸存者表现出提示整体执行功能障碍的特征,而受影响的ALL幸存者往往表现出特定的快速命名缺陷。

结论

研究结果表明,小儿BT和ALL幸存者可能表现出不同的执行功能迟发效应特征,这可能需要不同的干预计划。

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