Department of Psychology, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 740, Memphis, TN, 38105, USA.
J Clin Psychol Med Settings. 2020 Mar;27(1):41-47. doi: 10.1007/s10880-019-09619-1.
Many children with cancer are diagnosed during infancy and toddlerhood (< 3 years of age), potentially resulting in disrupted and/or missed developmental opportunities. Our objective was to describe the functioning of infants and toddlers with cancer who were clinically referred for evaluation at a hospital-based psychology clinic. Data from 29 very young children with cancer (M = 23.62 ± 6.6 months; 55.2% male) who completed clinically referred assessments from 2010 to 2015 were abstracted. Children were 11.3 months post-diagnosis (SD = 7.77, range 1-29 months) with just over half off-therapy at the time of assessment (55.2%). Overall, developmental functioning was significantly below expectations [t(22) = - 8.99, p < .001]. Adaptive functioning [t(25) = - 6.41, p < .001] was also significantly below expectations. Infants and toddlers with cancer appear to be at significant risk for weaknesses in early cognitive and adaptive functioning. The margin of deficits found in this study warrant the need for further investigation and consideration of this young population to ensure optimal functional development.
许多患有癌症的儿童在婴儿期和幼儿期（<3 岁）被诊断出来，这可能导致他们错过了发展机会或发展机会被打乱。我们的目的是描述在医院心理诊所因临床需要而接受评估的患有癌症的婴儿和幼儿的功能状况。从 2010 年至 2015 年，我们从 29 名患有癌症的非常年幼的儿童（M=23.62±6.6 个月；55.2%为男性）中提取了临床转介评估的数据。这些儿童在诊断后 11.3 个月（SD=7.77，范围为 1-29 个月），评估时只有一半以上的儿童已经结束治疗（55.2%）。总的来说，发育功能明显低于预期[t(22)=-8.99，p<.001]。适应性功能[t(25)=-6.41，p<.001]也明显低于预期。患有癌症的婴儿和幼儿似乎在早期认知和适应性功能方面存在明显的缺陷风险。本研究中发现的缺陷程度表明有必要对此年轻人群进行进一步研究和考虑，以确保他们的功能得到最佳发展。
