Central nervous system tumors in children

Stewart, Elizabeth; Cohen, Debra Gaddy

doi:10.1016/s0749-2081(98)80041-7

Cited by 6 publications

(4 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, at end of life, two thirds of families reported they lacked information about treatment alternatives. Stewart and Cohen (1998) stated, "Ideally, all patients should receive the best care that science and technology can offer, and the comfort and improved sense of well-being that complementary practices can provide" (p. 39).…”

Section: Discussionmentioning

confidence: 99%

Childhood Brain Tumors: Parental Concerns and Stressors by Phase of Illness

Freeman

O’Dell

Meola

2004

J Pediatr Oncol Nurs

View full text Add to dashboard Cite

The objective of this study is to identify common problems and helpful resources important to parents of children with brain tumors by illness phase and to determine associations with stress. Parents with a child diagnosed within the past 10 years were surveyed regarding healthcare provider interactions, medical information/education, health care utilization and psychosocial concerns. Survey items were rated as problems or helpful, and for importance at each phase of illness. Stress was recorded from 0 to 10 for each phase; associations with demographic characteristics and items were tested statistically. A total of 139 parents from 87 families responded, with 45 mother-father pairs. Half reported unmet informational needs as most important during diagnosis (etiology), recurrence (complementary therapy), end of life (dying process), and remission (long-term effects). Mothers experienced greater stress than fathers during adjuvant treatment (p = .009). Stress increased (p < .05) during diagnosis and hospitalization/surgery with being married, at hospital discharge because of changes in child's personality/moods, during adjuvant treatment with unmet informational needs regarding stopping treatment, during recurrence regarding employment concerns, and during remission with unmet informational needs regarding life-time expectations. Stressors changed across phases of illness. Married respondents appeared at increased risk for stress. Further work is needed to tailor and evaluate interventions to decrease stress during illness phases.

show abstract

Section: Discussionmentioning

confidence: 99%

Childhood Brain Tumors: Parental Concerns and Stressors by Phase of Illness

Freeman

O’Dell

Meola

2004

J Pediatr Oncol Nurs

View full text Add to dashboard Cite

show abstract

“…Children with brain tumors are at increased risk for permanent damage neurologically because of their growing and developing brains and bodies (Stewart & Cohen, 1998). Current trends in treatment for pediatric brain tumors are to reduce treatment-related side effects and increase QOL in patients with good prognostic features, especially in neurocognitive outcomes (Bull, Spoudeas, Yadegarfar, Kennedy, & CCLG, 2007;Grill, Kieffer, & Kalifa, 2004).…”

Section: Quality Of Lifementioning

confidence: 99%

Creative Arts Therapy Improves Quality of Life for Pediatric Brain Tumor Patients Receiving Outpatient Chemotherapy

Madden

Mowry

Gao

et al. 2010

J Pediatr Oncol Nurs

153

143

View full text Add to dashboard Cite

This mixed methods pilot study evaluated the effects of the creative arts therapy (CAT) on the quality of life (QOL) of children receiving chemotherapy. A 2-group, repeated measures randomized design compared CAT with a volunteer's attention (n = 16). Statistical analysis of the randomized controlled phase of the study suggested an improvement in the following areas after the CAT: parent report of child's hurt (P = .03) and parent report of child's nausea (P = .0061). A nonrandomized phase, using a different instrument showed improved mood with statistical significance on the Faces Scale (P < .01), and patients were more excited (P < .05), happier (P < .02), and less nervous (P < .02). Provider focus groups revealed positive experiences. Case studies are included to exemplify the therapeutic process. With heightened interest in complementary therapy for children with cancer, future research with a larger sample size is needed to document the impact of incorporating creative arts into the healing process.

show abstract

“…The radiation is generally thought to work by destroying tumor cells as they divide (Armstrong and Mulhern 1999). Five-year survival rates range between 60% and 80% following the use of radiation therapy (Stewart and Cohen 1998). Six-months to several years post-irradiation, deleterious side-effects manifest in the central nervous system (CNS).…”

Section: Introductionmentioning

confidence: 99%

Dietary essential fatty acids and gender-specific behavioral responses in cranially irradiated rats

Elkin¹,

Wollan²,

Anderson³

et al. 2006

Neuropsychiatric Disease and Treatment

View full text Add to dashboard Cite

Specifi c memory defi cits, reduced intellectual processing speed, and a variety of social and behavioral problems have been implicated as long-term effects of cranial radiation therapy (CRT). These defi cits are thought to be related to changes in brain cytology and structure associated with microvascular aberrations. N-3 fatty acids may serve as protectants in pediatric patients who receive CRT for brain tumors. Timed-pregnant rat dams were fed one of four diets that were identical in all respects, except for their essential fatty acid content. The dams were placed on these diets at the beginning of the third trimester of gestation and their pups remained on them throughout the study. The rats' behavioral response as judged by acoustic startle response (ASR) and neurocognitive response (performance in a radial maze, RM) were evaluated in relation to diet, gender, and CRT. The following hypotheses were tested: (1) female rats will show greater CRT-induced neurocognitive and behavioral defi cits; (2) dietary n-3 fatty acids will diminish CRT-induced neurocognitive and behavioral defi cits; (3) genderspecifi c differences would be dampened by n-3 fatty acids in the diet. All three hypotheses were partially supported. These fi ndings are discussed in light of the potential neuroprotective effects of n-3 fatty acids.

show abstract

Central nervous system tumors in children

Cited by 6 publications

References 41 publications

Childhood Brain Tumors: Parental Concerns and Stressors by Phase of Illness

Childhood Brain Tumors: Parental Concerns and Stressors by Phase of Illness

Creative Arts Therapy Improves Quality of Life for Pediatric Brain Tumor Patients Receiving Outpatient Chemotherapy

Dietary essential fatty acids and gender-specific behavioral responses in cranially irradiated rats

Contact Info

Product

Resources

About