Ql-01 * Anxiety, Depression and Anger in Children With Ependymoma: a Report From the Collaborative Ependymoma Research Network (cern) Pediatric Outcomes Project (peo)
Year: 2014
Type: conference-abstract
Abstract: BACKGROUND: Ependymomas are relatively uncommon primary brain tumors in children. CERN is a multi-institutional group with the mission to develop new treatments, improve outcomes and care of patients. METHODS: The PEO study has an online survey completed by child/parent dyads which includes validated questionnaires, including PROMIS anxiety, depression and anger short-forms. Descriptive statistics were used to report the characteristics and degree of depression, anxiety and anger reported by the children versus their parents. Pearson's correlations, paired samples and independent samples t-tests were used to determine relationships and differences among variables of interest. RESULTS: Nineteen dyads (parent-child) participated including both boys (n = 10) and girls (n = 9). Ages ranged from 5-20 years (median =10). Tumors were primarily supratentorial (n = 11), with nearly all had received radiation, and nearly half having had recurrence (n = 9). There was no rating difference between boys and girls in terms of anxiety (p < 0.10) or depression (p < 0.83). There was a strong, positive correlation between the child's rating and parent's rating of anxiety (r = 0.71; p < 0.02), depression (r = 0.71; p < 0.02) and anger (r = .66; p < .02). However, there was a significant difference between the severity of depression between child and the parent report; parents rating their child's depression as more severe (mean = 10) than the child (mean = 7) (t = -2.4, df = 14, p < 0.03). Differences in anger ratings between parent and child approached significance (t = -2.0, df = 14, p = 0.07), with children reporting more anger. CONCLUSION: While parents rated anxiety similar to the child's, parents rated depression worse and anger less severe than the children themselves. This underscores the importance of assessing and managing psychological symptoms that arise including the input of both the child and parent to assure all needs are met.
Source: Neuro-Oncology
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2314211592