Psychological intervention in young brain tumor survivors: The efficacy of the cognitive behavioural approach
Abstract
Geraldina Poggia*, Mariarosaria Liscioa, Valentina Pastorea, Annarita Adducia, Susanna Galbiatia, Filippo Spreaficob, Lorenza Gandolab & Maura Massiminoba IRCCS Eugenio Medea, Bosisio Parini (LC), Italyb National Tumor Institute, Milan, Italy† Correspondence: Geraldina Poggi, IRCCS ‘Eugenio Medea’, Via Don Luigi Monza, 20 23842, Bosisio Parini (LC), Italy, +39-031-877111, +39-031-877499 geraldinapoggi@bp.lnf.itPurpose. Cognitive and behavioural therapy (CBT) is often used to treat behavioural and emotional disorders in children, and its efficacy has been described in several studies. As behavioural and emotional disorders are frequent sequelae in brain tumor survivors, the goal of this work is to describe the efficacy of a CBT intervention in the treatment of young brain tumor survivors.Methods. Forty young patients, aged 4–18 years, were included in the study. The treatment group, composed of 17 patients, received sessions of CBT. The Child Behaviour Checklist 4–18 (CBCL/4–18) and the Vineland Adaptive Behavioural Scales (VABS) were administered to parents at the beginning and at the end of the hospitalisation. The statistical significance of changes for clinical subjects during the CBT administration was estimated.Results. With regard to the CBCL/4–18, the clinical group showed a significant advantage on the withdrawn, somatic complaints, social problems, attention problems, internalising and total problem scales. On the VABS, the treatment group improved to a significantly greater extent in the social skills domain.Conclusions. These results substantiate our assumption that CBT is an effective intervention for young patients surviving brain tumors and may be particularly helpful to younger individuals in managing cancer-related limitations.
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CBT and ACT are evidence-based interventions addressing illness cognitions, perceptions, self-esteem, and social support and improving psychosocial outcomes.
“Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) are examples of evidence-based interventions addressing these factors and improving psychosocial outcomes [35-38].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [38]
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- Authors
- Poggi, G., Liscio, M., Pastore, V., Adduci, A., Galbiati, S., Spreafico, F., Gandola, L., & Massimino, M.
- Affiliations
- IRCCS Eugenio Medea (IT)
- Corresponding author
- Poggi, Geraldina
- ORCID
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 31
- Issue
- 13
- Pages
- 1066-1073
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W1978310077
- Cited by
- 58
- References
- 28
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 7 · 2017: 6 · 2015: 3 · 2014: 4 · 2013: 7 · 2012: 3
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- cognitive behavioral therapy, brain tumor survivors, childhood cancer survivors, psychological intervention, Child Behavior Checklist, social skills, internalizing problems, attention deficits, somatic symptoms, social problems
- MeSH terms
- Adaptation, Psychological, Adolescent, Astrocytoma, Brain Neoplasms, Child, Child, Preschool, Cranial Fossa, Posterior, Ependymoma, Female, Humans, Male, Medulloblastoma, Social Behavior, Cognitive Behavioral Therapy, Treatment Outcome, Skull Base Neoplasms
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