The Influence of Socioeconomic Status (SES) and Processing Speed on the Psychological Adjustment and Wellbeing of Pediatric Brain Tumor Survivors

(1) Background: The relationship between processing speed (PS) and psychological adjustment in the healthy population is well established, as is that between low socio-economic status (SES) and psychological distress. While PS is one of the most impaired functions in pediatric brain tumor survivors...

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Veröffentlicht in:Cancers 2022-06, Vol.14 (13), p.3075
Hauptverfasser: Oprandi, Maria Chiara, Oldrati, Viola, Cavatorta, Claudia, Gandola, Lorenza, Massimino, Maura, Bardoni, Alessandra, Poggi, Geraldina
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container_end_page
container_issue 13
container_start_page 3075
container_title Cancers
container_volume 14
creator Oprandi, Maria Chiara
Oldrati, Viola
Cavatorta, Claudia
Gandola, Lorenza
Massimino, Maura
Bardoni, Alessandra
Poggi, Geraldina
description (1) Background: The relationship between processing speed (PS) and psychological adjustment in the healthy population is well established, as is that between low socio-economic status (SES) and psychological distress. While PS is one of the most impaired functions in pediatric brain tumor survivors (PBTSs), previous research has demonstrated that low SES may be a predictor of increased psychosocial risk in PBTSs. Given the psychological adjustment difficulties observed in PBTS, in the current study we aimed to explore the relationship between SES and psychological functioning, considering the contribution of PS as a mediator. (2) Methods: demographic and clinical data of 80 children (age range: 4–17 y.o.) were retrospectively collected. Psychological measures were the parent-compiled versions of the Child Behavioral Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ). Mediation analysis models were performed on psychological measures with and without the inclusion of covariates. (3) Results: The influence of SES on the CBCL total index was mediated by PS. Furthermore, PS was found to have a mediating effect on the relationship between SES and internalizing problems but not on the relationship between SES and externalizing problems. (4) Conclusions: The results suggest that PS may be a rehabilitation target for the prevention of psychological distress and should be addressed especially for PBTSs who live in a disadvantaged situation.
doi_str_mv 10.3390/cancers14133075
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While PS is one of the most impaired functions in pediatric brain tumor survivors (PBTSs), previous research has demonstrated that low SES may be a predictor of increased psychosocial risk in PBTSs. Given the psychological adjustment difficulties observed in PBTS, in the current study we aimed to explore the relationship between SES and psychological functioning, considering the contribution of PS as a mediator. (2) Methods: demographic and clinical data of 80 children (age range: 4–17 y.o.) were retrospectively collected. Psychological measures were the parent-compiled versions of the Child Behavioral Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ). Mediation analysis models were performed on psychological measures with and without the inclusion of covariates. (3) Results: The influence of SES on the CBCL total index was mediated by PS. Furthermore, PS was found to have a mediating effect on the relationship between SES and internalizing problems but not on the relationship between SES and externalizing problems. (4) Conclusions: The results suggest that PS may be a rehabilitation target for the prevention of psychological distress and should be addressed especially for PBTSs who live in a disadvantaged situation.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers14133075</identifier><identifier>PMID: 35804846</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Adjustment ; Behavior ; Brain cancer ; Brain research ; Brain tumors ; Caregivers ; Check lists ; Children &amp; youth ; Education ; Families &amp; family life ; Mediation ; Mental depression ; Parent educational background ; Pediatrics ; Population ; Rehabilitation ; Risk factors ; Socioeconomic factors ; Stress</subject><ispartof>Cancers, 2022-06, Vol.14 (13), p.3075</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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subjects Adjustment
Behavior
Brain cancer
Brain research
Brain tumors
Caregivers
Check lists
Children & youth
Education
Families & family life
Mediation
Mental depression
Parent educational background
Pediatrics
Population
Rehabilitation
Risk factors
Socioeconomic factors
Stress
title The Influence of Socioeconomic Status (SES) and Processing Speed on the Psychological Adjustment and Wellbeing of Pediatric Brain Tumor Survivors
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