Neuropsychological, Physical Activity and Psychological Interventions for Pediatric Cancer Survivors: A Review and Synthesis

Janine Spitzhuettl, Claudia M. Roebers

Abstract


Background: Pediatric cancer survivors are at risk for negative cognitive, social and psychological late sequelae. In response to that, recent research endeavoured alleviating late sequelae and improving quality of life for pediatric cancer survivors. This review`s aim was to systematically evaluate and critically appraise the current state of evidence on non-pharmacological intervention studies following childhood cancer. 


Methods: Randomized controlled trials and quasi-experimental trials addressing children and adolescents after childhood cancer (age: 0-21 years), who reported either cognitive, psychosocial, psychological or health-related quality of life outcomes, were screened. Twenty non-pharmacological studies were identified, and studies were further categorized into one of the three groups:  Cognitive, physical activity and psychosocial/psychological interventions studies


Results: We critically discuss the methodological quality of these studies, and explore what outcomes can be tackled through what kind of intervention. 


Conclusions: Reviewing the existing studies and integrating the current empirical evidence, we conclude that for most aspects of children`s cognitive and social-emotional functioning more well-designed studies are needed.


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References


Anderson, V., Spencer-Smith, M., & Wood, A. (2011). Do children really recover better? Neurobehavioural plasticity after early brain insult. Brain, 134(8), 2197–2221. https://doi.org/10.1093/brain/awr103

Arceci, R. J. (2016). Pediatric Oncology: Psychosocial Care in Context. In A. N. Abrams, A. C. Muriel, & L. Wiener (Eds.), Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care (pp. 1–6). Springer International Publishing. https://doi.org/10.1007/978-3-319-21374-3_1

Askins, M. A., Ann-Yi, S., & Moore, B. D. (2015). Neurocognitive Late Effects in Children Treated for Cancer: Psychological Impact, Identification, and Prevention and Remediation. In G. A. Mucci & L. R. Torno (Eds.), Handbook of Long Term Care of The Childhood Cancer Survivor (pp. 397–409). Springer US. https://doi.org/10.1007/978-1-4899-7584-3_26

Barrera, M., Schulte, F., & Spiegler, B. (2008). Factors influencing depressive symptoms of children treated for a brain tumor. Journal of Psychosocial Oncology, 26(1), 1–16.

Barrera, Maru, Atenafu, E. G., Sung, L., Bartels, U., Schulte, F., Chung, J., Cataudella, D., Hancock, K., Janzen, L., Saleh, A., Strother, D., Downie, A., Zelcer, S., Hukin, J., & McConnell, D. (2018). A randomized control intervention trial to improve social skills and quality of life in pediatric brain tumor survivors. Psycho-Oncology, 27(1), 91–98. https://doi.org/10.1002/pon.4385

Barrera, Maru, Shaw, A. K., Speechley, K. N., Maunsell, E., & Pogany, L. (2005). Educational and social late effects of childhood cancer and related clinical, personal, and familial characteristics. Cancer, 104(8), 1751–1760. https://doi.org/10.1002/cncr.21390

Baumann, F. T., Bloch, W., & Beulertz, J. (2013). Clinical exercise interventions in pediatric oncology: a systematic review. Pediatric Research, 74(4), 366–374. https://doi.org/10.1038/pr.2013.123

Bonner, M. J., Hardy, K. K., Willard, V. W., Anthony, K. K., Hood, M., & Gururangan, S. (2008). Social Functioning and Facial Expression Recognition in Survivors of Pediatric Brain Tumors. Journal of Pediatric Psychology, 33(10), 1142–1152. https://doi.org/10.1093/jpepsy/jsn035

Braam, K. I., van der Torre, P., Takken, T., Veening, M. A., van Dulmen-den Broeder, E., & Kaspers, G. J. L. (2013). Physical exercise training interventions for children and young adults during and after treatment for childhood cancer. The Cochrane Database of Systematic Reviews, 4, CD008796. https://doi.org/10.1002/14651858.CD008796.pub2

Bradley Eilertsen, M.-E., Jozefiak, T., Rannestad, T., Indredavik, M. S., & Vik, T. (2012). Quality of life in children and adolescents surviving cancer. European Journal of Oncology Nursing, 16(2), 185–193. https://doi.org/10.1016/j.ejon.2011.08.001

Brier, M. J., Schwartz, L. A., & Kazak, A. E. (2015). Psychosocial, health-promotion, and neurocognitive interventions for survivors of childhood cancer: A systematic review. Health Psychology, 34(2), 130–148. https://doi.org/10.1037/hea0000119

Brown, B. B., & Larson, J. (2009). Peer Relationships in Adolescence. In R. M. Lerner & L. Steinberg (Eds.), Handbook of Adolescent Psychology. John Wiley & Sons, Inc. https://doi.org/10.1002/9780470479193.adlpsy002004

Buizer, A. I., de Sonneville, L. M. J., & Veerman, A. J. P. (2009). Effects of chemotherapy on neurocognitive function in children with acute lymphoblastic leukemia: A critical review of the literature. Pediatric Blood & Cancer, 52(4), 447–454. https://doi.org/10.1002/pbc.21869

Butler, R. W., & Copeland, D. R. (2002). Attentional processes and their remediation in children treated for cancer: a literature review and the development of a therapeutic approach. Journal of the International Neuropsychological Society: JINS, 8(1), 115–124.

Butler, R. W., Copeland, D. R., Fairclough, D. L., Mulhern, R. K., Katz, E. R., Kazak, A. E., Noll, R. B., Patel, S. K., & Sahler, O. J. Z. (2008). A multicenter, randomized clinical trial of a cognitive remediation program for childhood survivors of a pediatric malignancy. Journal of Consulting and Clinical Psychology, 76(3), 367–378. https://doi.org/10.1037/0022-006X.76.3.367

Butler, R. W., & Mulhern, R. K. (2005). Neurocognitive Interventions for Children and Adolescents Surviving Cancer. Journal of Pediatric Psychology, 30(1), 65–78. https://doi.org/10.1093/jpepsy/jsi017

Castellino, S. M., Ullrich, N. J., Whelen, M. J., & Lange, B. J. (2014a). Developing Interventions for Cancer-Related Cognitive Dysfunction in Childhood Cancer Survivors. JNCI Journal of the National Cancer Institute, 106(8), 1-16. https://doi.org/10.1093/jnci/dju186

Chung, O. K. J., Li, H. C. W., Chiu, S. Y., Ho, K. Y., & Lopez, V. (2015). Sustainability of an Integrated Adventure-Based Training and Health Education Program to Enhance Quality of Life Among Chinese Childhood Cancer Survivors: A Randomized Controlled Trial. Cancer Nursing, 38(5), 366–374. https://doi.org/10.1097/NCC.0000000000000211

Conklin, H. M., Ashford, J. M., Clark, K. N., Martin-Elbahesh, K., Hardy, K. K., Merchant, T. E., Ogg, R. J., Jeha, S., Huang, L., & Zhang, H. (2016). Long-Term Efficacy of Computerized Cognitive Training Among Survivors of Childhood Cancer: A Single-Blind Randomized Controlled Trial. Journal of Pediatric Psychology, jsw057. https://doi.org/10.1093/jpepsy/jsw057

Conklin, H. M., Ogg, R. J., Ashford, J. M., Scoggins, M. A., Zou, P., Clark, K. N., Martin-Elbahesh, K., Hardy, K. K., Merchant, T. E., Jeha, S., Huang, L., & Zhang, H. (2015). Computerized Cognitive Training for Amelioration of Cognitive Late Effects Among Childhood Cancer Survivors: A Randomized Controlled Trial. Journal of Clinical Oncology, 33(33), 3894–3902. https://doi.org/10.1200/JCO.2015.61.6672

de Ruiter, M. A., Oosterlaan, J., Schouten-van Meeteren, A. Y. N., Maurice-Stam, H., van Vuurden, D. G., Gidding, C., Beek, L. R., Granzen, B., Caron, H. N., & Grootenhuis, M. A. (2016). Neurofeedback ineffective in paediatric brain tumour survivors: Results of a double-blind randomised placebo-controlled trial. European Journal of Cancer, 64, 62–73. https://doi.org/10.1016/j.ejca.2016.04.020

Devine, K. A., Bukowski, W. M., Sahler, O. J. Z., Ohman-Strickland, P., Smith, T. H., Lown, E. A., Patenaude, A. F., Korones, D. N., & Noll, R. B. (2016). Social Competence in Childhood Brain Tumor Survivors: Feasibility and Preliminary Outcomes of a Peer-Mediated Intervention. Journal of Developmental & Behavioral Pediatrics, 37(6), 475–482. https://doi.org/10.1097/DBP.0000000000000315

Dubnov-Raz, G., Azar, M., Reuveny, R., Katz, U., Weintraub, M., & Constantini, N. W. (2015). Changes in fitness are associated with changes in body composition and bone health in children after cancer. Acta Paediatrica, 104(10), 1055–1061. https://doi.org/10.1111/apa.13052

Hardy, S. J., Krull, K. R., Wefel, J. S., & Janelsins, M. (2018). Cognitive Changes in Cancer Survivors. American Society of Clinical Oncology Educational Book, 38, 795–806. https://doi.org/10.1200/EDBK_201179

Hocking, M. C., McCurdy, M., Turner, E., Kazak, A. E., Noll, R. B., Phillips, P., & Barakat, L. P. (2015). Social competence in pediatric brain tumor survivors: Application of a model from social neuroscience and developmental psychology: Social Competence Pediatric in Brain Tumor. Pediatric Blood & Cancer, 62(3), 375–384. https://doi.org/10.1002/pbc.25300

Huang, J. S., Dillon, L., Terrones, L., Schubert, L., Roberts, W., Finklestein, J., Swartz, M. C., Norman, G. J., & Patrick, K. (2014). Fit4Life: A weight loss intervention for children who have survived childhood leukemia: Weight Intervention for Youth Surviving ALL. Pediatric Blood & Cancer, 61(5), 894–900. https://doi.org/10.1002/pbc.24937

Huang, T.-T., & Ness, K. K. (2011). Exercise Interventions in Children with Cancer: A Review. International Journal of Pediatrics, 2011, 1–11. https://doi.org/10.1155/2011/461512

Kazak, A. E. (2005). Evidence-Based Interventions for Survivors of Childhood Cancer and Their Families. Journal of Pediatric Psychology, 30(1), 29–39. https://doi.org/10.1093/jpepsy/jsi013

Krull, K. R., Hardy, K. K., Kahalley, L. S., Schuitema, I., & Kesler, S. R. (2018). Neurocognitive Outcomes and Interventions in Long-Term Survivors of Childhood Cancer. Journal of Clinical Oncology, 36(21), 2181–2189. https://doi.org/10.1200/JCO.2017.76.4696

Li, H. C. W., Chung, O. K. J., Ho, K. Y., Chiu, S. Y., & Lopez, V. (2013). Effectiveness of an integrated adventure-based training and health education program in promoting regular physical activity among childhood cancer survivors: Promoting regular physical activity among childhood cancer survivors. Psycho-Oncology, 22(11), 2601–2610. https://doi.org/10.1002/pon.3326

Liptak, C. C., Chow, C., Zhou, E. S., & Recklitis, C. J. (2016a). Psychosocial Care for Pediatric Cancer Survivors. In A. N. Abrams, A. C. Muriel, & L. Wiener (Eds.), Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care (pp. 265–289). Springer International Publishing. https://doi.org/10.1007/978-3-319-21374-3_15

Liptak, C. C., Chow, C., Zhou, E. S., & Recklitis, C. J. (2016b). Psychosocial Care for Pediatric Cancer Survivors. In A. N. Abrams, A. C. Muriel, & L. Wiener (Eds.), Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care (pp. 265–289). Springer International Publishing. https://doi.org/10.1007/978-3-319-21374-3_15

Marchese, V. G., Chiarello, L. A., & Lange, B. J. (2004). Effects of physical therapy intervention for children with acute lymphoblastic leukemia. Pediatric Blood & Cancer, 42(2), 127–133. https://doi.org/10.1002/pbc.10481

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine, 151(4), 264-269.

Moyer, K. H., Willard, V. W., Gross, A. M., Netson, K. L., Ashford, J. M., Kahalley, L. S., Wu, S., Xiong, X., & Conklin, H. M. (2012). The impact of attention on social functioning in survivors of pediatric acute lymphoblastic leukemia and brain tumors. Pediatric Blood & Cancer, 59(7), 1290–1295. https://doi.org/10.1002/pbc.24256

Mulhern, R. K., & Palmer, S. L. (2003). Neurocognitive late effects in pediatric cancer. Current Problems in Cancer, 27(4), 177–197. https://doi.org/10.1016/S0147-0272(03)00026-6

Noeker, M. (2012). Überlebende von Krebserkrankungen des Kindes- und Jugendalters: Entwicklungsverläufe zwischen Traumatisierung und Resilienz. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, 55(4), 481–492. https://doi.org/10.1007/s00103-012-1449-8

Nortz, M. J., Hemme-Phillips, J. M., & Ris, D. M. (2007). Neuropsychological sequelae in children treated for cancer. Pediatric Neuropsychological Intervention, 112–132.

Olson, K., & Sands, S. A. (2016). Cognitive training programs for childhood cancer patients and survivors: A critical review and future directions. Child Neuropsychology, 22(5), 509–536. https://doi.org/10.1080/09297049.2015.1049941

Patel, S. K., Ross, P., Cuevas, M., Turk, A., Kim, H., Lo, T. T. Y., Wong, L. F., & Bhatia, S. (2014). Parent-Directed Intervention for Children With Cancer-Related Neurobehavioral Late Effects: A Randomized Pilot Study. Journal of Pediatric Psychology, 39(9), 1013–1027. https://doi.org/10.1093/jpepsy/jsu045

Patel, S. K., Schulte, F., Kelly, N. C., & Steele, A. C. (2016). Neurocognitive Late Effects in Children with Cancer. In A. N. Abrams, A. C. Muriel, & L. Wiener (Eds.), Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care (pp. 157–174). Springer International Publishing. https://doi.org/10.1007/978-3-319-21374-3_10

Poggi, G., Liscio, M., Pastore, V., Adduci, A., Galbiati, S., Spreafico, F., Gandola, L., & Massimino, M. (2009). Psychological intervention in young brain tumor survivors: The efficacy of the cognitive behavioural approach. Disability and Rehabilitation, 31(13), 1066–1073. https://doi.org/10.1080/09638280802509546

Riggs, L., Piscione, J., Laughlin, S., Cunningham, T., Timmons, B. W., Courneya, K. S., Bartels, U., Skocic, J., de Medeiros, C., Liu, F., Persadie, N., Scheinemann, K., Scantlebury, N., Szulc, K. U., Bouffet, E., & Mabbott, D. J. (2016). Exercise training for neural recovery in a restricted sample of pediatric brain tumor survivors: a controlled clinical trial with crossover of training versus no training. Neuro-Oncology, 440-450. https://doi.org/10.1093/neuonc/now177

Ruble, K., Scarvalone, S., Gallicchio, L., Davis, C., & Wells, D. (2016). Group Physical Activity Intervention for Childhood Cancer Survivors: A Pilot Study. Journal of Physical Activity and Health, 13(3), 352–359. https://doi.org/10.1123/jpah.2015-0050

Rueegg, C. S., Gianinazzi, M. E., Rischewski, J., Beck Popovic, M., von der Weid, N. X., Michel, G., & Kuehni, C. E. (2013). Health-related quality of life in survivors of childhood cancer: the role of chronic health problems. Journal of Cancer Survivorship, 7(4), 511–522. https://doi.org/10.1007/s11764-013-0288-4

Sabel, M., Sjölund, A., Broeren, J., Arvidsson, D., Saury, J.-M., Gillenstrand, J., Emanuelson, I., Blomgren, K., & Lannering, B. (2017). Effects of physically active video gaming on cognition and activities of daily living in childhood brain tumor survivors: a randomized pilot study. Neuro-Oncology Practice, 4(2), 98-110. https://doi.org/10.1093/nop/npw020

Sahler, O. J. Z., Varni, J. W., Fairclough, D. L., Butler, R. W., Noll, R. B., Dolgin, M. J., Phipps, S., Copeland, D. R., Katz, E. R., & Mulhern, R. K. (2002). Problem-solving skills training for mothers of children with newly diagnosed cancer: A randomized trial. Journal of Developmental & Behavioral Pediatrics, 23(2), 77–86.

Schulte, F., & Barrera, M. (2010). Social competence in childhood brain tumor survivors: a comprehensive review. Supportive Care in Cancer, 18(12), 1499–1513. https://doi.org/10.1007/s00520-010-0963-1

Tanir, M. K., & Kuguoglu, S. (2013). Impact of Exercise on Lower Activity Levels in Children with Acute Lymphoblastic Leukemia: A Randomized Controlled Trial from Turkey. Rehabilitation Nursing, 38(1), 48–59. https://doi.org/10.1002/rnj.58

The Whoqol Group. (1998). The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science & Medicine, 46(12), 1569–1585. https://doi.org/10.1016/S0277-9536(98)00009-4

Van Der Plas, E., Erdman, L., Nieman, B. J., Weksberg, R., Butcher, D. T., O’connor, D. L., Aufreiter, S., Hitzler, J., Guger, S. L., Schachar, R. J., Ito, S., & Spiegler, B. J. (2018). Characterizing neurocognitive late effects in childhood leukemia survivors using a combination of neuropsychological and cognitive neuroscience measures. Child Neuropsychology, 24(8), 999–1014. https://doi.org/10.1080/09297049.2017.1386170

van Dijk-Lokkart, E. M., Braam, K. I., van Dulmen-den Broeder, E., Kaspers, G. J. L., Takken, T., Grootenhuis, M. A., Streng, I. C., Bierings, M., Merks, J. H., van den Heuvel-Eibrink, M. M., Veening, M. A., & Huisman, J. (2016). Effects of a combined physical and psychosocial intervention program for childhood cancer patients on quality of life and psychosocial functioning: results of the QLIM randomized clinical trial: Effects of combined psychosocial-physical intervention. Psycho-Oncology, 25(7), 815–822. https://doi.org/10.1002/pon.4016

Walsh, K. S., & Paltin, I. (2015). Neuropsychological Effects of Pediatric Brain Tumors and Associated Treatment. In G. A. Mucci & L. R. Torno (Eds.), Handbook of Long Term Care of The Childhood Cancer Survivor (pp. 249–262). Springer US. https://doi.org/10.1007/978-1-4899-7584-3_16

Wolfe, K. R., Walsh, K. S., Reynolds, N. C., Mitchell, F., Reddy, A. T., Paltin, I., & Madan-Swain, A. (2013). Executive functions and social skills in survivors of pediatric brain tumor. Child Neuropsychology, 19(4), 370–384. https://doi.org/10.1080/09297049.2012.669470

Yeh, C. H., Man Wai, J. P., Lin, U.-S., & Chiang, Y.-C. (2011). A Pilot Study to Examine the Feasibility and Effects of a Home-Based Aerobic Program on Reducing Fatigue in Children With Acute Lymphoblastic Leukemia: Cancer Nursing, 34(1), 3–12. https://doi.org/10.1097/NCC.0b013e3181e4553c

Zeltzer, L. K., Recklitis, C., Buchbinder, D., Zebrack, B., Casillas, J., Tsao, J. C. I., Lu, Q., & Krull, K. (2009). Psychological Status in Childhood Cancer Survivors: A Report From the Childhood Cancer Survivor Study. Journal of Clinical Oncology, 27(14), 2396–2404. https://doi.org/10.1200/JCO.2008.21.1433






DOI: https://doi.org/10.6092/2612-4033/0110-2340

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