Risk Factors Associated with Long-Term Social and Behavioral Problems Among Children with Brain Tumors

Abstract

This study investigated long-term social and behavioral outcomes in 40 children with brain tumors. Demographic, medical, cognitive, and psychosocial predictors at short-term follow-up at Time 1 (one to two years postdiagnosis) were used to predict long-term social and behavioral outcomes three to four years after diagnosis (Time 2). Below-average social competence and average overall behavioral ratings were reported at Time 2. Multiple medical treatments and lower social competence scores at Time 1 were significant predictors of long-term difficulties concerning social competence, whereas lower socioeconomic status and higher total scores regarding behavior problems at Time 1 were the best predictors of long-term behavioral problems. The results of the study have implications for mental health screening and intervention during the early years after diagnosis.

Key Words:

• Pediatric brain tumor
• social competence
• behavior problems
• risk factors