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Assessment of everyday executive functioning using the BRIEF in children and adolescents treated for brain tumor.
Brain Injury ( IF 1.9 ) Pub Date : 2020-02-12 , DOI: 10.1080/02699052.2020.1725982
Jeanne Roche 1, 2 , Hugo Câmara-Costa 3, 4 , Jean-Luc Roulin 5 , Mathilde Chevignard 4, 6, 7 , Didier Frappaz 8 , Karine Guichardet 9 , Ouarda Benkhaled 6 , Bernadette Kerrouche 6 , Julie Prodhomme 6 , Virginie Kieffer-Renaux 6 , Didier Le Gall 1, 10 , Nathalie Fournet 5 , Arnaud Roy 1, 11
Affiliation  

Objective: Childhood brain tumors (BTs) and their treatment often negatively affect development of executive functions. Previous studies have reported executive functions deficits, particularly through questionnaires of daily life. This study aimed to assess executive functioning in everyday life following pediatric BT, in a larger and more histologically diverse sample than previously, and to study clinical and demographic factors influencing outcome.Methods: Assessment of executive functioning using parent ratings of the Behavior Rating Inventory of Executive Function (BRIEF), in a large sample of children treated for various BT (n = 153). Clinical and demographic factors were: age at diagnostic, age at assessment, parental education level, radiation therapy.Results: Significant difficulties were found in the 3 composite indices and in the majority of the BRIEF subscales. The highest level of difficulties was observed in the Working Memory subscale. Older age at assessment and younger age at diagnosis were significantly associated with higher levels of parent-reported difficulties, particularly for metacognition.Conclusions: Parents of children treated for BT report widespread and persistent deficits in executive functions that negatively affect their everyday functioning. Including analysis of all clinical scales and composite indices allows a more comprehensive approach and enables to specify the patients' executive profile.

中文翻译:

使用BRIEF评估接受脑肿瘤治疗的儿童和青少年的日常执行功能。

目的:儿童脑肿瘤 (BTs) 及其治疗通常会对执行功能的发展产生负面影响。以前的研究报告了执行功能缺陷,特别是通过日常生活问卷调查。本研究旨在评估儿童 BT 后日常生活中的执行功能,在比以前更大且组织学上更多样化的样本中,并研究影响结果的临床和人口统计学因素。执行功能 (BRIEF),在接受各种 BT 治疗的大量儿童样本中 (n = 153)。临床和人口统计学因素包括:诊断年龄、评估年龄、父母教育水平、放射治疗。 结果:在 3 个综合指数和大多数简短的子量表中发现了重大困难。在工作记忆分量表中观察到最高程度的困难。评估时的年龄较大和诊断时的年龄较小与父母报告的更高水平的困难显着相关,特别是在元认知方面。结论:接受 BT 治疗的儿童的父母报告说,执行功能普遍存在持续性缺陷,对他们的日常功能产生负面影响。包括对所有临床量表和综合指数的分析,可以采用更全面的方法,并能够指定患者的执行情况。评估时的年龄较大和诊断时的年龄较小与父母报告的更高水平的困难显着相关,特别是在元认知方面。结论:接受 BT 治疗的儿童的父母报告说,执行功能普遍且持续存在缺陷,对他们的日常功能产生负面影响。包括对所有临床量表和综合指数的分析,可以采用更全面的方法,并能够指定患者的执行情况。评估时的年龄较大和诊断时的年龄较小与父母报告的更高水平的困难显着相关,特别是在元认知方面。结论:接受 BT 治疗的儿童的父母报告说,执行功能普遍且持续存在缺陷,对他们的日常功能产生负面影响。包括对所有临床量表和综合指数的分析,可以采用更全面的方法,并能够指定患者的执行情况。
更新日期:2020-02-12
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