Journal of Pediatric Psychology vol. 30 no. 1 © Society of Pediatric Psychology 2005; all rights reserved.
Commentary: Toward Greater Integration and Specificity in Conceptual Models of Neurocognitive Functioning in Childhood Cancer Survivors
1 City of Hope National Medical Center and Beckman Research Institute, Duarte, California, and 2 Childrens Hospital and Clinics, St. Paul, Minnesota
All correspondence should be sent to Sunita Patel, Director, Behavioral Research in Pediatrics, City of Hope National Medical Center, 1500 E. Duarte Road, Duarte, California 910103000. E-mail: supatel@coh.org.
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Psychologists have played a significant role in identifying and facilitating understanding of neurocognitive outcomes in children and adolescents surviving cancer. Moore (this issue) provides an excellent overview of the salient medical and demographic predictors of adverse neurocognitive impact, while Butler and Mulhern (this issue) describe promising findings from recent pioneering studies aimed at treating cognitive and neurobehavioral side effects. Moores discussion of past research gains is notable for its integration of a neuropathological perspective with select findings from animal model studies. Butler and Mulherns discussion is similarly exceptional for integration of perspectives not commonly elaborated upon in articles on the neurocognitive functioning of childhood cancer survivors. Specifically, they discuss the potential importance of a "psychotherapeutic" component, along with "family environment" and school-based "ecological interventions" in cognitive remediation intervention programs. This expansive rehabilitation model, when viewed with Moores discussion of neurobiological underpinnings, reflects a movement toward greater conceptual integration. This is
| Identification of Risk and Resilience Factors |
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| Evaluation of Modern Protocols to Limit Toxicity |
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| Treating Adverse Outcomes |
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| Availability and Accessibility of Resources |
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| Future Trends |
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A. F. Patenaude and M. J. Kupst Introduction to the Special Issue: Surviving Pediatric Cancer: Research Gains and Goals J. Pediatr. Psychol., January 1, 2005; 30(1): 5 - 8. [Full Text] [PDF] |
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