IMPACT de la déprivation sociale sur les difficultés psychosociales au décours d’un cancer pédiatrique:uneétude prospective IMPACT of the Social Deprivation on Psychosocial Difficulties of Pediatric Cancer Survivors:A Prospective Study  

作　　者：Fanny Delehaye Olivier Dejardin Isabelle Pellier Ludivine Launay Maxime Esvan Damien Bodet Liana Carausu Julien Lejeune Frédéric Millot Caroline Thomas Virginie Gandemer Arnaud Alves Julien Rod 

机构地区：[1]U1086 INSERM“Anticipe”,Caen,14000,France [2]Department of Pediatric Hematology and Oncology,University Hospital of Caen,Caen,14000,France [3]Research Department,University Hospital of Caen,Caen cedex,14000,France [4]Department of Pediatric Hematology and Oncology,University Hospital of Angers,Angers,49000,France [5]Centre François Baclesse,Caen,14000,France [6]CIC 1414(Centre d’Investigation Clinique de Rennes),Rennes University,CHU Rennes,Inserm,Rennes,35000,France [7]Department of Pediatric Hematology and Oncology,University Hospital of Brest,Brest,29200,France [8]Department of Pediatric Hematology-Oncology,Clocheville Hospital,University Hospital of Tours,Tours,37000,France [9]Pediatric Oncology Unit,CIC 802 INSERM,University Hospital of Poitiers,Poitiers,86000,France [10]Department of Pediatric Hematology-Oncology,University Hospital of Nantes,Nantes,44000,France [11]Department of Pediatric Hematology and Oncology,University Hospital of Rennes,Rennes,35000,France [12]Service de Chirurgie Digestive,CHU Caen,Universitéde Caen-Normandie,Caen,14000,France [13]Department of Pediatric Surgery,Caen University Hospital,Avenue de la Côte de Nacre,Caen,14000,France

出　　处：《Psycho-Oncologie》2024年第2期117-126,共10页肿瘤心理学（英文）

基　　金：supported by a grant from SFCE INCa (Institut National du Cancer);GOCE (Grand Ouest Cancer de l’Enfant).

摘　　要：The posttreatment period is a key part of the management of pediatric cancer.During this time,school and psychological difficulties have been described in childhood cancer survivors(CCS)and can be prognostic for the success of social reintegration.This study estimated the influence of the household’s socioeconomic status(SES)on these psychosocial difficulties.This study is based on a prospective multicentric database and focused on children who received a psychosocial evaluation during their follow-up from 2013 to 2020.We retrieved data on school and psychological difficulties.Household SES was estimated by a social deprivation score.Data from1003 patients were analyzed.School difficulties were noted in 22%of CCS.A greater social deprivation was significantly associated with school difficulty.Tumor relapse,treatment with hematopoietic stem cell transplantation,and central nervous system(CNS)tumors remained significant risk factors.In the subgroup of CNS tumors,school difficulties were increased and associated with greater social deprivation.Psychological difficulties were not associated with the deprivation score.There is a link between SES and school difficulties in CCS.Further investigations should be carried out for children with CNS tumors,which is the population of the greatest concern.

关 键 词：Psychosocial difficulties contextual socioeconomic status DEPRIVATION CANCER children 

分 类 号：R73[医药卫生—肿瘤]