All ETDs from UAB

Advisory Committee Chair

Sylvie Mrug

Advisory Committee Members

Margaux Barnes

Wendy Landier

Avi Madan-Swain

Brandon G Rocque

David C Schwebel

Document Type

Dissertation

Date of Award

2019

Degree Name by School

Doctor of Philosophy (PhD) College of Arts and Sciences

Abstract

Benign pediatric central nervous system (CNS) tumors treated with surgery alone have been considered relatively harmless to long-term health. However, a developing line of research has identified several late effects experienced in this population including psychological, adaptive, behavioral, neurological, and cognitive problems. Quality of life of children after resection alone has not previously been evaluated, especially in comparison to that of healthy children and children with chronic illness. Further, there has been no research geared toward developing psychosocial programs to address the late effects identified in this population. The following manuscripts contribute to the literature by evaluating and providing potential explanations for difficulties experienced by children treated with surgery alone for a benign CNS tumor. The first paper explores quality of life and mental health outcomes in a sample of children in long-term follow-up after resection of benign CNS tumors and compares outcomes to those of previously published samples of healthy children and children with chronic illness. The second evaluates predictors of quality of life and factors that may influence school performance. Finally, the third paper evaluates psychosocial services received by this population in a tertiary children’s hospital and how receipt of those services relates to family psychosocial risk as well as relevant demographic and medical characteristics.

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