IMPACT de la déprivation sociale sur les difficultés psychosociales au décours d’un cancer pédiatrique : une étude prospective - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Psycho-Oncologie Année : 2024

IMPACT de la déprivation sociale sur les difficultés psychosociales au décours d’un cancer pédiatrique : une étude prospective

Isabelle Pellier
Julien Lejeune

Résumé

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.
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Dates et versions

hal-04646786 , version 1 (12-07-2024)
hal-04646786 , version 2 (12-07-2024)

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Fanny Delehaye, Olivier Dejardin, Isabelle Pellier, Ludivine Launay, Maxime Esvan, et al.. IMPACT de la déprivation sociale sur les difficultés psychosociales au décours d’un cancer pédiatrique : une étude prospective. Psycho-Oncologie, 2024, ⟨10.32604/po.2024.043073⟩. ⟨hal-04646786v2⟩
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