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Brief Report: Sluggish Cognitive Tempo Among Pediatric Survivors of Acute Lymphoblastic Leukemia

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Journal of Pediatric Psychology Advance Access originally published online on October 12, 2007
Journal of Pediatric Psychology 2007 32(9):1050-1054; doi:10.1093/jpepsy/jsm063



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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Sluggish Cognitive Tempo Among Pediatric Survivors of Acute Lymphoblastic Leukemia

Cara B. Reeves, PhD1, Shawna Palmer, PhD2, Alan M. Gross, PhD3, Susan J. Simonian, PhD, ABPP4, Lloyd Taylor, PhD1,5, Elizabeth Willingham, EdS6 and Raymond K. Mulhern, PhD2

1Division of Clinical Services, Medical University of South Carolina, 2Division of Behavioral Medicine, St Jude Children’s Research Hospital, 3Department of Psychology, University of Mississippi, 4Department of Psychology, The College of Charleston, 5Department of Psychology, The Citadel, and 6Department of Counseling and Psychological Services, Georgia State University

All correspondence concerning this article should be addressed to Cara B. Reeves, Division of Clinical Services, Medical University of South Carolina, 151-B Rutledge Avenue, PO Box 250962, Charleston, South Carolina 29425-0962, USA. E-mail: reeve@musc.edu<!– var u = "reeve", d = "musc.edu"; document.getElementById("em0").innerHTML = ‘‘ + u + ‘@’ + d + ”//–>


Abstract

Objective The purpose of the present study was to assess sluggish cognitive tempo (SCT) behavioral symptoms among pediatric survivors of acute lymphoblastic leukemia (ALL) and to determine the relationship of these behaviors with cognitive late effects. Methods ALL survivors (n = 80) and a sibling control group (n = 19) were administered intelligence (IQ) testing, achievement testing and SCT behavioral items. Group differences (patients vs. siblings) were examined on the SCT behaviors and partial correlations were conducted to explore the relationship of the SCT behaviors with IQ and achievement, while controlling for age at treatment and time since treatment. Results ALL survivors exhibited significantly more SCT symptoms than the sibling control group and increased SCT symptoms were associated with lower IQ and achievement scores. Conclusions ALL survivors are vulnerable to SCT symptoms and these behaviors are associated with cognitive late effects. SCT symptoms may represent a behavioral component of cognitive late effects.

Key words: academic achievement; ADHD; behavior problems; leukemia.

Received November 14, 2006; revision received July 5, 2007; accepted July 17, 2007


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