Abstract
Rates of childhood cancer have increased in recent years while the mortality rate has decreased with help from advancements in treatment and improvements in diagnosis [1, 2]. As a result, childhood cancer is becoming a chronic disease that can have many neurodevelopmental implications in cognitive functioning, emotional functioning, socialization, and brain-behavior relationships. These neurocognitive consequences are unfortunately common among pediatric patients and are associated with central nervous system (CNS) neoplastic growths and/or involvement along with complex pharmacological and/or radiation treatments. Additionally, these effects often have a delayed onset, long after survival has been established. Hence, neuropsychological assessment and diagnosis is important for a pediatric cancer survivor’s quality of life. When working with those from a minority cultural group, acculturation status, language or barriers to health care become concerns in the assessment and diagnosis of childhood cancer survivors. Adequately validated research or assessment instruments and the use of interpreters may need to be considered. As many empirically validated treatments are based primarily on research involving European-Americans, the neuropsychologist needs a cultural awareness and understanding when evaluating those from different cultures. Subsequently, this chapter discusses culture and language and how they relate to each other, and how both relate to the assessment and treatment of the pediatric cancer survivor.
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References
Centers for Disease Control and Prevention (CDC). (2007). Trends in childhood cancer mortality—United States, 1990–2004. MMWR, 56, 1257–1261.
Centers for Disease Control and Prevention (CDC). (2011). Cancer survivors—United States; 2007. MMWR, 60, 269–272.
Jemal, A., Siegel, R., Ward, E., Hao, Y., Xu, J., & Thun, M. J. (2009). Cancer statistics, 2009. CA: A Cancer Journal for Clinicians, 59, 225–249.
Llorente, A. M. (2008). Principles of neuropsychological assessment with Hispanics: Theoretical foundations and clinical practice. New York: Springer.
Llorente, A. M., Brouwers, P., Leighty, R., Malee, K., Smith, R., Harris, L., et al. (2012). An analysis of select emerging executive skills in perinatally HIV-1 infected children. Applied Neuropsychology Child. doi:10.1080/21622965.2012.686853.
Ries, L. A. G., Melbert, D., Krapcho, M., Stinchcomb, D. G., Howlader, N., Homer, M. J., et al. (2008). SEER cancer statistics review, 1975–2005. Bethesda, MD: National Cancer Institute.
Llorente, A. M., Ponton, M. O., Taussig, I. M., & Satz, P. (1999). Patterns of American immigration and their influence on the acquisition of neuropsychological norms for Hispanics. Archives of Clinical Neuropsychology, 14, 603–614.
Bowman, S. M., Martin, D. P., Sharar, S. R., & Zimmerman, F. J. (2007). Racial disparities in outcomes of persons with moderate to severe traumatic brain injury. Medical Care, 45, 686–690.
Henderson, T. O., Bhatia, S., Pinto, N., London, W. B., McGrady, P., Sun, C.-L., et al. (2010). Racial and ethnic disparities in risk and survival in children with neuroblastoma: A children’s oncology group study. Journal of Clinical Oncology, 29, 76–82.
American Psychological Association. (2003). Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. American Psychologist, 58(5), 377–402.
Dana, R. (1993). Multicultural assessment perspectives for professional psychology. Needham Heights: Allyn & Bacon.
Helms, J. E., Jernigan, M., & Mascher, J. (2005). The meaning of race in Psychology and how to change it: A methodological perspective. American Psychologist, 60(1), 27–36. doi:10.1037/0003-066X.60.1.27.
Markus, H. R. (2008). Pride, prejudice, and ambivalence: Toward a unified theory of race and ethnicity. American Psychologist, 63(8), 651.
Carter, R. T., & Qureshi, A. (1995). A typology of philosophical assumptions in multicultural counseling and training. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 239–262). Thousand Oaks: Sage.
Smedley, A. (1993). Race in North America: Origin and evolution of a world view. Boulder: Westview.
Harris, J. G., & Llorente, A. M. (2004). Cultural considerations in the use of the Wechsler Intelligence Scale for Children – Fourth Edition (WISC-IV). In A. Prifitera, D. H. Saklofske, & L. C. Weiss (Eds.), WISC-IV clinical use and interpretation: Scientist-practitioner perspectives (pp. 381–413). Burlington: Academic.
Census Bureau, U. S. (2001). Census 2000 Brief. Washington: U.S. Bureau of the Census.
U.S. Census Bureau. (2004). Table 6 percent distribution of the projected population by race and Hispanic origin for the United States: 2015 to 2060 (NP2012-T6). https://www.census.gov/population/projections/data/national/2012/summarytables.html
Hamilton, N., & Chinchilla, N. (1991). Central American migration: A framework for analysis. Latin American Research Review, 26, 75–110.
Llorente, A. M., Taussig, I. M., Perez, L., & Satz, P. (2000). Trends in American immigration: Influences on neuropsychological assessment and inferences with ethnic-minority populations. In E. Fletcher-Janzen, T. Strickland, & C. R. Reynolds (Eds.), Handbook of cross-cultural neuropsychology (pp. 345–359). New York: Kluwer Academic/Plenum.
Rey, G. J., Feldman, E., Rivas-Vasquez, R., Levin, B. E., & Benton, A. (1999). Neuropsychological test development for Hispanics. Archives of Clinical Neuropsychology, 14, 593–601.
Flores, G., Abreu, M., & Tomany-Korman, S. C. (2005). Limited English proficiency, primary language at home, and disparities in children’s health care: How language barriers are measured matter. Public Health Reports, 120(4), 418–430.
Fiscella, K., Franks, P., Gold, M. R., & Clancy, C. (2000). Inequality in quality: Addressing socioeconomic, racial, and ethnic disparities in health care. Journal of the American Academy of Medicine, 283(19), 2579–2584.
Collins, K., Hughes, D., Doty, M., Ives, B., Edwards, J., & Tenney, K. (2002). Diverse communities, common concerns: Assessing health care quality for minority Americans: Findings from the Commonwealth Fund 2001 health care quality survey. New York: The Commonwealth Fund.
Davies, B., Sehring, S. A., Partridge, C., Cooper, B. A., Hughes, A., Philip, J. C., et al. (2008). Barriers to palliative care for children: Perceptions of pediatric health care providers. Pediatrics, 121(2), 282–288. doi:10.1542/peds. 2006-3153.
Pfefferbaum, B., Adams, J., & Aceves, J. (1990). The influence of culture on pain in Anglo and Hispanic children with cancer. Journal of the American Academy of Child and Adolescent Psychiatry, 29(4), 642–647.
Parsons, S. K., Saiki-Craighill, S., Mayer, D. K., Sullivan, A. M., Jeruss, S., Terrin, N., et al. (2007). Telling children and adolescents about their cancer diagnosis: Cross-cultural comparisons between pediatric noncologists in the US and Japan. Psycho-Oncology, 16, 60–68.
Watanabe, Y., Shiel, A., McLellan, D. L., Kurihara, M., & Hayashi, K. (2001). The impact of traumatic brain injury on family members living with patients: A preliminary study in Japan and the U.K. Disability and Rehabilitation, 23, 370–378.
Uomoto, J. M., & Wong, T. M. (2000). Multicultural perspectives on the neuropsychology of brain injury assessment and rehabilitation. In E. Fletcher-Janzen, T. Strickland, & C. R. Reynolds (Eds.), Handbook of cross-cultural neuropsychology (pp. 169–184). New York: Kluwer Academic/Plenum.
Doescher, M. P., Saver, B. G., Franks, P., & Fiscella, K. (2000). Racial and ethnic disparities in perceptions of physician style and trust. Archives of Family Medicine, 9, 1156–1163.
Sue, S., & Zane, N. (1987). The role of culture and cultural techniques in psychotherapy: A critique and reformulation. American Psychologist, 42(1), 37–45.
McGrath, P. A. (1996). Development of the World Health Organization guidelines on cancer pain relief and palliative care in children. Journal of Pain and Symptom Management, 12(2), 87–92.
Heyer, E. J., Sharma, R., Winfree, C. J., Mocco, J., McMahon, D. J., McCormick, P. A., et al. (2000). Severe pain confounds neuropsychological test performance. Journal of Clinical and Experimental Neuropsychology, 22(5), 633–639.
Anderson, K. O., Mendoza, T. R., Payne, R., Valero, V., Palos, G. R., Nazario, A., et al. (2004). Pain education for underserved minority cancer patients: A randomized controlled trial. Journal of Clinical Oncology, 22(24), 4918–4925. doi:10.1200/JCO.2004.06.115.
Cleeland, C. S., Gonin, R., Baez, L., Loehrer, P., & Pandya, K. J. (1997). Pain and treatment of pain in minority patients with cancer. Annals of Internal Medicine, 127(9), 813–816.
Best, M., Streisand, R., Catania, L., & Kazak, A. E. (2001). Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends. Journal of Pediatric Psychology, 26(5), 299–307. doi:10.1093/jpepsy/26.5.299.
Landolt, M. A., Vollrath, M., Ribi, K., Gnehm, H. E., & Sennhauser, F. H. (2003). Incidence and associations of parental and child posttraumatic stress symptoms in pediatric patients. Journal of Child Psychology and Psychiatry, 44(8), 1199–1207.
Norberg, A. L., Lindblad, F., & Boman, K. K. (2005). Parental traumatic stress during and after paediatric cancer treatment. Acta Oncologica, 44(4), 382–388. doi:10.1080/02841860 510029789.
Sohlberg, M. M., & Mateer, C. A. (2001). Variables contributing to neurological and neurobehavioral recovery. In M. M. Sohlberg & C. A. Mateer (Eds.), Cognitive rehabilitation: An integrative neuropsychological approach (pp. 59–88). New York: The Guilford Press.
Manly, J. J., Jacobs, D. M., Touradji, P., Small, S. A., & Stern, Y. (2002). Reading level attenuates differences in neuropsychological test performance between African American and White elders. Journal of the International Neuropsychological Society, 8(03), 341–348. doi:10.1017/S1355617702813157.
Manly, J. J., Byrd, D. A., Touradji, P., & Stern, Y. (2004). Acculturation, reading level and Neuropsychological test performance among African American elders. Applied Neuropsychology, 11(1), 37–46.
Ostrosky-Solis, F., & Oberg, G. (2006). Neuropsychological functions across the world—common and different features: From digit span to moral judgment. International Journal of Psychology, 41(5), 321–323.
Marin, G., & Marin, B. V. (1991). Research with Hispanic Populations. Newbury Park: Sage.
Marin, G., Sabogal, F., Marin, B., & Otero-Sabogal, R. (1984). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183–205.
Franco, J. N. (1983). An acculturation scale for Mexican-American children. Journal of General Psychology, 108, 175–181.
Suinn, R. M., Richard-Figueroa, K., Len, S., & Vigil, P. (1987). The Suinn-Law Asian self-identity acculturation scale: An initial report. Educational and Psychological Measurement, 6, 103–112.
Flores, G., Fuentes-Afflick, E., Barbot, O., Carter-Pokras, O., Claudio, L., Lara, M., et al. (2002). The health of Latino children: Urgent priorities, unanswered questions and research agenda. Journal of the American Medical Association, 288(1), 82–90. doi:10.1001/jama.288.1.82.
Ardila, A., Rosselli, M., & Puente, A. E. (1994). Neuropsychological evaluation of the Spanish speaker. New York: Plenum.
Kwak, K. (2003). South Korea. In J. Georgas, L. G. Weiss, F. J. R. Fons van de Vijver, & D. H. Saklofske (Eds.), Culture and children’s intelligence: cross-cultural analysis of the WISC-III (pp. 227–240). San Diego, CA: Academic.
Mok, N., Tsang, L., Lee, T., & Llorente, A. (2008). The impact of language on the equivalence of trail making tests: Findings from three pediatric cohorts with different language dominance. Applied Neuropsychology, 15(2), 123–130.
Geisinger, K. F. (1994). Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments. Psychological Assessment, 6(4), 304. doi:10.1037/1040-3590.6.4.304.
American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Retrieved December 12, 2009, from http://www.apa.org/ethics/code2002.html
Harris, J. G., & Llorente, A. M. (2005). Cultural considerations in the use of the Wechsler Intelligence Scale for Children - Fourth Edition (WISC-IV). In A. Prifitera, D. H. Saklofske, & L. G. Weiss (Eds.), WISC-IV clinical use and interpretation: Scientist-practitioner perspectives (pp. 382–413). Burlington: Elsevier Academic.
Candelaria, M. A., & Llorente, A. M. (2009). The assessment of the Hispanic child. In C. R. Reynolds & E. Fletcher-Janzen (Eds.), Handbook of clinical child neuropsychology (pp. 401–424). New York: Springer.
De Jongh, E. M. (1991). Foreign language interpreters in the courtroom: The case for linguistic and cultural proficiency. Modern Language Journal, 75, 285–295.
LaCalle, J. (1987). Forensic psychological evaluations through an interpreter: Legal and ethical issues. American Journal of Forensic Psychology, 5, 29–43.
American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. Retrieved December 12, 2009, from http://www.apa.org/ethics/code2002.html
Dodd, W. (1983). Do interpreters affect consultation? Family Practice, 1, 42–47.
Byrd, D. A., Sanchez, D., & Manly, J. J. (2005). Neuropsychological test performance among Caribbean-born and U.S.-born African American elderly: The role of age, education, and reading level. Journal of Clinical and Experimental Neuropsychology, 27, 1056–1069.
Reeve, M. E., Groce, N. E., Persing, J. A., & Magge, S. N. (2004). An international surgical exchange program for children with cleft lip/cleft palate in Manaus, Brazil: Patient and family expectations of outcome. Journal of Craniofacial Surgery, 15(1), 170–4.
Groce, N. E., & Zola, I. K. (1993). Multiculturalism, chronic illness, and disability. Pediatrics, 91(5), 1048–1055.
Rivera Mindt, M., Arentoft, A., Kubo Germano, K., D’Aquila, E., Scheiner, D., Pizzirusso, M., et al. (2008). Neuropsychological, cognitive, and theoretical considerations for evaluation of bilingual individuals. Neuropsychology Review, 18(3), 255–268. doi:10.1007/s11065-008-9069-7.
Gannotti, M. E., & Handwerker, W. P. (2002). Puerto Rican understandings of child disability: Methods for the cultural validation of standardized measures of child health. Social Science & Medicine, 55(12), 2093–2105.
Fadiman, A. (1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and a collision of two cultures. New York: Farrar, Straus, and Giroux.
GarcÃa Coll, C., & Magnuson, K. (2002). Cultural differences as sources of developmental vulnerabilities and resources. In J. P. Shonkoff & S. J. Meisels (Eds.), Handbook of early childhood intervention (2nd ed., pp. 94–114). New York: Cambridge University Press.
Bates, E., Thal, D., Finlay, B., & Clancy, B. (2003). Early language development and its neural correlates. In S. Segalowitz & I. Rapin (Eds.), Handbook of neuropsychology: Child neuropsychology (2nd ed., Vol. 8). Amsterdam: Elsevier.
Chomsky, N. (1991). Linguistics and cognitive science: Problems and mysteries. In A. Kasher (Ed.), The Chomskyan turn. Cambridge: Blackwell.
Tang, Y., Zhang, W., Chen, K., Feng, S., Ji, Y., Shen, J., et al. (2006). Arithmetic processing in the brain shaped by cultures. Proceedings of the National Academy of Sciences of the United States of America, 103(28), 10775–10780.
Cantlon, J. F., & Brannon, E. M. (2006). Adding up the effects of cultural experience on the brain. TRENDS in Cognitive Science, 11(1), 1–4.
Brickman, A. M., Cabo, R., & Manly, J. J. (2006). Ethical issues in cross-cultural neuropsychology. Applied Neuropsychology, 13(2), 91–100.
Wechsler, D. (2003). Manual for the Wechsler intelligence scale for children-fourth edition. San Antonio: The Psychological Corporation.
Casas, R., Calamia, M., & Tranel, D. (2008). A screening test of English naming ability in bilingual Spanish/English speakers. Journal of Clinical and Experimental Neuropsychology, 30(8), 956–966.
Garratt, L. C., & Kelly, T. P. (2008). To what extent does bilingualism affect children’s performance on the NEPSY? Child Neuropsychology, 14, 71–81.
Barke, E. M., & Williams, D. E. P. (1938). A further study of the comparative intelligence of children in certain bilingual and monglot schools in South Wales. British Journal of Educational Psychology, 8, 63–77.
Mindt, M. R., Arentoft, A., Germano, K. K., D’Aquila, E., Scheiner, D., Pizzirusso, M., et al. (2008). Neuropsychological, cognitive, and theoretical considerations for evaluation of bilingual individuals. Neuropsychology Review, 18(3), 255–268.
Haddy, T. B., Mosher, R. B., & Reaman, G. H. (2009). Late effects in long-term survivors after treatment for childhood acute leukemia. Clinical Pediatrics, 48(6), 601–608.
Lofstad, G. E., Reinfjell, T., Hestad, K., & Diseth, T. H. (2009). Cognitive outcome in children and adolescents treated for acute lymphoblastic leukaemia with chemotherapy only. Acta Paediatrica, 98(1), 180–186.
Conklin, H. M., Krull, K. R., Reddick, W. E., Pei, D., Cheng, C., & Pui, C. H. (2012). Cognitive outcomes following contemporary treatment without cranial irradiation for childhood acute lymphoblastic leukemia. Journal of the National Cancer Institute, 104(18), 1386–1395.
Pontón, M. O., Gonzalez, J., & Mares, M. (1997). Rehabilitating brain damage in Hispanics. In J.León-Carrión (Ed.), Neuropsychological rehabilitation: Fundamentals, innovations, and directions (pp. 513–529). Delray Beach: GR/St. Lucie Press.
Christophersen, E. R., & Mortweet, S. L. (2001). Treatments that work with children: Empirically supported strategies for managing childhood problems (pp. 3–10). Washington: American Psychological Association.
Hanks, R., Wood, D., Millis, S., Harrison-Felix, C., Pierce, C., Rosenthal, M., et al. (2003). Violent traumatic brain injury: Occurrence, patient characteristics, and risk factors from the traumatic brain injury model systems project. Archives of Physical Medicine and Rehabilitation, 84, 249–254.
Rosenthal, M., Dljkers, M., Harrison-Felix, C., Nabors, N., Witol, A. D., Young, M. E., et al. (1996). Impact of minority status on functional outcome and community integration following traumatic brain injury. The Journal of Head Trauma Rehabilitation, 11(5), 40–57.
Stansbury, J. P., Reid, K. J., Reker, D. M., Duncan, P. W., Marshall, C. R., & Rittman, M. (2004). Why ethnic designation matters for stroke rehabilitation: Comparing VA administrative data and clinical records. Journal of Rehabilitation Research & Development, 41, 269–278.
Burnett, D. M., Kolakowsky-Hayner, S. A., Slater, D., Stringer, A., Bushnik, T., Zafonte, R., et al. (2003). Ethnographic analysis of traumatic brain injury patients in the national Model Systems database. Archives of Physical Medicine and Rehabilitation, 84, 263–267.
Zhimin, L. (2003). Self-care in Chinese school-age children with nephrotic syndrome. American Journal of Maternal & Child Nursing, 28(2), 81–85.
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Zebrowski, C.M., Vega, M., Llorente, A.M. (2015). Cultural and Linguistic Issues in the Assessment and Treatment of Pediatric Cancer Survivors. In: Mucci, G., Torno, L. (eds) Handbook of Long Term Care of The Childhood Cancer Survivor. Specialty Topics in Pediatric Neuropsychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7584-3_19
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