Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia

Abstract This study intended to explore the neuropsychological ramifications in childhood acute lymphoblastic leukemia (ALL) survivors in Malaysia and to examine treatment-related sequelae. A case-control study was conducted over a 2-year period. Seventy-one survivors of childhood ALL who had comple...

Full description

Bibliographic Details
Main Authors: Hamidah Alias, Norashikin Mohd Ranai, Sie Chong Doris Lau, Leo M. J. de Sonneville
Format: Article
Language:English
Published: Nature Portfolio 2024-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-58128-1
_version_ 1797209428451131392
author Hamidah Alias
Norashikin Mohd Ranai
Sie Chong Doris Lau
Leo M. J. de Sonneville
author_facet Hamidah Alias
Norashikin Mohd Ranai
Sie Chong Doris Lau
Leo M. J. de Sonneville
author_sort Hamidah Alias
collection DOAJ
description Abstract This study intended to explore the neuropsychological ramifications in childhood acute lymphoblastic leukemia (ALL) survivors in Malaysia and to examine treatment-related sequelae. A case-control study was conducted over a 2-year period. Seventy-one survivors of childhood ALL who had completed treatment for a minimum of 1 year and were in remission, and 71 healthy volunteers were enlisted. To assess alertness (processing speed) and essential executive functioning skills such as working memory capacity, inhibition, cognitive flexibility, and sustained attention, seven measures from the Amsterdam Neuropsychological Tasks (ANT) program were chosen. Main outcome measures were speed, stability and accuracy of responses. Mean age at diagnosis was 4.50 years (SD ± 2.40) while mean age at study entry was 12.18 years (SD ± 3.14). Survivors of childhood ALL underperformed on 6 out of 7 ANT tasks, indicating poorer sustained attention, working memory capacity, executive visuomotor control, and cognitive flexibility. Duration of treatment, age at diagnosis, gender, and cumulative doses of chemotherapy were not found to correlate with any of the neuropsychological outcome measures. Childhood ALL survivors in our center demonstrated significantly poorer neuropsychological status compared to healthy controls.
first_indexed 2024-04-24T09:54:33Z
format Article
id doaj.art-a00e2f3a6c444edea32520cb2de650bb
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-24T09:54:33Z
publishDate 2024-04-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-a00e2f3a6c444edea32520cb2de650bb2024-04-14T11:14:08ZengNature PortfolioScientific Reports2045-23222024-04-0114111210.1038/s41598-024-58128-1Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in MalaysiaHamidah Alias0Norashikin Mohd Ranai1Sie Chong Doris Lau2Leo M. J. de Sonneville3Department of Pediatrics, Faculty of Medicine, The National University of MalaysiaDepartment of Pediatrics, Faculty of Medicine, Universiti Teknologi Mara (UiTM)Department of Pediatrics, Faculty of Medicine, The National University of MalaysiaClinical Neurodevelopmental Sciences, Faculty of Social Sciences, Leiden UniversityAbstract This study intended to explore the neuropsychological ramifications in childhood acute lymphoblastic leukemia (ALL) survivors in Malaysia and to examine treatment-related sequelae. A case-control study was conducted over a 2-year period. Seventy-one survivors of childhood ALL who had completed treatment for a minimum of 1 year and were in remission, and 71 healthy volunteers were enlisted. To assess alertness (processing speed) and essential executive functioning skills such as working memory capacity, inhibition, cognitive flexibility, and sustained attention, seven measures from the Amsterdam Neuropsychological Tasks (ANT) program were chosen. Main outcome measures were speed, stability and accuracy of responses. Mean age at diagnosis was 4.50 years (SD ± 2.40) while mean age at study entry was 12.18 years (SD ± 3.14). Survivors of childhood ALL underperformed on 6 out of 7 ANT tasks, indicating poorer sustained attention, working memory capacity, executive visuomotor control, and cognitive flexibility. Duration of treatment, age at diagnosis, gender, and cumulative doses of chemotherapy were not found to correlate with any of the neuropsychological outcome measures. Childhood ALL survivors in our center demonstrated significantly poorer neuropsychological status compared to healthy controls.https://doi.org/10.1038/s41598-024-58128-1
spellingShingle Hamidah Alias
Norashikin Mohd Ranai
Sie Chong Doris Lau
Leo M. J. de Sonneville
Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia
Scientific Reports
title Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia
title_full Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia
title_fullStr Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia
title_full_unstemmed Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia
title_short Neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in Malaysia
title_sort neuropsychological task outcomes among survivors of childhood acute lymphoblastic leukemia in malaysia
url https://doi.org/10.1038/s41598-024-58128-1
work_keys_str_mv AT hamidahalias neuropsychologicaltaskoutcomesamongsurvivorsofchildhoodacutelymphoblasticleukemiainmalaysia
AT norashikinmohdranai neuropsychologicaltaskoutcomesamongsurvivorsofchildhoodacutelymphoblasticleukemiainmalaysia
AT siechongdorislau neuropsychologicaltaskoutcomesamongsurvivorsofchildhoodacutelymphoblasticleukemiainmalaysia
AT leomjdesonneville neuropsychologicaltaskoutcomesamongsurvivorsofchildhoodacutelymphoblasticleukemiainmalaysia