20.500.12556/RUL-188756 Čustvene in vedenjske težave otrok in mladostnikov s tumorji osrednjega živčnega sistema magistrsko delo Emotional and behavioral difficulties in children and adolescents with central nervous system tumors Tumorji osrednjega živčnega sistema (OŽS) in njihovo zdravljenje lahko pri otrocih in mladostnikih pustijo dolgoročne posledice na različnih področjih delovanja, med drugim tudi na čustvenem in vedenjskem področju. V magistrski raziskavi sem preučevala čustvene in vedenjske težave otrok in mladostnikov po diagnozi tumorja OŽS. V raziskavo je bilo vključenih 83 otrok in mladostnikov, starih od 6 do 18 let, ki so bili med letoma 2018 in 2026 obravnavani na Kliničnem oddelku za otroško hematologijo in onkologijo Pediatrične klinike Univerzitetnega kliničnega centra Ljubljana. Čustvene in vedenjske težave sem preučevala na podlagi ocen staršev na Ocenjevalnih lestvicah vedenja za otroke od 6 do 18 let (CBCL/6-18), pri delu vzorca pa tudi na podlagi ocen učiteljev na Ocenjevalnih lestvicah vedenja za otroke od 6 do 18 let; oblika za učitelja/-ico (TRF). Rezultati so pokazali, da je večina otrok in mladostnikov na vseh lestvicah dosegala rezultate v normativnem območju, največji delež klinično pomembnih rezultatov pa je bil ugotovljen pri težavah ponotranjanja. Med sindromskimi lestvicami so bile najvišje povprečne T-vrednosti ugotovljene pri umiku/depresivnosti, socialnih težavah, somatskih težavah in težavah s pozornostjo. Težave ponotranjanja so bile statistično značilno bolj izražene kot težave pozunanjanja. Na večini lestvic med ocenami staršev in učiteljev ni bilo statistično značilnih razlik, po upoštevanju korekcije za večkratne primerjave je bila statistično značilna razlika ugotovljena le pri težavah s pozornostjo; učitelji so te težave ocenjevali kot bolj izražene kakor starši. Med otroki z infratentorialnimi in supratentorialnimi tumorji ni bilo statistično značilnih razlik v izraženosti preučevanih težav. Raziskava prispeva k celovitejšemu vpogledu v čustvene in vedenjske težave otrok in mladostnikov v obdobju spremljanja po diagnozi tumorja OŽS ter poudarja pomen njihovega prepoznavanja in spremljanja v okviru dolgoročne obravnave. Central nervous system (CNS) tumors and their treatment can have long-term effects on various aspects of functioning in children and adolescents, including emotional and behavioral functioning. This study examined emotional and behavioral difficulties in children and adolescents following a diagnosis of a CNS tumor. The study included 83 children and adolescents aged 6 to 18 years who were treated at the Clinical Department of the Pediatric Hematology and Oncology of the Division of Pediatrics, University Medical Center Ljubljana, between 2018 and 2026. Emotional and behavioral difficulties were assessed using parent ratings on the Child Behavior Checklist for Ages 6–18 (CBCL/6–18) and, for a subsample, teacher ratings on the Teacher's Report Form for Ages 6-18 (TRF/6–18). The results indicated that the majority of children and adolescents scored within the normative range across all scales, with the largest proportion of clinically significant scores found for internalizing problems. Among the syndrome scales, the highest mean T-scores were found for Withdrawn/Depressed, Social Problems, Somatic Complaints, and Attention Problems. Internalizing problems were statistically significantly more pronounced than externalizing problems. There were no statistically significant differences between parent and teacher ratings on most scales. Attention Problems were the only domain in which the difference remained statistically significant after adjusting for multiple comparisons, with teachers rating these problems as more pronounced than parents did. There were no statistically significant differences in the severity of the examined difficulties between children with infratentorial and supratentorial tumors. The study contributes to a more comprehensive insight into the emotional and behavioral difficulties experienced by children and adolescents during the follow-up period after a diagnosis of a CNS tumor and emphasizes the importance of identifying and monitoring these difficulties as part of long-term care. tumorji osrednjega živčnega sistema težave ponotranjanja težave pozunanjanja otroci mladostniki nervous system neoplasms internalizing symptoms externalizing symptoms children adolescents true false false [T. Pučić] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-09-27 07:16:45 2026-09-27 07:16:47 2026-11-03 10:13:06 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana 48 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 159.97:616-006(043.2) 634360 303613699 72116.pdf 72116.pdf 1 43150925DF74667DEC496FC4D81DBD69 d9bd0737ebd5b59f5d55c3cc785876abf08effb3ee5035ce7e3e6e054f372868 8bda8584-ba32-11f1-8bc5-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=249082 Filozofska fakulteta 0 0 0