{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T23:10:13Z","timestamp":1772579413592,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2016\u201002373"],"award-info":[{"award-number":["2016\u201002373"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002794","name":"Cancerfonden","doi-asserted-by":"publisher","award":["2017 CAN2017\/340"],"award-info":[{"award-number":["2017 CAN2017\/340"]}],"id":[{"id":"10.13039\/501100002794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["201806380121"],"award-info":[{"award-number":["201806380121"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003173","name":"Crafoordska Stiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003173","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Children experience a higher risk of psychiatric problems when their parents are diagnosed with cancer. However, the psychological effect among offspring who are born after parental cancer diagnosed in childhood or adolescence is unknown. We aimed to investigate the risk of psychiatric disorders in children of survivors with childhood or adolescent central nervous system (CNS) tumors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>By combining several nationwide Swedish registers, we identified all children who had at least one parent previously diagnosed with CNS tumor below the age of 20. Five children without parental CNS tumor were randomly selected for the matching. Cox proportional hazards model was used to calculate hazard ratios (HRs) with 95% confidence interval (CI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence rate of psychiatric disorders was 8.46 per 1000 person\u2010years in children of CNS tumor survivors, whereas the rate was 7.47 in the matched comparisons, yielding an adjusted HR of 1.10 (95% CI\u00a0=\u00a00.94, 1.28). Boys of survivors had a higher risk of psychiatric disorders (adjusted HR\u00a0=\u00a01.29, 95% CI\u00a0=\u00a01.04, 1.59). The risk of the specific types of psychiatric disorders in children of tumor survivors was comparable with that in the matched comparisons, except for mental retardation. Children of survivors experienced 2.36 times higher risk of mental retardation (95% CI\u00a0=\u00a01.21, 4.58), mainly of mild mental retardation (adjusted HR\u00a0=\u00a02.99, 95% CI\u00a0=\u00a01.40, 6.38).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children of survivors with CNS tumor in early life did not experience a significantly increased risk of overall psychiatric disorders, with the exception of an elevated risk of mental retardation that was mainly mild.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.3591","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T06:32:29Z","timestamp":1604298749000},"page":"675-683","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychiatric disorders in offspring of childhood or adolescent central nervous system tumor survivors: a national cohort study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7616-8622","authenticated-orcid":false,"given":"Wuqing","family":"Huang","sequence":"first","affiliation":[{"name":"Center for Primary Health Care Research Lund University\/Region Sk\u00e5ne Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Sundquist","sequence":"additional","affiliation":[{"name":"Center for Primary Health Care Research Lund University\/Region Sk\u00e5ne Lund Sweden"},{"name":"Department of Family Medicine and Community Health Department of Population Health Science and Policy Icahn School of Medicine at Mount Sinai New York NY USA"},{"name":"Center for Community\u2010based Healthcare Research and Education (CoHRE) Department of Functional Pathology School of Medicine Shimane University Matsue Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Sundquist","sequence":"additional","affiliation":[{"name":"Center for Primary Health Care Research Lund University\/Region Sk\u00e5ne Lund Sweden"},{"name":"Department of Family Medicine and Community Health Department of Population Health Science and Policy Icahn School of Medicine at Mount Sinai New York NY USA"},{"name":"Center for Community\u2010based Healthcare Research and Education (CoHRE) Department of Functional Pathology School of Medicine Shimane University Matsue Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0324-9496","authenticated-orcid":false,"given":"Jianguang","family":"Ji","sequence":"additional","affiliation":[{"name":"Center for Primary Health Care Research Lund University\/Region Sk\u00e5ne Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2004.06.001"},{"key":"e_1_2_10_3_1","first-page":"4025","article-title":"Impact of parental cancer on children","volume":"37","author":"Shah BK","year":"2017","journal-title":"Anticancer Res"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-019-00741-5"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuonc\/nov115"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuonc\/nox148"},{"key":"e_1_2_10_7_1","first-page":"689","article-title":"Long\u2010term neurologic health and psychosocial function of adult survivors of childhood medulloblastoma\/PNET: a report from the Childhood Cancer Survivor Study","volume":"19","author":"King AA","year":"2017","journal-title":"Neuro Oncol"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djp148"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-015-2669-7"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-017-0808-0"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2009.12.006"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0056967"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00018-016-2272-4"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2014.11.013"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-018-0039-z"},{"key":"e_1_2_10_16_1","unstructured":"DanckertB FerlayJ EngholmG et al.NORDCAN: Cancer Incidence Mortality Prevalence and Survival in the Nordic Countries Version 8.2 (26.03.2019). 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