# PICU associated social-emotional adversity in early childhood cancer patients: consequences in neurodevelopment and mental health

**Authors:** Maria Kroupina, Quannah Parker-McGowan, Madeline Kotz, Arif Somani

PMC · DOI: 10.3389/fonc.2026.1627533 · Frontiers in Oncology · 2026-02-13

## TL;DR

This paper explores how PICU hospitalization in early childhood cancer patients can lead to long-term neurodevelopmental and mental health issues.

## Contribution

The study highlights the unique impact of PICU hospitalization during the first three years of life on mental health and neurodevelopment.

## Key findings

- PICU hospitalization compounds social-emotional adversity in early childhood cancer patients.
- Early hospitalization may lead to long-term neurodevelopmental and mental health challenges.
- Understanding these risks can inform improvements in mental health care and inpatient environments.

## Abstract

Here we propose that PICU hospitalization accentuates extreme early social-emotional adversity and compounds hospital-associated trauma that may result in neurodevelopmental and mental health challenges for pediatric cancer survivors. We focus specifically on the first three years of life, when the incidence of childhood cancer is the highest and the brain is in its most vulnerable period of development. A comprehensive understanding of risks associated with PICU hospitalization is necessary for informing improvements to the inpatient environment and proposing new models for administering mental health care, evidence-based intervention, and long-term follow-up.

## Linked entities

- **Diseases:** childhood cancer (MONDO:0006517)

## Full-text entities

- **Diseases:** Traumatic (MESH:D014947), pain (MESH:D010146), hypertension (MESH:D006973), sleep disturbance (MESH:D012893), diabetes (MESH:D003920), cancer (MESH:D009369), impaired bonding (MESH:D060825), cardiovascular disease (MESH:D002318), anxiety (MESH:D001007), mental health disorders (OMIM:603663), Post-Intensive Care Syndrome (MESH:C000657744), Toxic (MESH:D064420), obesity (MESH:D009765), depression (MESH:D003866), type 2 diabetes mellitus (MESH:D003924), mood disorders (MESH:D019964), chronic non-communicable diseases (MESH:D000073296), neglect (MESH:D058069), delirium (MESH:D003693), PTSD (MESH:D013313), neurodevelopmental disorders (MESH:D002658), neuroblastoma (MESH:D009447), loss of effective communication skills (MESH:D003147)
- **Chemicals:** cortisol (MESH:D006854)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12945750/full.md

## References

56 references — full list in the complete paper: https://tomesphere.com/paper/PMC12945750/full.md

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Source: https://tomesphere.com/paper/PMC12945750