Author(s): Idham Jaya Ganda, Urfianty, Hadia Angriani, Rinvil Renaldi, Nadirah Rasyid Ridha Pujihastuti, Sherly Sumartiya, Khadijah A. Mansur, Vawella Febria, Ansar, Asty Almaida, Muhammad Nasrum Massi

Email(s): dhamjaya_spa@yahoo.co.id

DOI: 10.52711/0974-360X.2025.00259   

Address: Idham Jaya Ganda1,2*, Urfianty1,2, Hadia Angriani2,3, Rinvil Renaldi3, Nadirah Rasyid Ridha1,2 Pujihastuti4, Sherly Sumartiya4, Khadijah A. Mansur4, Vawella Febria4, Ansar5, Asty Almaida6, Muhammad Nasrum Massi7
1Department of Pediatrics, Faculty of Medicine Hasanuddin University, Makassar, 90245, Indonesia.
2Child Health Department, DR Wahiddin Sudirohusodo Hospital, Makassar, 90245, Indonesia.
3Department of Child and Adolescent Psychiatry, Faculty of Medicine, Hasanuddin University, Makassar, 90245, Indonesia.
4Pediatrics Study Program, Faculty of Medicine Hasanuddin University, Makassar, 90245, Indonesia.
5Communication Faculty of Pejuang Republik Indonesia University, Makassar, 90234, Indonesia.
6Management Department, Faculty of Economics and Bussiness, Hasanuddin University, Makassar, 90245, Indonesia.
7Department of Microbiology, Faculty of Medicine Hasanuddin University, Makassar, 90245, Indonesia.
*Corresponding Author

Published In:   Volume - 18,      Issue - 4,     Year - 2025


ABSTRACT:
Objective: This study assessed cognitive impairment using the school-year screening test of mental status-revised (SYSTEMS-R) and intelligence quotient (IQ) level using Raven Progressive Matrices in children with acute lymphoblastic leukemia (ALL) who received chemotherapy. Materials and Methods: This cross-sectional study was conducted at the Mother and Child Outpatient Clinic and the child psychiatric outpatient clinic from April to July 2023. The population was ALL patients collected by consecutive sampling with a total of 150 subjects. Results: The prevalence of cognitive impairment was 24.7%, and the low IQ level was 24.7%. There was a correlation between cognitive impairment and the chemotherapy phase, with the frequency in each phase being 10.4%, 23.4%, and 38.2%. There was a relationship between low IQ level and chemotherapy phase, with the frequency at each phase being 12.5%, 21.3%, and 38.2%. There was a significant relationship between cognitive impairment and low IQ level, with an OR of 5.017 (95% CI 2.892 - 8.705). ALL chemotherapy patients with cognitive impairment had an 83.3% chance of having a low IQ. Conclusion: There was a correlation between the chemotherapy phase, cognitive impairment, and low IQ level. ALL chemotherapy patients are more likely to have a low IQ level.


Cite this article:
Idham Jaya Ganda, Urfianty, Hadia Angriani, Rinvil Renaldi, Nadirah Rasyid Ridha Pujihastuti, Sherly Sumartiya, Khadijah A. Mansur, Vawella Febria, Ansar, Asty Almaida, Muhammad Nasrum Massi. Cognitive Impairment in children with Acute Lymphoblastic Leukemia and its relationship with Chemotherapy. Research Journal of Pharmacy and Technology. 2025;18(4):1809-4. doi: 10.52711/0974-360X.2025.00259

Cite(Electronic):
Idham Jaya Ganda, Urfianty, Hadia Angriani, Rinvil Renaldi, Nadirah Rasyid Ridha Pujihastuti, Sherly Sumartiya, Khadijah A. Mansur, Vawella Febria, Ansar, Asty Almaida, Muhammad Nasrum Massi. Cognitive Impairment in children with Acute Lymphoblastic Leukemia and its relationship with Chemotherapy. Research Journal of Pharmacy and Technology. 2025;18(4):1809-4. doi: 10.52711/0974-360X.2025.00259   Available on: https://rjptonline.org/AbstractView.aspx?PID=2025-18-4-50


REFERENCES:
1.    Setyaningrum SR. Triyanti. Indrawani YM. Association Participation in Early Childhood Education with Cognitive Development of Early Childhood. Kesmas-National Public Health Journal. 2014; 8(6): 243–249.
2.    American Cancer Society. Childhood Leukemia Early Detection, Diagnosis, and Types. Cancer Org. 2016; 1–23.
3.    Keshava MGN. Khan ZA. Cognitive attention behaviour detection systems usingElectroencephalograph (EEG) signals. Research Journal of Pharmacy and Technology. 2014; 7: 238–247. doi.org/10.5958/0974-360X
4.    Poswal A. Kaur H. Effectiveness of Cognitive Enhancement Therapy on Vocational abilities and Cognitive Functioning of Inmates residing at destitute home of Punjab: A Quasi Experimental study. International Journal of Advances in Nursing Management. 2023; 250–254. doi.org/10.52711/2454-2652.2023.00056.
5.    Shanthi S. Shambhavi. Comparative study between the children (6-12 years) under parental care and the orphans regarding the cognitive development in selected areas of Mangalore. Research Journal Humanities and Social Sciences. 2016; 7(4): 225–228. doi.org/10.5958/2321-5828.2016.00036.X.
6.    Elisafitri R.Arsin AA. Wahyu A. KesintasanPasien Leukemia LimfoblastikAkut Pada Anak Di Rsup.Dr.WahidinSudirohusodo Makassar. Jurnal Kesehatan Masyarakat Maritim. 2019; 1(3): 283–292. doi.org/10.30597/jkmm.v1i3.8819.
7.    Nikhitha PM. Sunil M. Prasad D. A Study to Assess the Knowledge and Illness Perception of Parents of Children with Leukemia, Attending Oncology units, at AIMS, Kochi. International Journal of Nursing Education and Research. 2015; 3(4): 344. doi.org/10.5958/2454-2660.2015.00021.6.
8.    Adade CA. Cheikh A.Mefetah H. Kili A. Hessisen L. Bouatia M. Adverse effects of Anticancer Chemotherapy in Childhood Cancer: A Prospective Study in a Moroccan hospital. Research Journal of Pharmacy and Technology. 2022; 2559–2564. doi.org/10.52711/0974-360X.2022.00428.
9.    Windiastuti E. Buku Ajar Hematologi-Onkologi Anak (Textbook of Children Hematology - Oncology). Badan PenerbitIkatan Dokter Anak Indonesia: Jakarta; 2018.
10.    Yenni .Rehabilitasi Medik Pada Anak Dengan Leukemia Limfoblastik Akut. Jurnal Biomedik. 2014; 6(1): 1–7. doi.org/ 10.35790/jbm.6.1.2014.4156.
11.    Bagul PM. Effect of information booklet on knowledge of parents in relation to home care management of children with Leukemia in selected hospitals. Asian Journal of Nursing Education and Research. 2020;10(4):474–476.doi.org/10.5958/2349-2996.2020.00101.9.
12.    Sri Lestari NN. Wande IN. Putri Wirawati IA. Acute Lymphoblastic Leukaemia (ALL) with History of Juvenile Idiopathic Arthritis (JIA). Research Journal of Pharmacy and Technology. 2023; 2786–2790. doi.org/10.52711/0974-360X.2023.00458.
13.    Hasan MK. Ghareeb MM. Mate BF.Al Khames Aga QAI. Clinical adverse effects of Chemotherapy protocolusing 6-Mercaptopurine in Iraqi patients with Acute Lymphocytic Leukemia during Maintenance Phase. Research Journal of Pharmacy and Technology. 2019; 12(12): 5757. doi.org/10.5958/0974-360X.2019.00997.1.
14.    Mubarak R. Haddad S. Hamdan O. Frequency of CYP1A1*2A Polymorphism in Syrian Children with Acute Lymphoblastic Leukemia. Research Journal of Pharmacy and Technology. 2016; 9(2): 135. doi.org/10.5958/0974-360X.2016.00022.6.
15.    Schroyen G.Meylaers M. Deprez S. Blommaert J. Smeets A. Jacobs S et al. Prevalence of leukoencephalopathy and its potential cognitive sequelae in cancer patients. Journal of Chemotherapy. 2020; 0(0): 1–17.doi.org/10.1080/ 1120009X.2020.1805239.
16.    Zareifar S.Shoushtari AA.Abrari A.Haghpanah S. Neurocognitive Function of Children suffering from Acute Lymphoblastic Leukemia in Southern Iran. Iranian Journal of Pediatric Hematology Oncology. 2019; 9(2): 73–82.doi.org/10.18502/ IJPHO.V9I2.606.
17.    Lofstad GE, Reinfjell T, Weider S, Diseth TH, Hestad K. Neurocognitive outcome and compensating possibilities in children and adolescents treated for acute lymphoblastic leukemia with chemotherapy only. Frontiers in Psychology. 2019; 10(May): 1–12. doi.org/10.3389/fpsyg.2019.01027.
18.    Śliwa-Tytko P. Kaczmarska A. Lejman M.Zawitkowska J. Neurotoxicity Associated with Treatment of Acute Lymphoblastic Leukemia Chemotherapy and Immunotherapy. International Journal of Molecular Sciences. 2022; 23(10). doi.org/10.3390/ ijms23105515.
19.    Kaur S.Mayanglambam P.Bajwan D.Thakur N. Chemotherapy and its Adverse Effects – A Systematic Review. International Journal of Nursing Education and Research. 2022; 399–402. doi.org/10.52711/2454-2660.2022.00090.
20.    Bornholt LJ, Ajersch S, Fisher IH, Markham RH, Ouvrier RA.Cognitive screening for children and adolescents: General limits or ceiling effects?. Journal of Child Neurology. 2010; 25(5): 567–571. doi.org/10.1177/0883073809352686.
21.    Langener AM. Kramer AW. van den Bos W. Huizenga HM. A shortened version of Raven’s standard progressive matrices for children and adolescents. British Journal of Developmental Psychology. 2022; 40(1): 35–45.doi.org/10.1111/bjdp.12381.
22.    Urfianty. Assessment of Cognitive Function in Children Aged 6-15 Years with Epilepsy Using School Years Screening Test for Evaluation of Mental Status-Revised (SYSTEM-R) Compared to Inteligence Scale for Children (WISC). University of Indonesia; 2022.
23.    Bildiren A. Inal Kiziltepe G. Analyse of the Relation between the Coloured Progressive Matrices Test and the Cognitive Abilities Test Form-6 in the Preschool Period of Gifted Children. Journal of Education and Learning. 2018; 7(4): 215. doi.org/10.5539/ jel.v7n4p215.
24.    Smirni P.Smirni D. Current and Potential Cognitive Development in Healthy Children: A New Approach to Raven Coloured Progressive Matrices. Children. 2022; 9(4). doi.org/10.3390/ children9040446.
25.    Tarigan ADT.Ariawati K.Widnyana P. Prevalensi dan karakteristikanakdengan leukemia limfoblastikakuttahun 2011-2015 di RSUP Sanglah Denpasar. Medicina. 2019; 50(2): 391–395. doi.org/10.15562/medicina.v50i2.287.
26.    Miranda Pereira M.Befi-Lopes DM. Soares AJC. Sassi FC. de Andrade CRF. Linguistic-cognitive outcomes in children with acute lymphoid leukemia: An exploratory study. Journal of Multidisciplinary Healthcare. 2021; 14: 1285–1295. doi.org/10.2147/JMDH.S313795.
27.    Van Der Plas E. Erdman L. Nieman BJ.Weksberg R. Butcher DT.O'connor DL et al. Characterizing neurocognitive late effects in childhood leukemia survivors using a combination of neuropsychological and cognitive neuroscience measures. Child Neuropsychology. 2018; 24(8): 999–1014. doi.org/10.1080/09297049.2017.1386170.
28.    Peterson CC. Johnson CE. Ramirez LY. Huestis S. Pai AL. Demaree HA et al. A meta-analysis of the neuropsychological sequelae of chemotherapy-only treatment for pediatric acute lymphoblastic leukemia. Pediatr Blood Cancer. 2008; 51(1): 99–104. doi.org/10.1002/pbc.21544.
29.    Jantararoungtong T.Wiwattanakul S.Tiyasirichokchai R.Prommas S.Sukprasong R.Koomdee N et al. TPMT*3C as a Predictor of 6-Mercaptopurine-Induced Myelotoxicity in Thai Children with Acute Lymphoblastic Leukemia. Journal of Personalized Medicine. 2021; 11(8). doi.org/10.3390/jpm11080783.
30.    Chande N. Townsend CM. Parker CE. MacDonald JK. Azathioprine or 6-mercaptopurine for induction of remission in Crohn’s disease. Cochrane Database of Systematic Reviews. 2016; 2016(10). doi.org/10.1002/14651858.CD000545.pub5.
31.    Iyer NS. Balsamo LM. Bracken MB. Kadan-Lottick NS. Chemotherapy-only treatment effects on long-term neurocognitive functioning in childhood ALL survivors: a review and meta-analysis. Blood. 2015; 126(3): 346–353. doi.org/10.1182/blood-2015-02-627414.
32.    Schagen SB. Wefel JS. Chemotherapy-related changes in cognitive functioning. EJC Supplements. 2013; 11(2): 225–232. doi.org/10.1016/j.ejcsup.2013.07.007.
33.    Di Cesare F. Di Cesare L. Di Carlo C. Development of a Cognitive Ability Assessment Tool for a Pediatric School-aged Population. Innovations in Clinical Neuroscience. 2021; 18(10–12): 30–37.
34.    Harsono F. Solek P.Rusmil K. Reliability of the Indonesian version of the School- Years Screening Test for Evaluation of Mental Status- Revised as a cognitive screening tool for children. Paediatrica Indonesiana. 2016; 56(3): 149–154. doi.org/10.14238/ pi56.3.2016.149-54.
35.    Fardell JE. Bray V. Bell ML. Rabe B. Dhillon H. Vardy JL. Screening for cognitive symptoms among cancer patients during chemotherapy: Sensitivity and specificity of a single item self-report cognitive change score. Psychooncology. 2022; 31(8): 1294–1301. doi.org/10.1002/pon.5928.
36.    Benzing V.Spitzhüttl J. Siegwart V. Schmid J.Grotzer M.Heinks T et al. Effects of Cognitive Training and Exergaming in Pediatric Cancer Survivors-A Randomized Clinical Trial. Medicine and Science in Sports and Exercise. 2020; 52(11): 2293–2302. doi.org/10.1249/MSS.0000000000002386.

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