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Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Survey of behaviour problems in children with neuromuscular diseases
Joanne Darke1, Kate Bushby, Ann Le Couteur
1Medical School, University of Newcastle, Newcastle, UK.
Insights
Children with neuromuscular diseases frequently experience social, communication, and behavioral issues. Mental health screening is crucial for early identification and support in these children.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Public Health
Background:
- Previous clinic-based studies indicated potential mental health issues in children with neuromuscular diseases.
- A need exists to understand the prevalence of social, communication, and behavioral problems in a broader population of these children.
Purpose of the Study:
- To determine the prevalence of social, communication, and behavioral problems in middle childhood among children with neuromuscular diseases.
- To assess the association between these problems and unmet needs reported by caregivers.
Main Methods:
- A total population study interviewed 82 caregivers of children (aged 5-13) with diagnosed neuromuscular disease in the UK's Northern Region.
- 66 participants completed the Strengths and Difficulties Questionnaire, Social Communication Questionnaire, and Children's Communication Checklist.
- Data on service utilization and needs were also collected.
Main Results:
- Two-fifths of children scored above the clinical cut-off on at least one questionnaire, significantly higher than general population samples.
- Nine children (out of 82) were diagnosed with autism spectrum disorder.
- Caregivers of children with problems reported significantly higher levels of unmet needs.
Conclusions:
- Behavioral, social, and communication problems are common in children with neuromuscular diseases.
- Regional Neuromuscular Clinics should implement mental health screening and assessment protocols.
- Addressing these issues is vital for improving the well-being of children with neuromuscular diseases.
Abstract:
Previous research on clinic samples has suggested that children with neuromuscular diseases may be affected by mental health problems. The aim of this study was to establish the carer-reported prevalence of social, communication, and behavioural problems in middle childhood in a total population with neuromuscular diseases. From a target population of 111, 82 carers of children aged 5-13 years with a diagnosed neuromuscular disease living in the Northern Region of UK were interviewed about service utilisation and needs, and 66 completed the Strengths and Difficulties Questionnaire, Social Communication Questionnaire and Children's Communication Checklist. Two-fifths of children scored above the clinical cut-off on at least one questionnaire. These results were significantly higher than are reported for national and normally developing samples. Nine out of 82 had a diagnosis of autism spectrum disorder. Carers of children with problems reported significantly higher levels of unmet need. Behaviour, social and communication problems are common in children with neuromuscular diseases and Regional Neuromuscular Clinics should consider mental health screening and assessment.
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