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Published on: July 10, 2014
[Behavioral disorders and psycho-social outcome after stroke in children]
M Daseking1, F Petermann, A Simonis
1Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen. daseking@uni-bremen.de
Insights
Children who experience stroke may develop more behavioral and emotional disorders, including social and attention deficiencies. Early intervention is crucial for preventing long-term psychological issues after childhood stroke.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Child Psychiatry
Context:
- Childhood stroke, while less common than in adults, can significantly impact neurodevelopment.
- Behavioral and emotional disorders following stroke require early identification and management.
Purpose:
- To investigate the prevalence and types of behavioral and emotional disorders in children post-stroke.
- To identify risk factors associated with increased behavioral problems after childhood stroke.
Summary:
- A study of 111 children (ages 3-18) with stroke utilized the Child Behavior Checklist (CBCL/4-18) parent questionnaire.
- Results indicated an increased incidence of behavioral problems, notably social and attention deficits, and school-related difficulties post-stroke.
- Perinatal stroke and stroke in early childhood were associated with more significant behavioral and temperament issues compared to stroke in infancy.
Impact:
- Highlights the critical need for early and comprehensive psychological assessment in children following a stroke.
- Underscores the importance of multidisciplinary intervention to mitigate the risk of persistent psychological and psychiatric disorders.
Objective:
The present study examines if there is an increase of behavioral and emotional disorders after stroke in childhood.
Method:
111 children who suffered a stroke aged 3 to 18 were examined. The CBCL/4 - 18, a parent questionnaire, was analysed to assess the child's competencies as well as behavioral and emotional problems. Differences in means were analysed according to the date of stroke, sex, affected hemisphere and child's intelligence.
Results:
Children tend to develop more behavioral problems due to stroke. Especially, there is an increase of social and attention deficiencies. Furthermore the children show an increase of school-based problems. More problems in behavior and temperament can be found in patients with perinatal stroke and stroke in childhood than children with stroke in infancy.
Conclusions:
This study emphasises the importance of comprehensive psychological diagnostics and multiprofessional intervention at an early stage to prevent stable psychological or psychiatric disorders after stroke in childhood.
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