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Social-behavioural functioning in paediatric chronic kidney disease.

S R Hooper1, P J Duquette, P Icard

  • 1Department of Psychiatry, The Carolina Institute for Developmental Disabilities, University of North Carolina School of Medicine, Chapel Hill, NC, USA. stephen.hooper@cdl.unc.edu

Child: Care, Health and Development
|August 4, 2009
PubMed
Summary
This summary is machine-generated.

Children with chronic kidney disease (CKD) show average social-behavioral functioning. However, parents report more internalizing symptoms like anxiety and depression in these children, suggesting a need for careful monitoring.

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Area of Science:

  • Pediatric Nephrology
  • Child Psychology
  • Behavioral Science

Background:

  • Social-behavioural functioning in pediatric chronic kidney disease (CKD) is understudied with mixed findings.
  • Existing research lacks comprehensive multi-rater assessments of social-behavioural outcomes in youth with CKD.
  • The influence of CKD severity on psychosocial adjustment remains unclear.

Purpose of the Study:

  • To compare social-behavioural functioning in children with CKD versus typically developing controls using multiple informants.
  • To investigate the impact of CKD disease severity (chronic renal insufficiency vs. end-stage renal disease) on social-behavioural outcomes.
  • To identify specific areas of potential social-behavioural concern in pediatric CKD patients.

Main Methods:

  • Employed the Behavior Assessment System for Children (BASC) for parental ratings and self-reports.
  • Recruited 26 children and adolescents with CKD (13 with chronic renal insufficiency, 13 with end-stage renal disease) and 33 typically developing controls.
  • Conducted secondary analyses to compare social-behavioural functioning based on CKD severity.

Main Results:

  • Parental and self-reported behavior ratings for children with CKD were within the average range.
  • Parents reported significantly more internalizing symptoms (Anxiety, Depression, Somatization) in children with CKD compared to controls.
  • No significant differences were found in children's self-ratings or in the proportion of children exceeding the 90th percentile on any measure.
  • No differences in social-behavioural functioning were observed between chronic renal insufficiency and end-stage renal disease groups.

Conclusions:

  • While overall social-behavioural functioning appears average in children with CKD, parental reports suggest subtle internalizing symptoms warrant attention.
  • These findings highlight the importance of recognizing and monitoring subthreshold affective symptoms in pediatric CKD.
  • Early identification of these subtle symptoms is crucial for comprehensive clinical care and management of children with CKD.