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Psychological adjustment, maternal distress, and family functioning in children with obstetrical brachial plexus

Behiye Alyanak1, Ayşe Kılınçaslan, Leman Kutlu

  • 1Department of Child and Adolescent Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey.

The Journal of Hand Surgery
|December 11, 2012
PubMed

Insights

Children with obstetrical brachial plexus palsy (OBPP) and their mothers experience higher psychological distress and behavioral problems compared to healthy peers. Early identification and support are crucial for their well-being.

Area of Science:

  • Pediatric neurology
  • Child psychology
  • Family studies

Background:

  • Obstetrical brachial plexus palsy (OBPP) can impact a child's development.
  • Understanding the psychological and familial consequences of OBPP is essential for comprehensive care.

Purpose of the Study:

  • To investigate emotional and behavioral characteristics in children with OBPP.
  • To assess maternal psychological distress and family functioning in OBPP cases.
  • To compare these outcomes with those of healthy children.

Main Methods:

  • A cohort of 42 children with OBPP and 43 healthy controls (ages 4-16) participated.
  • Mothers completed standardized questionnaires: Childhood Behavior Checklist, Symptom Checklist 90, and Family Assessment Device.
  • Study design: Prognostic II.

Main Results:

  • Children with OBPP showed significantly higher internalizing and externalizing problem scores.
  • Maternal distress was elevated in the OBPP group, with minimal differences in family functioning.
  • Maternal distress and OBPP diagnosis predicted 26% of children's problem scores, controlling for covariates.

Conclusions:

  • Children with OBPP and their mothers face increased risks for psychological issues.
  • Healthcare professionals must recognize and address the psychological needs of these children and their caregivers.
  • Referral for psychological support is recommended when necessary.
Abstract

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