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Published on: January 11, 2016
Caregiver's burden and psychosocial issues in alternating hemiplegia of childhood
Jessica Save1, Dominique Poncelin, Stéphane Auvin
1APHP, Hôpital Robert Debré, Service de Neurologie Pédiatrique, Paris, France.
Insights
Parental concerns for Alternating Hemiplegia of Childhood (AHC) shift from initial symptoms to long-term outcomes like cognitive impact. This study underscores the critical need for clear communication and ongoing family support for AHC patients.
Area of Science:
- Pediatric Neurology
- Rare Diseases
- Psychosocial Impact
Background:
- Alternating Hemiplegia of Childhood (AHC) is a rare neurological disorder.
- Characterized by recurrent hemiplegic episodes and developmental delay.
- Limited understanding of parental perceptions and psychosocial challenges in AHC.
Purpose of the Study:
- Investigate parental perceptions and psychosocial issues in families affected by AHC.
- Identify specific concerns and support needs of these families.
- Evaluate the overall impact of AHC on family well-being.
Main Methods:
- Utilized a questionnaire distributed to the French AHC association.
- Collected data from 30 families, analyzing 47 questionnaires.
- Assessed parental concerns at diagnosis and during the study period.
Main Results:
- Initial parental concerns focused on hemiplegic spells and eye movements.
- Long-term concerns emphasized cognitive consequences and patient autonomy.
- AHC was found to have a significant impact on affected families.
Conclusions:
- Effective communication from healthcare professionals regarding AHC is crucial.
- Sustained family support is essential for managing the long-term effects of AHC.
- Addressing psychosocial needs is vital for improving the quality of life for AHC families.
Unlabelled:
Alternating hemiplegia of childhood (AHC) is rare disorder characterised by recurrent attacks of hemiplegia followed by developmental delay. We investigated the parental perceptions and psychosocial issues of AHC. Using a questionnaire sent to the French AHC association, we investigated families' concerns and needs of support. Additionally, we evaluated the impact of this disease.
Results:
We analysed 47 questionnaires from 30 families. At time of diagnosis, the concern of the parents was highest for the hemiplegic spells and abnormal eye movements. These concerns decreased over time. The highest concern at the time of the study was the outcome of the patients with an emphasis on cognitive consequences and the level of autonomy. The results showed that AHC has a significant impact on families.
Interpretation:
Our data enhance how the explanation of the disease by healthcare professional is important. This study also highlights the need for family support over time.
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