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Psychological, cognitive and maternal stress assessment in children with primary ciliary dyskinesia

Marco Carotenuto1, Maria Esposito, Francesca Di Pasquale

  • 1Clinic, Department of Mental and Physical Health, and Preventive Medicine, Second University of Naples, Naples, Italy.

World Journal of Pediatrics : WJP
|November 16, 2013
PubMed

Insights

Children with Primary Ciliary Dyskinesia (PCD) exhibit more behavioral and social challenges. Mothers of children with PCD also experience higher stress levels, indicating a need for psychological support.

Area of Science:

  • Pediatric Pulmonology
  • Child Psychology
  • Rare Diseases

Background:

  • Primary Ciliary Dyskinesia (PCD) is a rare genetic disorder affecting respiratory cilia structure and function.
  • Limited research exists on the psychological and behavioral aspects of PCD in children and adolescents.
  • This study addresses the gap by investigating cognitive, behavioral, and parental stress in school-aged children with PCD.

Purpose of the Study:

  • To evaluate the cognitive and behavioral characteristics of school-aged children diagnosed with PCD.
  • To assess the levels of parental stress in mothers of children with PCD.
  • To identify potential psychological support needs in the clinical management of PCD.

Main Methods:

  • A cohort of 10 school-aged children with PCD and 34 healthy controls participated.
  • Standardized assessments included the Wechsler Intelligence Scale for Children-III and the Child Behavior Check-List (CBCL).
  • Parental stress was evaluated using the Parenting Stress Index-Short Form.

Main Results:

  • Children with PCD demonstrated significantly more behavioral and social competence problems on the CBCL compared to controls, particularly in internalizing behaviors (P<0.001).
  • Mothers of children with PCD reported significantly higher parental distress, impaired parent-child interaction, and total stress levels than mothers of controls (P<0.001).

Conclusions:

  • Children with PCD face distinct behavioral and social challenges.
  • Increased parental stress is a significant factor in families managing PCD.
  • These findings underscore the necessity of integrating specific psychological support into the comprehensive care of children with PCD.
Abstract

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