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The role of central nervous system functioning and family functioning in behavioral problems of children with
R J Thompson1, W G Kronenberger, D F Johnson
1Division of Medical Psychology, Duke University Medical Center, Durham, NC 27710.
Insights
Behavioral problems are common in children with myelodysplasia, affecting over half of those studied. Family functioning significantly impacts these behavioral outcomes, more so than central nervous system functioning.
Area of Science:
- Pediatric Psychology
- Developmental Neuroscience
- Family Studies
Background:
- Myelodysplasia is a congenital condition affecting neural tube development, often leading to diverse physical and cognitive challenges.
- Behavioral problems are frequently observed in children with chronic health conditions, impacting their social and emotional well-being.
- Understanding the factors contributing to behavioral issues in myelodysplasia is crucial for effective intervention.
Purpose of the Study:
- To determine the prevalence and types of behavioral problems in a cohort of children with myelodysplasia.
- To investigate the potential mediating roles of central nervous system (CNS) functioning and family functioning on behavioral outcomes.
Main Methods:
- A cohort of 50 children diagnosed with myelodysplasia was assessed.
- Behavioral problems were evaluated using standardized measures.
- Central nervous system functioning and family functioning were assessed to explore their association with behavioral outcomes.
Main Results:
- Over half (52%) of the children exhibited behavioral problem patterns or low social skills.
- Internalizing behavior problems were frequent, while externalizing problems were rare.
- Family functioning demonstrated a significant association with behavioral outcomes, whereas CNS functioning showed limited support as a mediator.
Conclusions:
- Children with myelodysplasia frequently experience behavioral challenges, particularly internalizing types.
- Family environment plays a critical role in shaping behavioral problem outcomes in this population.
- Interventions should consider family-centered approaches to address behavioral issues in children with myelodysplasia.
Abstract:
This study examined the frequency and type of behavioral problems in 50 children with myelodysplasia and investigated the hypothesized roles of central nervous system (CNS) functioning and family functioning in behavioral problem outcome. The findings revealed that 50% of the children with myelodysplasia had a behavioral problem pattern and another 2% had low social skills, yielding an overall problem pattern rate of 52%. There was a high frequency of internalizing behavior problem profiles and a very low frequency of externalizing behavior problem profiles. Although there was little support for the hypothesized mediating role of central nervous system functioning, considerable support was provided for the association of family functioning and behavior problem outcomes.