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Early predictors of psychosocial functioning 5 years after paediatric stroke
Mardee Greenham1,2, Vicki Anderson1,2,3, Anna Cooper1,4
1Clinical Sciences, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
Developmental Medicine and Child Neurology
|August 18, 2017
Summary
Children with paediatric stroke experience poorer psychosocial outcomes 5 years later. Early cognitive function, age at stroke, and lesion size predict these long-term effects, suggesting early screening is vital.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Neurorehabilitation
Background:
- Paediatric stroke is a significant cause of acquired childhood disability.
- Psychosocial outcomes following paediatric stroke are not well understood.
- Early identification of risk factors is crucial for timely intervention.
Purpose of the Study:
- To evaluate psychosocial outcomes in children 5 years after paediatric stroke.
- To explore early presenting factors that predict long-term psychosocial function.
- To inform early screening and intervention strategies.
Main Methods:
- Prospective, longitudinal study of 31 children with arterial ischemic stroke.
- Intellectual assessment at 12 months poststroke.
- Parent-reported questionnaires on child functioning and parental mental health at 12 months and 5 years poststroke.
Main Results:
- Children exhibited significantly poorer psychological and social function at 5-year follow-up compared to normative data.
- Poorer cognitive and psychological function at 12 months poststroke predicted worse 5-year outcomes.
- Older age at stroke onset and larger lesion size were associated with poorer psychosocial function at 5 years.
Conclusions:
- Early poststroke cognitive and psychological assessments, along with age at onset and lesion size, are important predictors of long-term psychosocial outcomes.
- Screening children within the first year after stroke can identify those at higher risk for later difficulties.
- Early intervention based on identified risk factors may improve psychosocial trajectories in paediatric stroke survivors.
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