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Social functioning following pediatric stroke: contribution of neurobehavioral impairment

Mardee Greenham1,2, Anne L Gordon3,4, Anna Cooper1,5

  • 1a Clinical Sciences , Murdoch Childrens Research Institute , Melbourne , Australia.

Developmental Neuropsychology
|February 28, 2018
PubMed

Insights

Pediatric stroke survivors often face social skill challenges. This study found that fatigue and intellectual function significantly impact social adjustment five years after stroke.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Developmental Psychology

Background:

  • Pediatric stroke can lead to lasting neurobehavioral deficits, affecting cognitive, language, and motor skills.
  • These deficits may impede the development of essential social skills in children.
  • Understanding long-term social function post-stroke is crucial for targeted interventions.

Purpose of the Study:

  • To evaluate social function components (adjustment, participation) five years after pediatric arterial ischemic stroke.
  • To explore the influence of neurobehavioral impairments on social outcomes.
  • To compare social function in childhood stroke versus neonatal stroke survivors.

Main Methods:

  • Thirty-one children with arterial ischemic stroke were assessed.
  • Parent-rated questionnaires measured social adjustment, participation, behavior, and fatigue.
  • Children underwent neurobehavioral testing, including social cognition, intellectual function, attention, pragmatic language, and motor function.

Main Results:

  • Overall social function was mostly within normal ranges, but social adjustment was poorer than expected.
  • A significant number of children exhibited impaired social functioning across various domains.
  • Childhood stroke was linked to worse social adjustment and more neurobehavioral issues compared to neonatal stroke.
  • Fatigue and intellectual function, but not attention, language, behavior, motor skills, or neurological impairment, impacted social function.

Conclusions:

  • Pediatric stroke survivors show varied social function, with social adjustment being a key area of concern.
  • Fatigue and intellectual deficits are significant contributors to impaired social function post-stroke.
  • Early identification and management of fatigue and cognitive deficits are vital for improving social outcomes in pediatric stroke survivors.

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