Psychological functioning in children with hydrocephalus: a scoping review
Abhishek Kamath1, Garrett W Thrash1, Brandon G Rocque1,2
11Heersink School of Medicine, University of Alabama at Birmingham, Alabama; and.
Journal of Neurosurgery. Pediatrics
|July 18, 2025
Summary
Children with hydrocephalus often experience neuropsychological and behavioral challenges, impacting their quality of life. Further research is needed to understand medical factors influencing these outcomes.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Quality of Life Research
Background:
- Hydrocephalus in children can significantly affect cognitive and emotional development.
- Existing literature on psychological outcomes requires comprehensive assessment to identify research gaps.
Purpose of the Study:
- To conduct a scoping review of literature on psychological outcomes and quality of life in pediatric hydrocephalus.
- To identify key themes, trends, and knowledge gaps in current research.
Main Methods:
- Systematic search of multiple databases (SCOPUS, PubMed, PsycINFO, PsycArticles) using specific keywords.
- Screening and data extraction of 44 relevant articles, followed by descriptive statistics and thematic analysis.
Main Results:
- Neuropsychological deficits (intelligence, memory, attention) and behavioral/emotional problems (internalizing behaviors) are prevalent in pediatric hydrocephalus.
- Diminished quality of life is reported, influenced by factors like hydrocephalus severity and treatment type.
- Key outcome areas include neuropsychological (56%), behavioral/emotional (32%), academic (13.6%), and developmental (11.4%).
Conclusions:
- Children with hydrocephalus face significant neuropsychological, behavioral, and emotional challenges, affecting their quality of life.
- There is a need for standardized follow-up protocols to facilitate systematic reviews.
- Further research should investigate the impact of medical factors and treatment on long-term outcomes, guiding targeted interventions.


