情绪和行为调节的比较在metopic和sagittal synostosis之间
Mariana N Almeida1, David P Alper1, Neil Parikh1
1Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
概括
患有metopic synostosis的儿童表现出更大的执行功能困难,并且比患有sagittal synostosis的儿童需要更多的支持服务. 沙吉塔突结与学龄儿童的外化行为增加有关.
科学领域:
- 儿科神经外科 儿科神经外科
- 发展心理学是发展心理学.
- 行为科学是一种行为科学.
背景情况:
- 非综合性骨突症涉及到骨的过早融合.
- 经过手术纠正的头骨突可导致神经认知和行为挑战.
- 以前的研究表明,metopic synostosis可能比sagittal synostosis带来更多的困难.
研究的目的:
- 为了比较子女之间的行为结果与metopic和sagittal synostosis.
- 描述与每个子子类型相关的特定神经发育差异.
- 为了确定协同静止类型与执行功能或行为问题之间的潜在联系.
主要方法:
- 招募了经过手术纠正的形或形突症的学龄儿童.
- 父母完成了标准化的行为评估 (康纳斯-3,SRS-2,BRIEF-2,CBCL).
- 智商系数 (IQ) 使用韦克斯勒缩略智商量表 (WASI-II) 进行评估.
主要成果:
- 患有梅托皮性静止症的儿童更频繁地需要支持性服务 (57.7%vs34.7%),并表现出执行功能缺陷.
- 梅托皮综合症与情绪调节和全球执行功能的边缘临床水平的更高率有关.
- 在CBCL中,患有松突症的儿童在违反规则和外部化行为方面获得了更高的分数.
结论:
- 在非综合征性关突症的子类型与学校年龄的明显行为结果相关.
- 梅托皮综合症与更大的整体困难有关,特别是在执行功能中.
- 沙吉塔突合静止症与更高的外化行为的流行率有关.
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