大脑疟疾幸存者的行为后果以及不同纪律方法的接受度
Gudlaug Maria Sveinbjornsdottir1, Sam Kabota2, Sveinbjorn Gizurarson3
1Department of Psychology, School of Health Sciences, University of Iceland, Sæmundargata 2, 102 Reykjavík, Iceland.
概括
在脑疟疾 (CM) 幸存下来的儿童往往会发展出ADHD和ODD症状. 马拉维的家长对这些神经问题的行为治疗,包括药物治疗,表现出很高的接受度.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 大脑疟疾 (CM) 是一种严重的,危及生命的疾病,主要影响撒哈拉以南非洲的儿童.
- 神经学缺陷,包括注意力缺陷多动症 (ADHD) 和反对性挑性障碍 (ODD) 类行为,是CM幸存者的常见后果.
- 在许多非洲地区,对这些行为状况的诊断和治疗的机会有限.
研究的目的:
- 评估马拉维CM感染后儿童的行为变化.
- 评估父母对这些儿童各种行为干预措施的接受程度.
主要方法:
- 一项比较研究涉及21名CM幸存者的父母和40名马拉维普通人口的父母.
- 使用的评估工具:破坏性行为评级表 (DBRS),治疗评估清单-简单表 (TEI-SF) 和ADHD症状检查清单.
主要成果:
- 大多数CM幸存儿童的症状超过了ADHD和ODD的临床切断值.
- 在CM幸存者的家长中,药物作为治疗选择的接受度显著更高 (p < 0.007).
- 中断/重定向,讨论和药物治疗被马拉维父母认为是最可接受的治疗方法.
结论:
- 经历CM的幸存者经常经历显著的行为和神经挑战.
- 父母接受干预措施,特别是药物治疗,对于管理CM后行为障碍至关重要.
- 解决这些神经系统的后果对于改善儿科CM幸存者的长期结果至关重要.
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