在童年动脉缺血性中风后,青少年的情绪和行为问题
Alice Zanetti1, Carlotta Rivella2, Ludovica Primavera3
1Physical Medicine and Rehabilitation Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
概括
患有儿童动脉缺血性中风 (AIS) 的青少年表现出高水平的情绪和行为问题. 定期的心理评估对于早期干预和支持至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 儿童心理学 儿童心理学
- 神经科学是一个神经科学.
背景情况:
- 脑卒中对儿童和成年人的心理影响得到了充分证实,但对于青少年来说知之甚少.
- 儿童动脉缺血性中风 (AIS) 可能会产生超出身体恢复的长期影响.
研究的目的:
- 调查AIS后青少年中情绪和行为问题的患病率.
- 探索中风特征与心理结果之间的关联.
- 强调在AIS后续中需要综合心理护理的需要.
主要方法:
- 对33名经历过AIS的青少年进行了回顾性研究.
- 使用儿童行为检查清单 (CBCL) 给青少年及其父母.
- 与损伤位置 (前部循环) 和功能结果 (PSOM) 相关联的心理发现.
主要成果:
- 33%的青少年表现出临床或亚临床心理问题,明显高于预期.
- 患者和家长都报告了情绪 (49%) 和行为 (30%) 问题.
- 在报告内化问题时注意到父母与青少年之间的差异;与能力缺陷和外化行为相关的前部循环病变.
结论:
- 患有AIS的青少年表现出很高的心理困难负担.
- 在临床随访中,心理评估应该是常规的,包括青少年和家长的观点.
- 早期识别和支持对于管理AIS后的情绪和行为挑战至关重要.
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