Article Text

other Versions

PDF
Psychological problems in children with hemiplegia: a European multi-centre survey
  1. Jackie L Parkes (j.parkes{at}qub.ac.uk)
  1. Queen's University Belfast, United Kingdom
    1. Melanie White-Koning (koning{at}cict.fr)
    1. Institut National de la Santé et de la Recherche Médicale, France
      1. Nichola McCullough (nichola.mccullough{at}qub.ac.uk)
      1. Queen's University Belfast, United Kingdom
        1. Allan Colver (allan.colver{at}ncl.ac.uk)
        1. Newcastle University, United Kingdom

          Abstract

          Objective: To describe the prevalence and determinants of psychological problems in European children with hemiplegia.

          Design: Cross sectional survey.

          Setting: Home visits in nine European regions by research associates who administered standard questionnaires to parents.

          Patients: 279 children with hemiplegia aged 8-12 years were recruited from population-based case registers.

          Outcome measure: Strengths and Difficulties Questionnaire (SDQ) comprising emotion, conduct, hyperactivity, peer problems and prosocial domains. An ‘impact score’ (IS) measures the social and psychological impact of the child’s difficulties.

          Results: Children with hemiplegia had higher mean scores on the Total Difficulties Score (TDS) compared to a normative sample (p<0.001). 48% and 57% of children respectively had borderline-abnormal TDS and impact scores. Significant, independent associations were observed between intellectual impairment and an increased risk for hyperactivity (OR 8.4, 95% CI 3.4-20.8), peer problems (OR 3.1, 95% CI 1.7-5.5) psychological and social impact (OR 3.0, 95% CI1.6-5.6) when children with an IQ<50 were compared to those with IQ>70. Boys had an increased risk for conduct (OR 2.1, 95% CI 1.2-3.7) and hyperactivity disorders (OR 2.5, 95% CI 1.4-4.6). Poor self esteem was associated with an increased risk for peer problems (OR 5.8, 2.5-13.4) and poor prosocial skills (OR 7.5, 95% CI 2.4-23.2) compared to those with high self esteem. Other determinants of psychological adjustment were impaired communication, severe pain and living with a single parent.

          Conclusions: Many of the psychological problems identified are amenable to treatment. Special attention should be given to those at highest risk of developing psychological difficulties.

          Statistics from Altmetric.com

          Request permissions

          If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.