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Psychosocial function in the first year after childhood stroke

Childhood stroke disrupts brain development and emerging neural networks.
Motor, cognitive, and language deficits are well recognized, yet little is known
about psychosocial function after childhood stroke.
This study aims to describe
psychosocial function within the first year after childhood stroke, and to
identify factors associated with outcome. METHOD:
Thirty-seven children were
involved in a prospective, longitudinal study investigating recovery over the
first year after childhood stroke. Children's social functioning was assessed at
6-months and 12-months poststroke and psychological function at 12-months
poststroke, using standardized measures. RESULTS: Mean social function was poorer
at both 6-months and 12-months poststroke, compared to prestroke. Psychological
problems were more common than expected, with emotional difficulties and
hyperactivity-inattention most significantly affected. Poorer social function was
associated with older age at onset, acute neurological impairment, and prestroke
social impairment. Social and psychological problems were associated with parent
mental health. INTERPRETATION: While not all children are affected, psychosocial
impairment affects a significant minority after childhood stroke. Older age at
onset, acute neurological impairment, prestroke social problems, and poorer
parent mental health were associated with deficits. Identifying early predictors
of poorer outcome will facilitate early intervention.
Of particular importance is
parent mental health, suggesting support for families may improve child outcome.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS

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