פסיכופתולוגיה בקרב ילדים עם שיתוק מוחין:האם האטיולוגיה של ההפרעה משחקת תפקיד?
PSYCHOPATHOLOGY IN CHILDREN WITH CEREBRAL PALSY: DOES ETIOLOGY PLAY A ROLE?
הלה בן פזי
Neuropediatric Unit, Shaare Zedek Medical Center, Jerusalem, Israel.
Introduction: Cerebral Palsy is a neurodevelopmental disorder occurring in early childhood and may be the result of a wide array of etiologies. Periventricular damage occurring due to premature birth and hypoxic ischemic encephalopathy are among the commonest causes. Children with cerebral palsy are at a higher risk of developing psychopathology as compared to normative population. The aim of our study was to examine the psychological profile characteristic of cerebral palsy as well as their quality of life and to observe potential differences in these parameters between the two major etiology groups.
Materials & Methods: 23 children with cerebral palsy (9 premature, 14 term asphixia) and 20 of their healthy siblings were assessed using parent forms of the Child Behavior Checklist , Disruptive Behavior Disorder Rating Scale and Pediatric Quality of Life Inventory.
Results: Children with cerebral palsy showed generally more emotional and behavioral symptoms than their siblings. In addition, their quality of life was reported to be lower. No differences were found between the preterm and the HIE children.
Conclusions: Children with cerebral palsy are more likely to show emotional and behavioral symptoms and lower quality of life than normal population. The pathopsychological profile of preterm and children who suffered asphyxia at term is similar.