scholarly journals Psychopathology in Mothers of Children with Global Developmental Delay due to Spastic Diplegia

2013 ◽  
Vol 5 (2) ◽  
pp. 80-84
Author(s):  
Soundarya Mahalingam ◽  
Nutan Kamath ◽  
Basavaprabhu Achappa ◽  
Deepak Madi
Keyword(s):  
Chronic Illness ◽  
Developmental Delay ◽  
Psychological Health ◽  
Psychological Status ◽  
Psychological State ◽  
Global Developmental Delay ◽  
Spastic Diplegia ◽  
Statistical Measures ◽  
The Impact

Background and Objectives: Parents of children with chronic illness like global developmental delay exhibit varied psychopathology in response to their child’s illness. Mothers of these children are more susceptible when compared to fathers, and hence show various psychopathological changes. Analysis of their psychological status is important to identify those families which need psychological help and counseling. The main aim of our study was to evaluate psychopathology in mothers of children with global developmental delay due to spastic diplegia. We also assessed the impact of intervention of the child on the psychological state of the mother over a 12 month follow up. Materials and methods: 60 mothers of children with global developmental delay due to spastic diplegia were selected from Neurodevelopmental Clinic of a tertiary care institution. Symptom Checklist 90 Revised (SCL90R) was used to assess psychopathology. A repeat evaluation of mothers was done after 12 months of conventional intervention (Bobath technique) for their child. Data was analyzed using appropriate statistical measures. Results: On assessing the psychiatric morbidity by SCL 90R, significant psychopathology was found in 54(90%) out of 60 mothers. Depression was the predominant psychopathology in the study population. Anxiety was also significantly elevated. The GSI (General Symptomatic Index), a measure of general distress was extremely high in 90% of the mothers. On follow up analysis of mothers using SCL 90R, 33% of the mothers showed no improvement in their psychological status following conventional intervention for their child. Conclusions: Chronic illness like global developmental delay affects the psychological health of mothers. In addition to purely focusing on the medical management of the child it is essential to focus attention on the distress experienced by their parents. Psychological therapy is hence required to improve the quality of life of mothers. DOI: http://dx.doi.org/10.3126/ajms.v5i2.5469   Asian Journal of Medical Science, Volume-5(2) 2014: 80-84

Complications and Sequelae in Patients With Congenital Microcephaly Associated With Zika Virus Infection: Two-Year Follow-Up

2021 ◽  
pp. 088307382098316
Author(s):  
Luane A. Gouvea ◽  
Marlos Martins ◽  
Daniela Vivacqua ◽  
Julia Rosseto ◽  
Giulia Lima ◽  
...  
Keyword(s):  
Developmental Delay ◽  
Zika Virus ◽  
Median Number ◽  
Global Developmental Delay ◽  
Spastic Diplegia ◽  
Long Term Follow Up ◽  
Congenital Microcephaly ◽  
Auditory Impairment ◽  
Worse Prognosis

Background: We aim to describe the long term follow-up of a cohort of children exposed in utero to the Zika virus. Methods: Descriptive study of a cohort of microcephalic children due to Zika virus. Logistic regression was used to evaluate variables associated with worse prognosis epilepsy. Results: We followed 28 children (15 females), with a median follow-up of 24 months (IQR = 12-28). During the follow-up, 1 infant died. The median head circumference at birth was 29 cm (IQR = 27-31). All presented a global developmental delay. The most frequent central nervous system abnormalities were on cortical development in 22 participants; dysgenesis of corpus callosum in 13; ventriculomegaly in 25; and calcifications in 24. A total of 9 presented ocular abnormalities, 4 auditory impairment. During follow-up, 12 presented with sleep disorders, 10 with irritability, and 23 with epilepsy (2 with generalized tonic-clonic, 3 with generalized tonic-clonic and spasms, 12 with spasms, 3 tonic and spasms, and 3 motor focal and spasms). The median age at the begin of the epilepsy was 4 months (IQR = 2-10), the median number of drugs used to control the epilepsy was 2 (IQR = 2-3). Maternal illicit drug use during pregnancy was associated with worse prognosis epilepsy (Lennox-Gastaut syndrome, West syndrome, or status epilepticus). A total of 19 presented with dysphagia, 10 children required gastrostomy. Conclusion: Children with microcephaly due to Zika virus presented with several complications during follow-up, as epilepsy, spastic diplegia, and global developmental delay.

scholarly journals Characteristics of seizure frequency among Malaysian children diagnosed with structural– metabolic epilepsy

2012 ◽  
Vol 03 (03) ◽  
pp. 244-250 ◽  
Author(s):  
Muhannad RM Salih ◽  
Mohd Baidi Bahari ◽  
Mohamed Azmi Ahmad Hassali ◽  
Asrul Akmal Shafie ◽  
Omer Qutaiba B Al-lela ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Developmental Delay ◽  
Seizure Frequency ◽  
Substantial Reduction ◽  
Focal Seizure ◽  
Global Developmental Delay ◽  
Neurology Clinic ◽  
Collection Form ◽  
Metabolic Epilepsy

ABSTRACT Introduction: Seizure-free patients or substantial reduction in seizure frequency are the most important outcome measures in the management of epilepsy. The study aimed to evaluate the patterns of seizure frequency and its relationship with demographics, clinical characteristics, and outcomes. Materials and Methods: A retrospective cohort study was conducted at the Pediatric Neurology Clinic, Hospital Pulau Pinang. Over a period of 6 months, the required data were extracted from the medical records using a pre-designed data collection form. Results: Seizure frequency showed no significant association with patient’s demographics and clinical characteristic. However, significant reduction in seizure frequency from the baseline to the last follow-up visit was only seen in certain subgroups of patients including Malays, females, patients <4 years of age, patients with global developmental delay/intellectual disability, and patients with focal seizure. There was no significant association between seizure frequency and rate of adverse events. Polytherapy visits were associated with higher seizure frequency than monotherapy visits (27.97 ± 56.66, 10.94 ± 30.96 attack per month, respectively) (P < 0.001). There was a clear tendency to get antiepileptic drugs used at doses above the recommended range in polytherapy (8.4%) rather than in monotherapy (1.4%) visits (P < 0.001). A significant correlation was found between seizure frequency and number of visits per patient per year (r = 0.450, P < 0.001). Conclusion: Among children with structural–metabolic epilepsy, Malays, females, patients <4 years of age, patients with global developmental delay/intellectual disability and patients manifested with focal seizure are more responsive antiepileptic drug therapy than the other subgroups of patients.

scholarly journals The impact of illness-related shame on psychological health and social relationships: Testing a mediational model in students with chronic illness

2018 ◽  
Vol 25 (3) ◽  
pp. 408-414 ◽  
Author(s):  
Inês A. Trindade ◽  
Joana Duarte ◽  
Cláudia Ferreira ◽  
Mariana Coutinho ◽  
José Pinto-Gouveia
Keyword(s):  
Chronic Illness ◽  
Social Relationships ◽  
Psychological Health ◽  
Mediational Model ◽  
The Impact

scholarly journals Psychological impact of 2019 novel coronavirus (2019-nCoV) outbreak in health workers in China

2020 ◽  
Vol 148 ◽  
Author(s):  
Dandan Sun ◽  
Dongliang Yang ◽  
Yafen Li ◽  
Jie Zhou ◽  
Wenqing Wang ◽  
...  
Keyword(s):  
Health Workers ◽  
Psychological Status ◽  
Psychological State ◽  
Average Score ◽  
Median Score ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
High Arousal ◽  
First Case ◽  
The Impact

Abstract The first case of 2019-nCoV pneumonia infection occurred in Wuhan, Hubei Province, South China Seafood Market in December 2019. As a group with a high probability of infection, health workers are faced with a certain degree of psychological challenges in the process of facing the epidemic. This study attempts to evaluate the impact of 2019-nCoV outbreak on the psychological state of Chinese health workers and to explore the influencing factors. During the period from 31 January 2020 to 4 February 2020, the ‘Questionnaire Star’ electronic questionnaire system was used to collect data. The 2019-nCoV impact questionnaire and The Impact of Event Scale (IES) were used to check the psychological status of health workers in China. A total of 442 valid data were collected in this study. Seventy-four (16.7%) male and 368 (83.3%) female individuals participated in this study. The average score of high arousal dimension was 5.15 (s.d. = 4.71), and the median score was 4.0 (IQR 2.0, 7.0). The average score of IES was 15.26 (s.d. = 11.23), and the median score was 13.5 (IQR 7.0, 21.0). Multiple regression analysis showed that there were critical statistical differences in high arousal scores among different gender groups (male 3.0 vs. female 5.0, P = 0.075). Whether being quarantined had significant statistical differences of IES scores (being quarantined 16.0 vs. not being quarantined 13.0, P = 0.021). The overall impact of the 2019-nCoV outbreak on health workers is at a mild level. Chinese health workers have good psychological coping ability in the face of public health emergencies.

scholarly journals Impact of transition on quality of life in patients with congenital adrenal hyperplasia diagnosed during childhood

2017 ◽  
Vol 6 (7) ◽  
pp. 422-429 ◽  
Author(s):  
Anne Bachelot ◽  
Magaly Vialon ◽  
Amandine Baptiste ◽  
Isabelle Tejedor ◽  
Caroline Elie ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Adrenal Hyperplasia ◽  
Psychological Health ◽  
Adult Patients ◽  
Adrenal Hyperplasia ◽  
Adult Care ◽  
Related Quality ◽  
The Impact

Background Health-related quality of life (QoL) in adult patients with congenital adrenal hyperplasia (CAH) has been variously reported. However, there is no study evaluating the impact of transition on quality of life. Methods Adult patients with classic or non-classic CAH diagnosed during childhood CAH, born between 1970 and 1990, were recruited from the registers of Pediatric departments belonging to the French reference center for endocrine rare disease. Primary end point was the QoL (WHOQOL-BREF). Results Seventy-three patients were included in the study, among them 59/73 were transferred to adult endocrinologist by their pediatricians for transition. WHOQOL-BREF scores were similar between patients with or without transition to specialist adult services, except for environment dimension score, which was slightly higher in CAH patients without transition. However, CAH patients with a regular follow-up had a better physical health, psychological health and environment score and item global QoL than the group without regular follow-up after transition. Conclusion Regular medical follow-up in adulthood is associated with the transition between pediatric and adult care and is associated with better QoL in adults with CAH.

Early rehabilitation after hospital admission for road trauma using an in-reach multidisciplinary team: a randomised controlled trial

2017 ◽  
Vol 31 (9) ◽  
pp. 1189-1200 ◽  
Author(s):  
Jane Wu ◽  
Steven G Faux ◽  
John Estell ◽  
Stephen Wilson ◽  
Ian Harris ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Usual Care ◽  
Intervention Group ◽  
Psychological Status ◽  
Randomised Control Trial ◽  
Control Group ◽  
Rehabilitation Team ◽  
Secondary Outcomes ◽  
The Impact

Objective: To investigate the impact of an in-reach rehabilitation team for patients admitted after road trauma. Design: Randomised control trial of usual care versus early involvement of in-reach rehabilitation team. Telephone follow-up was conducted by a blind assessor at three months for those with minor/moderate injuries and six months for serious/severe injuries. Setting: Four participating trauma services in New South Wales, Australia. Subjects: A total of 214 patients admitted during 2012-2015 with a length of stay of at least five days. Intervention: Provision of rehabilitation services in parallel with ward based therapy using an in-reach team for the intervention group. The control group could still access the ward based therapy (usual care). Main measures: The primary outcome was acute length of stay. Secondary outcomes included percentage requiring inpatient rehabilitation, function (Functional Independence Measure and Timed Up and Go Test), psychological status (Depression Anxiety and Stress Score 21), pain (Orebro Musculoskeletal Pain Questionnaire) and quality of life (Short Form-12 v2). Results: Median length of stay in acute care was 13 days (IQR 8-21). The intervention group, compared to the control group, received more physiotherapy and occupational therapy sessions (median number of sessions 16.0 versus 11.5, P=0.003). However, acute length of stay did not differ between the intervention and control groups (median 15 vs 12 days, P=0.37). There were no significant differences observed in the secondary outcomes at hospital discharge and follow-up. Conclusion: No additional benefit was found from the routine use of acute rehabilitation teams for trauma patients over and above usual care.

scholarly journals Clinical Characteristics and Follow-Up of 19 Children With Hashimoto’s Thyroiditis Aged Below 3 Years: A Single-Center Retrospective Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Shi Tang ◽  
Min Yang ◽  
Dan Zhang ◽  
Ya-jie Tong ◽  
Ying Xin
Keyword(s):  
Early Diagnosis ◽  
Developmental Delay ◽  
Thyroid Function ◽  
Subclinical Hypothyroidism ◽  
Hashimoto’S Thyroiditis ◽  
Clinical Characteristics ◽  
Diagnosis And Treatment ◽  
Hashimoto's Thyroiditis ◽  
Global Developmental Delay

AimTo analyze the clinical characteristics of Hashimoto’s thyroiditis (HT) in children below 3 years of age in order to improve the understanding of the disease, avoid misdiagnosis, and achieve early diagnosis and treatment.MethodsThe study retrospectively analyzed the clinical data of 19 patients diagnosed with HT in the first three years of life.ResultsThe patients (12 female, 7 male) had an average age of 26.1 ± 8.2 months (range 10–36 months). At presentation, one patient had euthyroidism, ten had hypothyroidism, seven had subclinical hypothyroidism, and one had hyperthyroidism. The most common reasons for doctor’s visits were thyroid enlargement (21.1%), global developmental delay (21.1%), and routine thyroid function tests in patients with type 1 diabetes (26.3%). Sixteen patients provided follow-up data, and the mean follow-up time was 23.31 ± 16.44 months (range 1–48 months). In the hypothyroidism group, one patient stopped levothyroxine (LT4) treatment after 2 months; the remaining patients had been treated with LT4 since their diagnosis. In the subclinical hypothyroidism group, one patient whose thyroid function returned to normal after 1 month of being diagnosed was not treated. The remaining patients received LT4 treatment at their diagnosis or during follow-up. The patient with hyperthyroidism was treated with methimazole after diagnosis, but treatment was discontinued 11 months later and LT4 was initiated 26 months after diagnosis. One in four patients with global developmental delay approached normal mental development after LT4 treatment. Four in six patients with short stature achieved height catch-up.ConclusionAt their initial HT diagnosis, most of the children showed hypothyroidism or subclinical hypothyroidism. Children with global developmental delay require continual screening, even if the thyroid function is normal after birth, to determine whether they have HT-induced hypothyroidism. Thyroxine replacement could partially relieve the clinical manifestations of hypothyroidism and early diagnosis and treatment are essential for improving patient prognosis.

scholarly journals The Impact of Covid-19 on Socio-Economic Change and Psychological Health of Moroccan Citizens

2020 ◽  
Vol 5 (7) ◽  
pp. 251-259
Author(s):  
JIBRAILI Zineb ◽  
ABYRE Asmaa ◽  
ANOUAR Hajar ◽  
JIBRAILI Malak
Keyword(s):  
Social Anxiety ◽  
Psychological Health ◽  
Religious Beliefs ◽  
Economic Change ◽  
Psychological State ◽  
Health Crisis ◽  
Financial Situation ◽  
Economic Level ◽  
The World ◽  
The Impact

The spread of coronavirus has an impact on citizens of the world, on both mental and financial sides. Indeed, citizens of the world are confined for weeks, this situation causes the increase in the state of anxiety and stress. This health crisis caused job losses, increased unemployment and therefore the appearance of financial and economic difficulties. In this perspective, we decided to conduct this study, the aim of which is to present the factors that contribute to increase in the level of anxiety and how it can be impacted by financial and economic level of Moroccan citizens. In this sense, we examined the effect of covid-19 on financial situation and level of distress of Moroccan citizens during the crisis period. We designed a survey to study firstly the determinants of social anxiety: personality, religious beliefs and level of exposure concerning COVID-19, and secondly, the impact of financial and economic situation of individuals during this period on their psychological state.

scholarly journals Talk Is Cheap: The Impact of Consultation. Commentary on the Article

2004 ◽  
Vol 18 (3) ◽  
pp. 181-182
Author(s):  
John K Marshall
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Health ◽  
Tertiary Care ◽  
Health Resources ◽  
Administrative Databases ◽  
Care Clinic ◽  
Before And After ◽  
Irritable Bowel ◽  
The Impact

Most recommendations for managing irritable bowel syndrome emphasize the positive roles of patient education and reassurance (1), but the impact and value of these approaches are difficult to assess. Therefore, a recent paper by Ilnyckyj et al (2) is both relevant and reassuring. This well designed study used Manitoba Health administrative databases to track health resource utilization, before and after a standardized gastroenterology consultation, by a consecutive cohort of patients with Rome I irritable bowel syndrome (IBS) attending an academic tertiary care clinic. Subjects also completed standardized survey instruments at the time of the consultation, one year and two years later to assess physical morbidity, psychological function and pain severity. During the two years of follow-up, the authors observed a reduction from baseline in the use of health resources for gastrointestinal diagnoses, but no change in consumption of resources for other indications. While pain was improved at follow-up, other measures of physical and psychological health were unchanged.

scholarly journals IMPACT OF ANXIETY AND TERROR OF DEATH ON QUALITY OF LIFE IN PATIENTS ON CHRONIC HEMODIALYSIS

2020 ◽  
Vol 1 ◽  
pp. 97-102
Author(s):  
Olha Shevchuk-Kravchenko ◽  
Oksana Penderetska ◽  
Ivan Garazdiuk ◽  
Oleksandr Garazdiuk ◽  
Viktor Bachynskiy
Keyword(s):  
Quality Of Life ◽  
Support Groups ◽  
Medical Staff ◽  
Healthcare Providers ◽  
Chronic Hemodialysis ◽  
Psychological Status ◽  
Psychological State ◽  
The Impact ◽  
Personal Questionnaire

The aim of the study was to identify the terror of death and anxiety level in patients with end-stage renal disease receiving renal replacement therapy using chronic hemodialysis (HD) and to evaluate the impact of patients' psychological status on medical staff, selection of basic methods of psychotherapeutic care for patients in this category. We involved 37 patients, aged 33-72 years (mean, 45.6 ± 3.8 years). The duration of chronic HD ranged from 8 months to 10 years, with an average of 4.6 years. All the patients had a stable nutritional status, HD regimen and drug therapy for at least 3 months. To diagnose the psychological state of patients we used: the scale of self-assessment of the level of situational and personal anxiety (Spielberger-Hanin’s Scale), personal questionnaire for changes at the onset of HD therapy, elements of a clinical interview, image apperception test (simplified version of Thematic apperception test., Bechterev’s Institute Personal Questionnaire for Diagnosis of Type of Illness (LOBI), Locus of control and personal changes after initiation of HD therapy. We found that the: adaptation of the patient to HD therapy is complicated due to the high degree of anxiety and maladaptive terror of death, which reduce the patient’s quality of life. The HD procedure increases the level of situational anxiety and requires psycho-correction. HD therapy requires activation of the patient's psychological protection mechanisms, since the dominant protective mechanisms of the psyche in this type of substitution treatment are displacement and negation. The inflexible and rigid use of the latter provokes maladaptive reactions when interacting with healthcare providers, a non-constructive approach to lifestyle choices, work-rest regime, and diet. Patients with a maladaptive mode of adjustment to HD therapy require psychotherapy assistance. There is a need to monitor the psychological status of not only patients, but also medical staff, which due to the specificity of the contingent increases the level of contingent own terror of death. Doctors of HD units require participation in mutual support groups.

Sign in / Sign up

Export Citation Format

Share Document