Psychological, cognitive and maternal stress assessment in children with primary ciliary dyskinesia

• Published in: World journal of pediatrics : WJP Vol. 9; no. 4; pp. 312 - 317
• Main Authors: Carotenuto, Marco, Esposito, Maria, Di Pasquale, Francesca, De Stefano, Sara, Santamaria, Francesca
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-11-2013
• Subjects: Adolescent; Adult; Case-Control Studies; Child; Child Behavior Disorders - diagnosis; Child Behavior Disorders - etiology; Cognition; Critical Care Medicine; Female; Humans; Imaging; Intelligence Tests; Intensive; Kartagener Syndrome - psychology; Male; Maternal and Child Health; Medicine; Medicine & Public Health; Mothers - psychology; Original Article; Parent-Child Relations; Pediatric Surgery; Pediatrics; Radiology; Stress, Psychological - etiology; Surgery; Surveys and Questionnaires; Children-III edition; parental stress; primary ciliary dyskinesia; Wechsler Intelligence Scale for; intelligent quotients
• ISSN: 1708-8569; 1867-0687
• DOI: 10.1007/s12519-013-0441-1

Background
Primary ciliary dyskinesia (PCD) is a rare disorder due to structure and functional abnormalities of respiratory cilia. There are no reports on the behavioral and psychological aspects of children and adolescents with PCD. This study was undertaken to assess the cognitive and behavioural characteristics, and the parental stress of a population of school-aged children with PCD.
Methods
Ten PCD and 34 healthy school-aged children underwent Wechsler Intelligence Scale for Children-III edition, Child Behavior Check-List questionnaire (CBCL), Parenting Stress Index-Short Form tests in order to perform a behavioural and psychological evaluation.
Results
PCD children showed significant behavioral and social competent problems in CBCL scale than control children, in particular with regard to internalizing problems score (
P
<0.001). Parental distress, parent-child interaction and total stress in the mothers of PCD patients were higher than those in the controls’ parents (
P
<0.001).
Conclusion
Our findings pinpoint the importance of specific psychological support in the clinical management of children with PCD.