Alyanak Behiye, Kılınçaslan Ayşe, Kutlu Leman, Bozkurt Hasan, Aydın Atakan
Department of Child and Adolescent Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey.
J Hand Surg Am. 2013 Jan;38(1):137-42. doi: 10.1016/j.jhsa.2012.09.036. Epub 2012 Dec 4.
To examine emotional and behavioral characteristics of children with obstetrical brachial plexus palsy (OBPP), psychological distress of their mothers and their family functioning, and compare them with healthy peers.
Participants included 42 children with OBPP (22 boys, 20 girls; age range, 4-16 y; mean, 7 y 0 mo; SD, 3 y 3 mo) and 43 healthy controls (24 boys, 19 girls; age range, 4-15 y; mean, 8 y 0 m; SD, 3 y 0 mo). Childhood Behavior Checklist, Symptom Checklist 90, and Family Assessment Device were filled in by the mothers.
Participants with OBPP displayed higher problem scores than the comparison children in most of the domains, including internalizing and externalizing problems. Maternal distress was higher in the OBPP group, and few differences in family functioning were noted. Maternal distress and having the diagnosis of OBPP were the strongest predictors of children's total problem scores and explained 26% of the variance when the effect of age, sex, and family functioning were controlled.
Children with OBPP and their mothers are at increased risk for a variety of psychological problems. Professionals should be aware of these children's and their caregivers' psychological adjustment and refer them for further psychological support when needed.
TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II.
研究产瘫性臂丛神经麻痹（OBPP）患儿的情绪和行为特征、其母亲的心理困扰及其家庭功能，并与健康同龄人进行比较。
参与者包括42名OBPP患儿（22名男孩，20名女孩；年龄范围4 - 16岁；平均7岁0个月；标准差3岁3个月）和43名健康对照儿童（24名男孩，19名女孩；年龄范围4 - 15岁；平均8岁0个月；标准差3岁0个月）。母亲们填写了儿童行为检查表、症状自评量表90和家庭评估量表。
在大多数领域，包括内化和外化问题方面，OBPP患儿的问题得分高于对照儿童。OBPP组母亲的困扰程度更高，家庭功能方面差异不大。母亲的困扰和患儿被诊断为OBPP是儿童总问题得分的最强预测因素，在控制年龄、性别和家庭功能的影响后，可解释26%的方差。
OBPP患儿及其母亲面临各种心理问题的风险增加。专业人员应了解这些患儿及其照顾者的心理调适情况，并在需要时为他们提供进一步的心理支持。
研究类型/证据水平：预后性研究II级
