St Pierre Danielle G, Best Carrie R, Elacio Jennifer, Kissel Naomi, Morrow Eric M
Center for Translational Neuroscience, Carney Institute for Brain Science and Warren Alpert Medical School, Brown University, Providence, RI, USA.
Developmental Disorders Genetics Research Program (DDGRP), Department of Psychiatry and Human Behavior, Emma Pendleton Bradley Hospital, Warren Alpert Medical School at Brown University, Providence, RI, USA.
J Child Neurol. 2025 Sep;40(8):603-611. doi: 10.1177/08830738251327619. Epub 2025 Apr 2.
Christianson syndrome is a rare X-linked disorder characterized by intellectual and developmental disability, epilepsy, and regressions, requiring lifelong care. This study explored family experiences and treatment priorities from the caregiver perspectives. Qualitative semistructured interviews were conducted with 18 caregivers of 20 patients (aged 4-29 years) to discuss symptom onset, diagnosis, progression, coping, and priorities. Transcripts were thematically analyzed. Initial symptoms included seizures, delayed developmental milestones, and lack of speech. Caregivers described sadness, anger, and feeling overwhelmed after diagnosis. Concerns included seizures, communication challenges, and sleep disruptions. Only half reported robust support networks. Coping strategies included exercise, work, and partner support. Despite challenges, caregivers highlighted the happy, affectionate demeanors of the children. Caregivers emphasized connecting with other families and prioritized treatments for seizures, communication, and preventing regressions. These findings reflect caregiver experiences, enhance knowledge of Christianson syndrome impacts, and highlight common challenges for families managing disabilities.
克里斯蒂安森综合征是一种罕见的X连锁疾病,其特征为智力和发育障碍、癫痫及退化,需要终身照料。本研究从照料者的角度探讨了家庭经历和治疗重点。对20名患者(年龄在4至29岁之间)的18名照料者进行了定性半结构式访谈,以讨论症状发作、诊断、病情进展、应对方式及重点。对访谈记录进行了主题分析。初始症状包括癫痫发作、发育里程碑延迟和言语缺失。照料者描述了诊断后的悲伤、愤怒和不知所措的感觉。担忧包括癫痫发作、沟通困难和睡眠中断。只有一半的人报告有强大的支持网络。应对策略包括锻炼、工作和伴侣支持。尽管存在挑战,照料者强调了孩子们快乐、深情的举止。照料者强调与其他家庭建立联系,并将癫痫发作、沟通及预防退化的治疗作为优先事项。这些发现反映了照料者的经历,增进了对克里斯蒂安森综合征影响的了解,并突出了家庭管理残疾问题的常见挑战。