Psychosocial impact of paediatric demyelinating disorders: a scoping review
Autor: | Rebecca Cockburn, Morvwen Duncan, Hayley Bullock, Cheryl Hemingway, Sophie Mitchell, Claudia Johnston, Susan Carroll |
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Rok vydání: | 2020 |
Předmět: |
030506 rehabilitation
Behavioral Symptoms Demyelinating Autoimmune Diseases CNS Transverse myelitis 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Developmental Neuroscience medicine Humans Optic neuritis Child Demyelinating Disorder Fatigue Depression (differential diagnoses) business.industry Mental Disorders Multiple sclerosis medicine.disease Psychosocial Functioning Pediatrics Perinatology and Child Health Acute disseminated encephalomyelitis Quality of Life Neurology (clinical) 0305 other medical science business Psychosocial 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Developmental Medicine & Child Neurology. 62:1250-1258 |
ISSN: | 1469-8749 0012-1622 |
Popis: | Aim To: (1) provide greater insight into the psychological and social impact of a range of demyelinating disorders, (2) explore differences between disorders, and (3) provide direction for future research. Method Studies were identified by searching online databases. Studies that explored the psychological, emotional, or social impact of a range of demyelinating disorders in childhood, including acute disseminated encephalomyelitis (ADEM), optic neuritis, transverse myelitis, and multiple sclerosis, were included and screened independently by three authors. Data on the design, sample characteristics, psychosocial measures, key findings, and methodological strengths and limitations were extracted. Twenty-five studies were included in the narrative synthesis. Results Demyelinating disorders are associated with lower quality of life, affecting young people's emotional, social, school, and behavioural functioning. There is a high prevalence of psychiatric disorders and fatigue, particularly in multiple sclerosis. Subtle differences exist in the psychological presentation between different demyelinating disorders, with clear gaps in the research for the long-term psychosocial impact of monophasic conditions. Interpretation The difference between the impact of monophasic and relapsing demyelinating disorders on psychosocial functioning is unclear. Future research should aim to identify the psychosocial impact across disorders and over time, ensure that services are capturing those patients who may benefit from tailored interventions. What this paper adds Prevalence of psychiatric diagnoses in paediatric demyelinating disorders is higher than controls. Depression and emotional concerns are elevated in paediatric demyelinating disorders. Demyelinating disorders impact children's quality of life across school, social, and physical functioning. |
Databáze: | OpenAIRE |
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