[Behavioral disorders and psycho-social outcome after stroke in children].
OBJECTIVE
The present study examines if there is an increase of behavioral and emotional disorders after stroke in childhood.


METHODS
111 children who suffered a stroke aged 3 to 18 were examined. The CBCL/4 - 18, a parent questionnaire, was analysed to assess the child's competencies as well as behavioral and emotional problems. Differences in means were analysed according to the date of stroke, sex, affected hemisphere and child's intelligence.


RESULTS
Children tend to develop more behavioral problems due to stroke. Especially, there is an increase of social and attention deficiencies. Furthermore the children show an increase of school-based problems. More problems in behavior and temperament can be found in patients with perinatal stroke and stroke in childhood than children with stroke in infancy.


CONCLUSIONS
This study emphasises the importance of comprehensive psychological diagnostics and multiprofessional intervention at an early stage to prevent stable psychological or psychiatric disorders after stroke in childhood.
Daseking
M
M
Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen. daseking@uni-bremen.de
Petermann
F
F
Simonis
A
A
D000293:Adolescent; D000342:Affective Symptoms / Q000453:epidemiology / Q000523:psychology; D000367:Age Factors; D001289:Attention Deficit Disorder with Hyperactivity / Q000209:etiology / Q000523:psychology; D002648:Child; D002653:Child Behavior Disorders / Q000209:etiology* / Q000523:psychology*; D002675:Child, Preschool; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D007231:Infant, Newborn; D007360:Intelligence / Q000502:physiology; D008297:Male; D010290:Parents; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012574:Schools; D012737:Sex Factors; D012919:Social Behavior; D020521:Stroke / Q000150:complications* / Q000523:psychology*; D011795:Surveys and Questionnaires