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Parents’ estimates of quality of life of children with specific developmental language disorders
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 b
Child and Adolescent Psychiatry, Bucharest, Romania author.
∗ Corresponding
Introduction.– The onset of affective disorders can be difficult to recognize, often the onset of this disorders takes place slowly, looking like other psychiatric disorders. Symptoms like expansiveness, logorrhea, lack of inhibition, concentration difficulties, may cause a clinical picture suggestive for conduct disorder or hyperkinetic disorders, and later the symptomatology will became more conclusive for an affective disorder. Objectives.– This paper aims to identify the most common ways of onset of affective disorders in children and adolescents. Method.– We conducted a retrospective analysis on a sample of 56 adolescents diagnosed with an affective disorder. The data obtained were statistically interpreted. Results.– ADHD is the most common mental disorder found in the psychiatric history of children who develop psychosis, followed in order of frequency by Conduct Disorder, Asperger Syndrome and Suicide Attempts. It was observed a high frequency of a history of preterm birth in those children who had a history of ADHD. http://dx.doi.org/10.1016/j.neurenf.2012.04.228 Mo-P-1117
Neuropsychologic profiles of adolescents diagnosed with bipolar affective disorder (BAD) and with high risk of BAD K. Karabekiroglu a,∗ , M.N. Karakurt b , M. Yüce a , T. C ¸ alik a Child and Adolescent Psychiatry, Ondokuz Mayis University Medical Faculty, Samsun, Turkey b Child and Adolescent Psychiatry, Diyarbakır Child Hospital, Diyarbakır, Turkey ∗ Corresponding author.
a
The aim of this study was to determine clinical and neuropsychological features associated with Bipolar Affective Disorder (BAD) in adolescence and assessing clinical and neuropsychological parameters of the high-risk adolescents in terms of familial transmission of BAD and determine probable early markers for the disorder. The study includes 12- to 18-year-old 25 cases diagnosed with BAD (study group), 25 adolescents whose parent or sibling previously diagnosed with BAD and the adolescent had no mood disorder (risk group) and typically growing 25 adolescents (control group). According to results, when compared with healthy controls, adolescents with BAD showed statistically significant worse performance in Wisconsin Card Sorting Test (WCST), Stroop Test and Continuous Performance Test (CPT) in terms of executive and attention functions, whereas there was no difference with risk group. In addition, adolescents in both study and risk groups reported significantly more clinical and behavioral problems compared to control cases. Our findings suggest that; disorder itself may be associated with attention and executive function impairments, while the familial risk for BAD may be associated with some behavioural problems. http://dx.doi.org/10.1016/j.neurenf.2012.04.229 Mo-P-1118
Parents’ estimates of quality of life of children with specific developmental language disorders M. Vlassopoulos , V. Rotsika ∗ , M. Ginieri-Coccossis A’ Psychiatric Clinic, Medical School, University of Athens, Athens, Greece Keywords: Specific Developmental Language Disorders; Quality of life; Preschool children ∗ Corresponding author. Introduction.– The impact of specific developmental language disorder (SDLD) on the quality of life (QoL) of the children, as well as their parents is of primary importance when planning the intervention and the rehabilitation of these individuals. Nevertheless, although QoL has been studied in several pathological groups, it has not been studied adequately in language disordered children and their families. In this study, the quality of life of parents of children with SDLD, as well as their estimate of that of their children is investigated. Furthermore, possible associations are explored between parental and child QoL.
S165
Methods.– The experimental group consisted of 65 participants, who were one of two parents of preschool children who had been diagnosed with SDLD according to ICD-10 criteria. The control group consisted of 489 parents of typically developing children. Parents completed the WHOQOL-BREF questionnaire, a measure developed by the World Health Organisation to assess QoL in adults, and the KINDLR questionnaire for their children (4–7 years). The specific dimensions of the WHOQOL explore health, emotional well-being, social relationships and environmental aspects, while the KINDLR investigates health, emotional well-being, self-esteem, family, friends and school functioning. Results.– The parents of children with SDLD report lower QoL measures for themselves in general, as well as in several specific dimensions. Regarding their children, they estimate that their children were experiencing poorer emotional well-being and deficits in social functioning. The quality of social relationships of the parents is a significant predictor of the child’s family, friends and school functioning. Conclusions.– Although the children in our study were in the preschool age group, their parents are already reporting significant difficulties in several dimensions of their quality of life. It therefore appears that SDLD has a strong impact on both the quality of life of these children, as well as on their families. It is recommended that family-centred programmes actively promote the quality of life of these families, which in turn will interact with the therapeutic measures provided for the child. http://dx.doi.org/10.1016/j.neurenf.2012.04.230 Mo-P-1119
The speech processing deficits in Mandarin-speaking school-aged children with specific language impairment H. Liu a,∗ , F. Tsao b , L. Chen c Department of Special Education, National Taiwan Normal University, Taipei, Taiwan b Psychology, National Taiwan University, Taipei, Taiwan c Special Education, Taipei Municipal Da-An Elementary School, Taipei, Taiwan ∗ Corresponding author.
a
This study aimed to examine the speech processing ability of Mandarin-speaking school-aged children with specific language impairment (SLI). Speech processing deficits were reported in English-speaking children, but few studies examined the speech processing ability in children with SLI learning a tonal language (e.g. Mandarin Chinese). Twenty 8- to 10-year-old children with SLI and 20 age/IQ-matched children were recruited. The computerized speech perception and auditory processing tests along with the standardized intelligence and language assessments were utilized. Compared to the control group, children with SLI performed significantly poorer on frequency discrimination, consonant discrimination, and the Mandarin lexical tone discrimination tasks. Both deficits in auditory and speech processing were exhibited in children with SLI and these might negatively influence their language development. The speech perception was significantly correlated with language abilities, and the regression analysis revealed that the accuracy of lexical tone discrimination was the best predictor of the language ability. http://dx.doi.org/10.1016/j.neurenf.2012.04.231 Mo-P-1120
Implication of working memory and executive functions in comprehension of idioms by patients with schizophrenia A. Lacroix a,∗ , A. Noël a , M. Guillery a , T. Dondaine b , V. Laval c EA 1285, centre de recherches en psychologie, cognition et communication, université européenne de Bretagne, université Rennes 2, Rennes, France b EA, CHU de Rennes, Rennes, France c UMR CNRS 6234, centre de recherches sur la cognition et l’apprentissage (CERCA), université de Poitiers, Poitiers, France ∗ Corresponding author.
a
The aim of this study is to investigate the idioms comprehension in patients with schizophrenia and the role of working memory and executive functions in this comprehension. Nine patients with schizophrenia aged between 26 and 46
Child and Adolescent Psychiatry, Bucharest, Romania author.
∗ Corresponding
Introduction.– The onset of affective disorders can be difficult to recognize, often the onset of this disorders takes place slowly, looking like other psychiatric disorders. Symptoms like expansiveness, logorrhea, lack of inhibition, concentration difficulties, may cause a clinical picture suggestive for conduct disorder or hyperkinetic disorders, and later the symptomatology will became more conclusive for an affective disorder. Objectives.– This paper aims to identify the most common ways of onset of affective disorders in children and adolescents. Method.– We conducted a retrospective analysis on a sample of 56 adolescents diagnosed with an affective disorder. The data obtained were statistically interpreted. Results.– ADHD is the most common mental disorder found in the psychiatric history of children who develop psychosis, followed in order of frequency by Conduct Disorder, Asperger Syndrome and Suicide Attempts. It was observed a high frequency of a history of preterm birth in those children who had a history of ADHD. http://dx.doi.org/10.1016/j.neurenf.2012.04.228 Mo-P-1117
Neuropsychologic profiles of adolescents diagnosed with bipolar affective disorder (BAD) and with high risk of BAD K. Karabekiroglu a,∗ , M.N. Karakurt b , M. Yüce a , T. C ¸ alik a Child and Adolescent Psychiatry, Ondokuz Mayis University Medical Faculty, Samsun, Turkey b Child and Adolescent Psychiatry, Diyarbakır Child Hospital, Diyarbakır, Turkey ∗ Corresponding author.
a
The aim of this study was to determine clinical and neuropsychological features associated with Bipolar Affective Disorder (BAD) in adolescence and assessing clinical and neuropsychological parameters of the high-risk adolescents in terms of familial transmission of BAD and determine probable early markers for the disorder. The study includes 12- to 18-year-old 25 cases diagnosed with BAD (study group), 25 adolescents whose parent or sibling previously diagnosed with BAD and the adolescent had no mood disorder (risk group) and typically growing 25 adolescents (control group). According to results, when compared with healthy controls, adolescents with BAD showed statistically significant worse performance in Wisconsin Card Sorting Test (WCST), Stroop Test and Continuous Performance Test (CPT) in terms of executive and attention functions, whereas there was no difference with risk group. In addition, adolescents in both study and risk groups reported significantly more clinical and behavioral problems compared to control cases. Our findings suggest that; disorder itself may be associated with attention and executive function impairments, while the familial risk for BAD may be associated with some behavioural problems. http://dx.doi.org/10.1016/j.neurenf.2012.04.229 Mo-P-1118
Parents’ estimates of quality of life of children with specific developmental language disorders M. Vlassopoulos , V. Rotsika ∗ , M. Ginieri-Coccossis A’ Psychiatric Clinic, Medical School, University of Athens, Athens, Greece Keywords: Specific Developmental Language Disorders; Quality of life; Preschool children ∗ Corresponding author. Introduction.– The impact of specific developmental language disorder (SDLD) on the quality of life (QoL) of the children, as well as their parents is of primary importance when planning the intervention and the rehabilitation of these individuals. Nevertheless, although QoL has been studied in several pathological groups, it has not been studied adequately in language disordered children and their families. In this study, the quality of life of parents of children with SDLD, as well as their estimate of that of their children is investigated. Furthermore, possible associations are explored between parental and child QoL.
S165
Methods.– The experimental group consisted of 65 participants, who were one of two parents of preschool children who had been diagnosed with SDLD according to ICD-10 criteria. The control group consisted of 489 parents of typically developing children. Parents completed the WHOQOL-BREF questionnaire, a measure developed by the World Health Organisation to assess QoL in adults, and the KINDLR questionnaire for their children (4–7 years). The specific dimensions of the WHOQOL explore health, emotional well-being, social relationships and environmental aspects, while the KINDLR investigates health, emotional well-being, self-esteem, family, friends and school functioning. Results.– The parents of children with SDLD report lower QoL measures for themselves in general, as well as in several specific dimensions. Regarding their children, they estimate that their children were experiencing poorer emotional well-being and deficits in social functioning. The quality of social relationships of the parents is a significant predictor of the child’s family, friends and school functioning. Conclusions.– Although the children in our study were in the preschool age group, their parents are already reporting significant difficulties in several dimensions of their quality of life. It therefore appears that SDLD has a strong impact on both the quality of life of these children, as well as on their families. It is recommended that family-centred programmes actively promote the quality of life of these families, which in turn will interact with the therapeutic measures provided for the child. http://dx.doi.org/10.1016/j.neurenf.2012.04.230 Mo-P-1119
The speech processing deficits in Mandarin-speaking school-aged children with specific language impairment H. Liu a,∗ , F. Tsao b , L. Chen c Department of Special Education, National Taiwan Normal University, Taipei, Taiwan b Psychology, National Taiwan University, Taipei, Taiwan c Special Education, Taipei Municipal Da-An Elementary School, Taipei, Taiwan ∗ Corresponding author.
a
This study aimed to examine the speech processing ability of Mandarin-speaking school-aged children with specific language impairment (SLI). Speech processing deficits were reported in English-speaking children, but few studies examined the speech processing ability in children with SLI learning a tonal language (e.g. Mandarin Chinese). Twenty 8- to 10-year-old children with SLI and 20 age/IQ-matched children were recruited. The computerized speech perception and auditory processing tests along with the standardized intelligence and language assessments were utilized. Compared to the control group, children with SLI performed significantly poorer on frequency discrimination, consonant discrimination, and the Mandarin lexical tone discrimination tasks. Both deficits in auditory and speech processing were exhibited in children with SLI and these might negatively influence their language development. The speech perception was significantly correlated with language abilities, and the regression analysis revealed that the accuracy of lexical tone discrimination was the best predictor of the language ability. http://dx.doi.org/10.1016/j.neurenf.2012.04.231 Mo-P-1120
Implication of working memory and executive functions in comprehension of idioms by patients with schizophrenia A. Lacroix a,∗ , A. Noël a , M. Guillery a , T. Dondaine b , V. Laval c EA 1285, centre de recherches en psychologie, cognition et communication, université européenne de Bretagne, université Rennes 2, Rennes, France b EA, CHU de Rennes, Rennes, France c UMR CNRS 6234, centre de recherches sur la cognition et l’apprentissage (CERCA), université de Poitiers, Poitiers, France ∗ Corresponding author.
a
The aim of this study is to investigate the idioms comprehension in patients with schizophrenia and the role of working memory and executive functions in this comprehension. Nine patients with schizophrenia aged between 26 and 46