Social, emotional, and behavioral functioning of children with NF1
Social, emotional, and behavioral functioning of children with NF1
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DOI：
10.1002/ajmg.a.31923
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发表时间：
2007-10-01
影响因子：
2
通讯作者：
Gerhardt, Cynthia A.
中科院分区：
文献类型：
--
作者：
Noll, Robert B.;Reiter-Purtill, Jennifer;Gerhardt, Cynthia A.
患有 1 型神经纤维瘤病 (NF1) 的儿童可能存在不同程度的认知障碍，并且存在社交、情感和行为功能障碍的风险。我们从多个角度对 NF1 青少年和同龄人的社会、情感和行为功能进行了评估。我们假设患有 NF1 的儿童会有更多的社会心理困难，这与神经系统受累呈正相关。我们将 58 名年龄在 7-15 岁的 NF1 儿童与具有相同种族/性别和最接近出生日期的课堂同龄人、同学进行了比较。同伴关系、情绪健康和行为在多种环境下从多个角度进行评估。结果显示，教师认为患有 NF1 的儿童更具亲社会性（即有礼貌、乐于助人）。老师和同龄人认为患有 NF1 的儿童表现出较少的领导行为，并且在社交方面更加敏感和孤立（即经常被忽视，交友困难）。患有 NF1 的孩子的友谊较少，也不太受同龄人喜欢。母亲和父亲报告 1 型神经纤维瘤病儿童的社会功能存在更多问题。根据孩子和父亲的报告，在情绪健康和行为方面几乎没有发现群体差异。然而，母亲们认为，与同龄人相比，患有 NF1 的孩子有更多的情绪问题，尤其是年龄较大的孩子。神经系统受累与心理社会问题显着相关。我们得出的结论是，患有 NF1 的儿童经常受到社会孤立并被同龄人拒绝；并且更多的神经系统参与与更多的情绪问题相关。中枢神经系统的参与似乎在识别存在友谊、社会接受和情绪功能（即抑郁）问题风险的儿童方面发挥着关键作用。 (c) 2007 年 Wiley-Liss, Inc.
Children with neurofibromatosis type 1 (NF1) can have varying degrees of cognitive impairment, and are at risk for social, emotional, and behavioral dysfunction. We undertook an evaluation of social, emotional, and behavioral functioning Of Youth with NF1 and peers from multiple perspectives. We hypothesized that children with NF1 would have more psychosocial difficulties, which would be positively associated with neurological involvement. We compared 58 children with NF1, ages 7-15, with comparison classroom peers, classmates who were same race/gender and closest date of birth. Peer relationships, emotional wellbeing, and behavior were evaluated from multiple perspectives in multiple settings. Results showed that teachers perceived children with NF1 as more prosocial (i.e., polite, helpful to others). Teachers and peers viewed children with NF1 as displaying less leadership behavior and as more socially sensitive-isolated (i.e., often left out, trouble making friends). Children with NF1 had fewer friendships and were less well liked by peers. Mothers and fathers reported more problems with social functioning among children with NF1. Few group differences in emotional well-being and behavior were identified according to child and father report. However, mothers perceived children with NF1 to have more emotional problems relative to comparison peers, predominantly among older children. Neurological involvement was significantly related to psychosocial problems. We conclude that children with NF1 are frequently socially isolated and rejected by peers; and that greater neurological involvement is associated with more emotional problems. Central nervous system involvement appears to play a key role in identifying children at risk for problems with friendships, social acceptance, and emotional functioning (i.e., depression). (c) 2007 Wiley-Liss, Inc.