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Peprah E, Gyamfi J, Lee JT, Islam F, Opeyemi J, Tampubolon S, Ojo T, Qiao W, Mai A, Wang C, Vieira D, Meda S, Adenikinju D, Osei-Tutu N, Ryan N, Ogedegbe G. Analysis of the 2007-2018 National Health Interview Survey (NHIS): Examining Neurological Complications among Children with Sickle Cell Disease in the United States. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6137. [PMID: 37372724 PMCID: PMC10298081 DOI: 10.3390/ijerph20126137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/24/2023] [Accepted: 06/12/2023] [Indexed: 06/29/2023]
Abstract
This study compared neurological complications among a national sample of United States children with or without sickle cell disease (SCD) and evaluated health status, healthcare and special education utilization patterns, barriers to care, and association of SCD status and demographics/socioeconomic status (SES) on comorbidities and healthcare utilization. Data was acquired from the National Health Interview Survey (NHIS) Sample Child Core questionnaire 2007-2018 dataset that included 133,542 children. An affirmation from the guardian of the child determined the presence of SCD. Regression analysis was used to compare the associations between SCD and demographics/SES on neurological conditions at p < 0.05. Furthermore, adjusted odds ratios (AORs) were estimated for having various neurological conditions. Of the 133,481 children included in the NHIS, the mean age was 8.5 years (SD: 0.02) and 215 had SCD. Of the children with SCD, the sample composition included male (n = 110), and Black (n = 82%). The SCD sample had higher odds of having neuro-developmental conditions (p < 0.1). Families of Black children (55% weighted) reported household incomes < 100% of federal poverty level. Black children were more likely to experience longer wait times to see the doctor (AOR, 0.3; CI 0.1-1.1). Compared to children without SCD, those with SCD had a greater chance of seeing a medical specialist within 12 months (AOR 2.3; CI 1.5-3.7). This representative sample of US children with SCD shows higher odds of developing neurological complications, increased healthcare and special education services utilization, with Black children experiencing a disproportionate burden. This creates the urgency to address the health burden for children with SCD by implementing interventions in healthcare and increasing education assistance programs to combat neurocognitive impairments, especially among Black children.
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Affiliation(s)
- Emmanuel Peprah
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Joyce Gyamfi
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Justin Tyler Lee
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Farha Islam
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Jumoke Opeyemi
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Siphra Tampubolon
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Temitope Ojo
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Wanqiu Qiao
- Department of Biostatistics, NYU School of Global Public Health, 708 Broadway, New York, NY 10003, USA; (W.Q.); (A.M.); (C.W.)
| | - Andi Mai
- Department of Biostatistics, NYU School of Global Public Health, 708 Broadway, New York, NY 10003, USA; (W.Q.); (A.M.); (C.W.)
| | - Cong Wang
- Department of Biostatistics, NYU School of Global Public Health, 708 Broadway, New York, NY 10003, USA; (W.Q.); (A.M.); (C.W.)
| | - Dorice Vieira
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
- NYU Health Sciences Library, 577 First Avenue, New York, NY 10016, USA
| | - Shreya Meda
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Deborah Adenikinju
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Nana Osei-Tutu
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Nessa Ryan
- Global Health Program, Department of Social and Behavioral Sciences, ISEE Lab, NYU School of Global Public Health, 708 Broadway, 4th FL, New York, NY 10003, USA; (J.G.); (J.T.L.); (F.I.); (J.O.); (S.T.); (T.O.); (D.V.); (S.M.); (D.A.); (N.O.-T.); (N.R.)
| | - Gbenga Ogedegbe
- Institute for Excellence in Health Equity, NYU Langone Health, 180 Madison Avenue, New York, NY 10016, USA;
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Fatigue in Children With Sickle Cell Disease: Association With Neurocognitive and Social-Emotional Functioning and Quality of Life. J Pediatr Hematol Oncol 2015; 37:584-9. [PMID: 26479993 DOI: 10.1097/mph.0000000000000431] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Children with sickle cell disease (SCD) report fatigue in addition to acute and chronic pain, which can decrease overall health-related quality of life (HRQL). The primary objective of the current study was to investigate the relationship between fatigue and HRQL. Given limited prior research, secondary objectives included investigation of associations between fatigue and functional outcomes, including child neurocognitive and social-emotional functioning. Children aged 8 to 16 years (N=32) and a caregiver completed measures of fatigue, HRQL, pain, and neurocognitive and social-emotional functioning. Controlling for pain and number of SCD-related hospitalizations, hierarchical linear regression models were used to determine the impact of child-reported and parent-reported fatigue on child HRQL. Correlational analyses were used to explore the relationship between fatigue and additional child outcomes. Data indicated that children with SCD experience clinically relevant levels of fatigue, which independently predicts lower HRQL. Fatigue was also associated with lower working memory, executive functioning, and higher levels of internalizing symptoms. Given its observed impact on HRQL and relationship to functional outcomes, fatigue may be an important target of clinical, home, or school interventions. This practice may attenuate the burden of fatigue in these patients, and in turn, help improve the quality of life of children living with SCD.
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Hensler M, Wolfe K, Lebensburger J, Nieman J, Barnes M, Nolan W, King A, Madan-Swain A. Social skills and executive function among youth with sickle cell disease: a preliminary investigation. J Pediatr Psychol 2014; 39:493-500. [PMID: 24431467 DOI: 10.1093/jpepsy/jst138] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES To explore the relationship between executive function (EF) and social skills in youth with sickle cell disease (SCD). METHODS 20 youth with SCD completed objective tests of EF (Tasks of Executive Control; Animal Sorting subtest from the Developmental Neuropsychological Assessment-Second Edition), an IQ screener, and paper-and-pencil measures of social skills (Social Skills Improvement System [SSIS]). Primary caregivers completed paper-and-pencil measures of EF (Behavior Rating Inventory of Executive Function) and social skills (SSIS). RESULTS EF scores from the Behavior Rating Inventory of Executive Function related to parent- and child-reported social skills such that EF deficits correlated with poorer overall and domain-specific social skills. Similarly, EF scores from the Animal Sorting test related to child-reported social skills. Worse parent-reported EF predicted worse parent-reported social skills above the variance accounted for by IQ. CONCLUSIONS EF is related to social skills and may be necessary for successful social interaction among youth with SCD. These results provide rationale and guidance for future larger-scale investigations of EF and social skills among children with SCD.
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Affiliation(s)
- Molly Hensler
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - Kelly Wolfe
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - Jeffrey Lebensburger
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - Jilian Nieman
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - Margaux Barnes
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - William Nolan
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - Allison King
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
| | - Avi Madan-Swain
- Department of Psychology, University of Alabama at Birmingham, Department of Psychology, Nationwide Children's Hospital, Department of Pediatrics, Division of Hematology and Oncology, University of Alabama at Birmingham, Department of Psychiatry, University of Minnesota, and Program in Occupational Therapy and Department of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine
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Berg C, Edwards DF, King A. Executive function performance on the children's kitchen task assessment with children with sickle cell disease and matched controls. Child Neuropsychol 2012; 18:432-48. [DOI: 10.1080/09297049.2011.613813] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Daly B, Kral MC, Tarazi RA. The Role of Neuropsychological Evaluation in Pediatric Sickle Cell Disease. Clin Neuropsychol 2011; 25:903-25. [DOI: 10.1080/13854046.2011.560190] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gorodzinsky AY, Hainsworth KR, Weisman SJ. School functioning and chronic pain: a review of methods and measures. J Pediatr Psychol 2011; 36:991-1002. [PMID: 21745810 DOI: 10.1093/jpepsy/jsr038] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE School functioning is among the most important life domains impacted by chronic pain. This review provides a summary of the measures currently used by researchers to assess school functioning in children with chronic pain. METHODS We conducted a systematic review of the literature on school absenteeism and school functioning in children and adolescents with pain. Searches were restricted to a time frame including January 1985 to December 2010. RESULTS Fifty-three articles are reviewed: all include some form of assessment of school absenteeism or school functioning as part of the study outcome measures. Of the 53 articles, 26 assessed school absenteeism and 27 assessed an aspect of school functioning; 14 of these 27 articles assessed both. CONCLUSIONS Understanding the comprehensive impact of pain on school functioning will require improvements in our current assessment methods.
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Affiliation(s)
- Ayala Y Gorodzinsky
- Department of Psychology, University of Wisconsin, Milwaukee, WI 53211, USA.
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McCauley SR, Pedroza C. Event-based prospective memory in children with sickle cell disease: effect of cue distinctiveness. Child Neuropsychol 2010; 16:293-312. [PMID: 20301010 DOI: 10.1080/09297041003601470] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Event-based prospective memory (EB-PM) is the formation of an intention and remembering to perform it in response to a specific event. Currently, EB-PM performance in children with sickle cell disease (SCD) is unknown. In this study, we designed a computer-based task of EB-PM; No-Stroke, Silent-Infarct, and Overt-Stroke groups performed significantly below the demographically similar control group without SCD. Cue distinctiveness was varied to determine if EB-PM could be improved. All groups, with the exception of the Overt-Stroke group, performed significantly better with a perceptually distinctive cue. Overall, these results suggest that EB-PM can be improved significantly in many children with SCD.
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Affiliation(s)
- Stephen R McCauley
- Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas Medical School at Houston, Houston, TX 77030, USA.
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Schwartz LA, Radcliffe J, Barakat LP. Associates of school absenteeism in adolescents with sickle cell disease. Pediatr Blood Cancer 2009; 52:92-6. [PMID: 19006248 PMCID: PMC2684846 DOI: 10.1002/pbc.21819] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND Despite high rates of school absenteeism in adolescents with sickle cell disease (SCD), the issue remains understudied. Potential associates of school absenteeism in adolescents with SCD include demographic (age, income), psychosocial (IQ, self-efficacy, competence, internalizing symptoms, negative thinking), and health-related (hemoglobin, health-care utilization, pain, disease knowledge). PROCEDURE Forty participants ages 12-18 completed measures of psychosocial functioning, IQ, and pain. Medical chart reviews identified other health-related variables. A subsample also completed an assessment of goals. Using school records, absenteeism was the percent of school days missed in the previous year. Correlations tested associates of absenteeism and linear regression tested a model of absenteeism. RESULTS Participants missed an average of 12% of the school year and more than 35% missed at least 1 month of school. Health-related and psychosocial variables, but not demographic variables, correlated with absenteeism. Attendance at clinic appointments and parent-reported teen pain frequency were significant associates of absenteeism in the regression model. For those who completed goal assessment, over 40% of goals identified were academically focused. Absenteeism was positively related to current academic goals and health-related hindrance of academic goals, and negatively related to future-oriented academic goals. CONCLUSIONS School absenteeism is a significant problem for adolescents with SCD despite the presence of academic goals. Collaboration between schools, parents, patients, and providers to understand and manage the impact of SCD on school attendance is recommended.
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Affiliation(s)
- Lisa A. Schwartz
- Department of Psychology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania,Correspondence to: Lisa A. Schwartz, The Children’s Hospital of Philadelphia, 34th and Civic Center Blvd, CHOP North #1487, Philadelphia, PA 19104. E-mail:
| | - Jerilynn Radcliffe
- Department of Psychology, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
| | - Lamia P. Barakat
- Department of Psychology Drexel University, Philadelphia, Pennsylvania
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Gold JI, Johnson CB, Treadwell MJ, Hans N, Vichinsky E. Detection and assessment of stroke in patients with sickle cell disease: neuropsychological functioning and magnetic resonance imaging. Pediatr Hematol Oncol 2008; 25:409-21. [PMID: 18569843 DOI: 10.1080/08880010802107497] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Sickle cell disease (SCD) is associated with increased risk of stroke and cognitive impairment. This study describes a retrospective review of 65 patients who underwent routine neuropsychological testing and MRI during treatment at a comprehensive sickle cell center. It was hypothesized that (1) children with no evidence of CVA would perform lower than expected on cognitive tasks compared to population-based normative data, (2) children with strokes and children with silent infarcts would perform lower on cognitive tasks and motor skills as compared to patients with no evidence of CVA, and (3) children with evidence of silent infarcts would perform better than children with known overt strokes. This final hypothesis has not been studied previously, as children with known overt stroke and silent infarct were grouped together. Sixty-five children with SCD who were sent for routine neuropsychological testing and brain MRI were identified via retrospective chart review. Patients had been administered neuropsychological tests to assess cognitive, executive and motor function. Brain MRI was obtained from each patient and was analyzed for evidence of cerebrovascular accident (CVA). Based on MRI analysis, 27% of patients with SCD had experienced a stroke and 13% a silent infarct. The majority (59%) of patients diagnosed with stroke or infarct sustained cortical damage to the frontal lobe. Patients with SCD and no evidence of CVA functioned normally on tests of cognitive ability and achievement, but patients with CVA displayed impairments in cognitive function and comparatively lower scores on verbal and performance scales. Neuropsychological testing can identify impairments in patients with SCD with no known cerebrovascular accident. Investigations of neurocognitive functioning will help characterize patterns of deficits and can inform the ability to implement comprehensive care strategies for patients with SCD and cognitive impairment.
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Affiliation(s)
- Jeffrey I Gold
- Department of Anesthesiology Critical Care Medicine, Keck School of Medicine, University of Southern California, and Childrens Hospital Los Angeles, Los Angeles, California 90027, USA.
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Campbell JM, Brown RT, Cavanagh SE, Vess SF, Segall MJ. Evidence-based assessment of cognitive functioning in pediatric psychology. J Pediatr Psychol 2008; 33:999-1014; discussion 1015-20. [PMID: 18194973 DOI: 10.1093/jpepsy/jsm138] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE To review the evidence base for measures of cognitive functioning frequently used within the field of pediatric psychology. METHODS From a list of 47 measures identified by the Society of Pediatric Psychology (Division 54) Evidence-Based Assessment Task Force Workgroup, 27 measures were included in the review. Measures were organized, reviewed, and evaluated according to general domains of functioning (e.g., attention/executive functioning, memory). RESULTS Twenty-two of 27 measures reviewed demonstrated psychometric properties that met "Well-established" criteria as set forth by the Assessment Task Force. Psychometric properties were strongest for measures of general cognitive ability and weakest for measures of visual-motor functioning and attention. CONCLUSIONS We report use of "Well-established" measures of overall cognitive functioning, nonverbal intelligence, academic achievement, language, and memory and learning. For several specific tests in the domains of visual-motor functioning and attention, additional psychometric data are needed for measures to meet criteria as "Well established."
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Affiliation(s)
- Jonathan M Campbell
- University of Georgia, Department of Educational Psychology and Instructional Technology, 325-J Aderhold Hall, Athens, GA 30602-7143, USA.
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Abstract
Sickle cell disease (SCD) is a blood disorder; however, the central nervous system (CNS) is one of the organs frequently affected by the disease. Brain disease can begin early in life and often leads to neurocognitive dysfunction. Approximately one-fourth to one-third of children with SCD have some form of CNS effects from the disease, which typically manifest as deficits in specific cognitive domains and academic difficulties. We discuss SCD as a neurodevelopmental disorder by reviewing the mechanisms of neurological morbidity in SCD, the timing of these mechanisms, the types of cognitive and behavioral morbidity that is typical, and the interaction of social-environmental context with disease processes. The impact of the disease on families shares many features similar to other neurodevelopmental disorders; however, social-environmental factors related to low socioeconomic status, worry and concerns about social stigma, and recurrent, unpredictable medical complications can be sources of relatively higher stress in SCD. Greater public awareness of the neurocognitive effects of SCD and their impact on child outcomes is a critical step toward improved treatment, adaptation to illness, and quality of life.
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Affiliation(s)
- Jeffrey Schatz
- Department of Psychology, University of South Carolina, Columbia, South Carolina 29208, USA.
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Eccleston C, Jordan AL, Crombez G. The Impact of Chronic Pain on Adolescents: A Review of Previously Used Measures. J Pediatr Psychol 2005; 31:684-97. [PMID: 16150880 DOI: 10.1093/jpepsy/jsj061] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE To review the use of instruments to assess the impact of adolescent chronic pain, focussing on the development of instruments, the domains covered, psychometric properties, and published use with adolescent chronic pain patients. METHODS Systematic literature searching recovered 706 articles, yielding 116 relevant articles, employing a total of 43 separate measurement instruments, which were subjected to content analysis. RESULTS Most instruments were in the psychological domain (n = 22), with a self-report format (n = 36). Thirty instruments were specifically developed for adolescent populations; only 12 instruments had psychometric evaluation with adolescent chronic pain patients. The median use of any one instrument in published studies was two. Clinically relevant psychometric data were missing for many instruments. CONCLUSIONS There is a diversity of instrumentation with some pockets of depth of use, but some domains of chronic pain experience with no routine assessment. Further development of the knowledge base of measurement of the impact of chronic adolescent pain is necessary.
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Routhieaux J, Sarcone S, Stegenga K. Neurocognitive sequelae of sickle cell disease: current issues and future directions. J Pediatr Oncol Nurs 2005; 22:160-7. [PMID: 15855477 DOI: 10.1177/1043454205275408] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Sickle cell disease is a genetic disorder with an autosomal recessive pattern of inheritance. This disease is most prevalent among those of African American and Mediterranean descent. Cerebral vascular accident (CVA) or stroke is one of the major complications of hemoglobin SS (Hgb SS) disease. CVA has implications for physical as well as neurocognitive function for children. Recent literature suggests that some children with sickle cell disease without overt signs of CVA may still have evidence of neurological deficit, both on magnetic resonance imaging and neurological examination. There is a growing body of knowledge that further aids in delineation of risk factors for CVA, silent infarct, and neurocognitive deficits in children with Hgb SS disease. More research is needed to continue to explore avenues for identification and intervention. The purpose of this article is to delineate areas of ongoing research in this important area.
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Affiliation(s)
- Julie Routhieaux
- Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.
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Peterson CC, Palermo TM, Swift E, Beebe A, Drotar D. Assessment of Psycho-Educational Needs in a Clinical Sample of Children With Sickle Cell Disease. CHILDRENS HEALTH CARE 2005. [DOI: 10.1207/s15326888chc3402_4] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Brown RT, Davis PC, Lambert R, Hsu L, Hopkins K, Eckman J. Neurocognitive functioning and magnetic resonance imaging in children with sickle cell disease. J Pediatr Psychol 2000; 25:503-13. [PMID: 11007807 DOI: 10.1093/jpepsy/25.7.503] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVE To examine neurocognitive functioning in children classified with overt cerebral vascular accidents (CVAs), silent infarcts, or without central nervous system (CNS) pathology on magnetic resonance imaging. METHODS Participants were 63 children and adolescents with sickle cell disease (SCD). RESULTS Children with overt CVAs and silent infarcts differed from their peers without CNS pathology on measures of attention and executive functioning. CONCLUSIONS We consider these deficits the result of the high frequency of frontal lobe deficits incurred by children with SCD. Recommendations include the use of tests designed to measure attention and executive functioning as a way of screening children with SCD for possible CNS pathology. We also suggest that future research examine the mechanism underlying frontal lobe involvement for individuals with SCD.
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Affiliation(s)
- R T Brown
- Medical University of South Carolina, Charleston, SC 29425, USA.
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