Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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The Characteristics of Intellectual and Psychological in the Children with Moyamoya Disease

모야모야 질환 아동의 인지기능 및 정서적인 특성 분석

  • Yeom, Insun (Department of Pediatric Neurosurgery, Severance Children's Hospital, Yonsei University Health System) ;
  • Kim, Dong-Seok (Department of Pediatric Neurosurgery, Yonsei University College of Medicine) ;
  • Lee, Eun-Young (Division of Psychology, Severance Children's Hospital, Yonsei University Health System) ;
  • Kim, Hea-Soon (Gachon University College of Nursing)
  • 염인선 (세브란스 어린이병원 소아신경외과) ;
  • 김동석 (연세대학교 소아신경외과) ;
  • 이은영 (세브란스 어린이병원 심리실) ;
  • 김혜순 (가천대학교 간호대학)
  • Received : 2015.01.13
  • Accepted : 2015.04.22
  • Published : 2015.04.30
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Abstract

Purpose: The purpose of this study was to understand the intellectual and psychological features of children with Moyamoya disease who were patients in the Department of Pediatric Neurosurgery of Severance Hospital. Methods: From December 2010 through December 2012, 63 patients with diagnoses of Moyamoya disease and 59 children in a normal group were enrolled. This study was conducted using the Korean-Wechsler Intelligence Scale for Children, Rey-Kim Memory Test for children, Korean Child Behavior Checklist and Pediatric Quality of Life Inventory$^{TM}$4.0. Results: The results showed that the intellectual and psychological profiles of children with Moyamoya disease were lower than the average of the normal control group. The tested patients showed significantly lower scores for Performance Intelligence Quotient cognition level. Also, in terms of quality of life, children with Moyamoya disease had lower levels of physical and school functionality. The results were in line with those of previous studies involving psychological tests of children with chronic diseases. Conclusion: Considering the intellectual and psychological characteristics of children with Moyamoya disease, integrated psychological intervention plans including elements such as supportive therapy for patients and programs for parental education are required.

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References

  1. Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the child behavior checklist and revised behavior profile, Burlington: University of Vermont Department of Psychiatry.
  2. Latal, B., Helfricht, S., Fischer, J. E., Bauersfeld, U., & Landolt, M. A. (2009). Psychological adjustment and quality of life in children and adolescents following open-heart surgery for congenital heart disease: A systematic review. BioMed Central Pediatrics, 9(6), 1-10. http://dx.doi.org/10.1186/1471-2431-9-6
  3. Berkes, A., Pataki, I., Kiss, M., Kemeny, C., Kardos, L., Varni, J. W., et al. (2010). Measuring health-related quality of life in Hungarian children with heart disease: Psychometric properties of the Hungarian version of the Pediatric Quality of Life InventoryTM 4.0 Generic Core Scales and the Cardiac Module. Health and Quality of Life Outcomes, 8(14), 1-12. http://dx.doi.org/10.1186/1477-7525-8-14
  4. Choi, B. Y., Kim, D. H., Chung, K. M., Park, M. J., & Lee, E. B. (2010). Psychosocial characteristics of girls with Turner syndrome and agematched healthy control. Korean Psychological Association Woman, 15(3), 489-507. https://doi.org/10.18205/kpa.2010.15.3.009
  5. Crowe, L. M., Catroppa, C., Babl, F. E,, & Anderson, V. (2012). Intellectual, behavioral, and social outcomes of accidental traumatic brain injury in early childhood. The Journal of Pediatrics, 123(2), 262-268. http://dx.doi.org/10.1542/peds.2011-0438
  6. Ezura, M., Yoshimoto, T., Fujiwara, S., Takahashi, A., Shirane, R., & Mizoi, K. (1995). Clinical and angiographic follow-up of childhood-onset Moyamoya disease. Child's Nervous System, 11(10), 591-594. https://doi.org/10.1007/BF00300998
  7. Hoshino, H., Izawa, Y., Suzuki, N., & Research Committee on Moyamoya Disease. (2012). Epidemiological features of Moyamoya disease in Japan. Neurologia Medico-Chirurgica (Tokyo), 52(5), 295-298. http://dx.doi.org/10.2176/nmc.52.295
  8. Ishikawa, T., Tanaka, N., Houkin, K., Kuroda, S., Abe, H., & Mitsumori, K. (1998). Regional cerebral blood flow in pediatric Moyamoya disease: Age-dependent decline in specific regions. Child's Nervous System, 14(8), 366-371. https://doi.org/10.1007/s003810050246
  9. Jung, M. Y. (2003). A study on psychosocial adjustment of pediatric cancer patients. Unpublished master's thesis. Ewha Womans University, Seoul.
  10. Karasawa, J., Touho, H., Ohnishi, H., Miyamoto, S., & Kikuchi, H. (1992). Long-term follow-up study after extracranial-intracranial bypass surgery for anterior circulation ischemia in childhood moyamoya disease. Journal of Neurosurgery, 77(1), 84-89. https://doi.org/10.3171/jns.1992.77.1.0084
  11. Kim, H. K. (2001). Assessment of memory disorders using Rey-Kim Memory Test. Korean Association For Rehabilitation Psychology, 8(2), 29-48.
  12. Kim, H. K. (2003). What are real differences between intelligence and neuropsychological tests. The Korean Journal of Clinical Psychology, 22(1), 141-158.
  13. Kim, H. K., & Seo, S. G. (2004). Intelligence in schizophrenic patients. Korean Journal of Special Education, 5, 341-356.
  14. Kim, M. H., Chung, K. M., Rhee, M. A., Ryu, C. J., Won, S. C., & Shin, Y. J. (2011). Discrepancy between parent and child report on quality of life and behavioral problems in child and adolescent cancer survivors and healthy control group. The Korean Journal of Health Psychology: Health, 16(3), 483-500. https://doi.org/10.17315/kjhp.2011.16.3.004
  15. Kook, S. H., & Varni, J. W. (2008). Validation of the Korean version of the pediatric quality of life inventory 4.0(PedsQL) generic core scales in school children and adolescents using the Rasch model. Health and Quality of Life Outcomes, 2, 6:41. http://dx.doi.org/10.1186/1477-7525-6-41
  16. Kwak, K. J., Park, H. W., & Kim, C. T. (2001). Korean-Wechsler intelligence scale for children (3rd ed.). Seoul: Special Education Publishing Co.
  17. Ladd, G. W. (1981). Effectiveness of a social learning method for enhancing children's social interaction and peer acceptance. Child Development, 52, 171-178. https://doi.org/10.2307/1129227
  18. Lee, E. H. (2004). A study on social competence of cancer children, Unpublished Master Thesis. Ewha womans University, Seoul.
  19. Lee, J. Y., Phi, J. H., Wang, K. C., Cho, B. K., Shin, M. S., & Cho, B. K. (2011). Neurocognitive profiles of children with Moyamoya disease before and after surgical intervention. Cerebrovascular Diseases, 31(3), 230-237. http://dx.doi: 10.1159/000321901
  20. Lee, K. S., Suh, S. J., & Shin, Y. J. (2000). Influence of attachment relationship with parents on rejection sensitivity and peer relation in schoolage. Korean Academy of Child and Adolescent Psychiatry, 11(1), 51-59.
  21. Oh, K., Ha, E., Lee, H., & Hong, K. (2007). Korea Child Behavior Checklist. Seoul: HUNO consulting.
  22. Oh, S. W., Lee, S. Y., Kim, J. Y., & Kwon, H. C. (2000). Intelligence and memory disturbance of patients with traumatic brain injury. Korean Journal of Clinical Psychology, 19(2), 341-350.
  23. Park, J. B., Ra, Y. S., Ahn, J. S., Kwun, B. D., & Lee, J. K. (2005). Prognostic factors of Moyamoya disease evaluated by activity of daily living. The Journal of Cerebrovascular and Endovascular Neurosurgery, 7(4), 282-292.
  24. Park, S. Y., & Chong, Y. S. (2010). Moderating effects of ego-resilience and social support in relations among academic achievement pressure, perceived academic stress and internalization problems in boys and girls. The Korean Journal of Development Psychology: Development, 23(1), 17-32.
  25. Smith, J. L., & Scott, R. M. (2001). Treatment of Moyamoya syndrome in children. Seminars in Cerebrovascular Diseases and Stroke. 1(3), 225-239. http://dx.doi.org/10.1053/scds.2001.26857.
  26. Suzuki, J., & Takaku, A. (1969). Cerebrovascular “Moyamoya” disease. Disease showing abnormal net-like vessels in base of brain. Archives of Neurology, 20(3), 288-299. https://doi.org/10.1001/archneur.1969.00480090076012
  27. Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: Reliability and validity of the pediatric quality of life inventory version 4.0 genericcore scales in healthy and patient populations. Medical Care, 39(8), 800-812 https://doi.org/10.1097/00005650-200108000-00006
  28. Won, J. S., Eom, S. Y., Shim, K. W., & Kim, D. S. (2009). The emotional distress prior to the surgery and the parenting stress in elementary school children with neurosurgical diseases: The preliminary study. Korea Academy of Child and Adolescent Psychiatry, 21(3), 168-173. http://dx.doi.org/10.5765/JKACAP.2010.21.3.168
  29. Yasargil, M. G., Yonekawa, Y., Denton, I., Piroth, D., & Benes, I. (1974). Experimental intracranial transplantation of autogenic omentum majus. Journal of Neurosurgery, 39, 213-217. http://dx.doi.org/10.3171/jns. 1974.40.2.0213
  30. Yim, S. H., Cho, C. B., Joo, W. I., Chough, C. K., Park, H. K., Lee, K. J., et al. (2012). Prevalence and epidemiological features of Moyamoya disease in Korea. Journal of Cerebrovascular and Endovascular Neurosurgery, 14(2), 75-78. http://dx.doi.org/10.7461/jcen.2012.14.2.75
  31. Zalonis, I., Christidi, F., Kararizou, E., Triantafyllou, N. I., Spengos, K., Vassilopoulos, D. (2010). Cognitive deficits presenting as psychiatric symptoms in a patient with Moyamoya disease. Psychological Reports, 107(3), 727-732. http://dx.doi.org/10.2466/02.13.15.22.PR0.107.6.727-732

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