OBJECTIVE: To contribute further to the understanding of cognitive and psychosocial outcome of children with end-stage renal disease undergoing long-term peritoneal dialysis. METHODS: In total, 16 surviving infants at a single centre beginning peritoneal dialysis in the first year of life were studied. The age range of the children at assessment was 1.6-12.1 years. Children were assessed using the Griffiths Mental Development Scales, the Wechsler Intelligence Scale for Children-Third Edition UK, and the Strengths and Difficulties Questionnaire. Information regarding the child's hospital stay and family background was also collated. A Pearson's Product Moment correlation was used to analyse the results. RESULTS: Although 67% of the children's scores fell within the average range, 87% were within at least two SDs of the norms (mean IQ = 86.6). Psychosocial adjustment measures revealed that 50% of scores fell within the borderline to abnormal category, suggesting that the frequency of psychological difficulties was above that of the normal population. CONCLUSIONS: These findings lend support to recent studies indicating that, developmentally, children undergoing long-term peritoneal dialysis are faring better than in the past. This may indeed be a reflection of improvements in renal treatment and diet. The behavioural results suggest the need to monitor psychological adjustment in this group of children.
OBJECTIVE: To contribute further to the understanding of cognitive and psychosocial outcome of children with end-stage renal disease undergoing long-term peritoneal dialysis. METHODS: In total, 16 surviving infants at a single centre beginning peritoneal dialysis in the first year of life were studied. The age range of the children at assessment was 1.6-12.1 years. Children were assessed using the Griffiths Mental Development Scales, the Wechsler Intelligence Scale for Children-Third Edition UK, and the Strengths and Difficulties Questionnaire. Information regarding the child's hospital stay and family background was also collated. A Pearson's Product Moment correlation was used to analyse the results. RESULTS: Although 67% of the children's scores fell within the average range, 87% were within at least two SDs of the norms (mean IQ = 86.6). Psychosocial adjustment measures revealed that 50% of scores fell within the borderline to abnormal category, suggesting that the frequency of psychological difficulties was above that of the normal population. CONCLUSIONS: These findings lend support to recent studies indicating that, developmentally, children undergoing long-term peritoneal dialysis are faring better than in the past. This may indeed be a reflection of improvements in renal treatment and diet. The behavioural results suggest the need to monitor psychological adjustment in this group of children.
Authors: H N Bawden; P Acott; J Carter; D Lirenman; G W MacDonald; M McAllister; M C McDonnell; S Shea; J Crocker Journal: Arch Dis Child Date: 2004-07 Impact factor: 3.791
Authors: Marta Molnar-Varga; Marta Novak; Attila J Szabo; Kata Kelen; Elani Streja; Adam Remport; Istvan Mucsi; Miklos Z Molnar; Gyorgy Reusz Journal: Pediatr Nephrol Date: 2016-04-12 Impact factor: 3.714
Authors: Anna Jander; Irena Makulska; Joanna Latoszyńska; Hanna Boguszewska-Bączkowska; Irena Bałasz-Chmielewska; Ilona Zagożdżon; Iga Załuska-Leśniewska; Ewa Stefaniak; Beata Leszczyńska; Katarzyna Zachwieja; Ryszard Wierciński; Hanna Kipigroch; Barbara Kołłątaj; Marcin Tkaczyk Journal: Arch Med Sci Date: 2010-06-30 Impact factor: 3.318