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Predictors of Social-Emotional Development and Adaptive Functioning in School-Age Children with Intestinal Failure.

Authors :
Bondi BC
Gold A
Belza C
Wolinska JM
Courtney-Martin G
So S
Avitzur Y
Wales PW
Source :
Journal of clinical psychology in medical settings [J Clin Psychol Med Settings] 2023 Sep; Vol. 30 (3), pp. 589-605. Date of Electronic Publication: 2022 Nov 13.
Publication Year :
2023

Abstract

Objectives: Despite a focus on neurocognition in pediatric intestinal failure (IF) to date, we examined social-emotional and adaptive functioning.<br />Methods: Children (Nā€‰=ā€‰63) in our IF rehabilitation program underwent neuropsychological assessments including caregiver- and teacher-reported questionnaires. Results were compared to norms using z-tests. Caregiver and teacher reports were compared using t tests. Medical and demographic factors were examined in an exploratory manner using correlation and targeted regression analyses, adjusting for gestational age and full-scale IQ.<br />Results: Caregiver and teacher reports indicated poorer executive, internalizing, behavioral, and adaptive functioning compared to norms. Teachers reported more executive dysfunctions than caregivers. Necrotizing enterocolitis diagnosis predicted internalizing emotional problems. Immigrant status predicted poorer social and practical adaptive functioning. Living with biological parents predicted fewer externalizing emotional and behavioral problems.<br />Conclusions: The group displayed social-emotional and adaptive functioning concerns. Identifying medical and demographic risks can allow for screening and intervention.<br /> (© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Details

Language :
English
ISSN :
1573-3572
Volume :
30
Issue :
3
Database :
MEDLINE
Journal :
Journal of clinical psychology in medical settings
Publication Type :
Academic Journal
Accession number :
36371790
Full Text :
https://doi.org/10.1007/s10880-022-09919-z