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Neuropsychosocial Functioning of Children with Hydrocephalus

Published online by Cambridge University Press:  27 August 2015

Nigel V. Marsh*
Affiliation:
University of Waikato
James W. Webb
Affiliation:
University of Waikato
*
Department of Psychology, University of Waikato, Private Bag 3105, Hamilton, New Zealand
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Extract

Recent studies on the rehabilitation of children with hydrocephalus have demonstrated the need for those planning such rehabilitation programmes to have a clear understanding of the neuropsychological and psychosocial aspects of this disorder. In an attempt to provide such information, the neuropsychological and psychosocial functioning of a group of 17 children with hydrocephalus between the ages of eight and fourteen years old was investigated. Performance by the sample with hydrocephalus was compared to that of a ‘normal’ control sample. Participants with hydrocephalus and control participants were matched on the variables of sex, age, years of education, and socio-economic status. Relative to control participants, the participants with hydrocephalus were impaired on measures of intellectual, attention, verbal and visual memory, and visuo-spatial abilities. Language alone was relatively preserved. The children with hydrocephalus also exhibited poorer self-esteem, fewer adaptive competencies, and more problem behaviours than the ‘normal’ controls. For the children with hydrocephalus, the relationship between their impaired intellectual abilities and their psychosocial functioning was investigated.

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Articles
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.Google Scholar
Anderson, E. M., & Spain, B. (1977). The child with spina bifida. London: Methuen.Google Scholar
Baron, I. S., & Goldberger, E. (1993). Neuropsychological disturbances of hydrocephalic children with implications for special education and rehabilitation. Neuropsychological Rehabilitation, 3, 389410.CrossRefGoogle Scholar
Bigler, E. D. (1988). The neuropsychology of hydrocephalus. Archives of Clinical Neuropsychology, 3, 81100.CrossRefGoogle ScholarPubMed
Billard, C., Santini, J. J., Gillet, P., Nargeot, M. C., & Adrien, J. L. (1986). Long-term intellectual prognosis of hydrocephalus with reference to 77 children. Pediatric Neuroscience, 12, 219225.CrossRefGoogle Scholar
Byrne, K., Abbeduto, L., & Brooks, P. (1990). The language of children with spina bifida and hydrocephalus: Meeting task demands and mastering syntax. Journal of Speech and Hearing Disorders, 55, 118123.CrossRefGoogle ScholarPubMed
Connell, H., & McConnel, T. (1981). Psychiatric sequelae in children treated operatively for hydrocephalus in infancy. Developmental Medicine and Child Neurology, 23, 505517.CrossRefGoogle ScholarPubMed
Coopersmith, S. (1986). Self-esteem inventories. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Culatta, B. (1980). Perceptual and linguistic performance of spina bifida-hydrocephalic children. Spina Bifida Therapy, 1, 235247.Google Scholar
Dennis, M. (1985a). Intelligence after early brain injury I: Predicting IQ scores from medical variables. Journal of Clinical and Experimental Neuropsychology, 7, 526554.CrossRefGoogle ScholarPubMed
Dennis, M. (1985b). Intelligence after early brain injury II: Scores of subjects classified on the basis of medical history variables. Journal of Clinical and Experimental Neuropsychology, 7, 555576.CrossRefGoogle ScholarPubMed
Dennis, M., Fitz, C. R., Netley, C. T., Sugar, J., Harwood-Nash, D.C.F., Hendrick, E.B., Hoffman, H.J., & Humphreys, R.P. (1981). The intelligence of hydrocephalic children. Archives of Neurology, 38, 607615.CrossRefGoogle ScholarPubMed
Dennis, M., Hendrick, E. B., Hoffman, H. J., & Humphreys, R. P. (1987). Language of hydrocephalic children and adolescents. Journal of Clinical and Experimental Neuropsychology, 9, 593621.CrossRefGoogle ScholarPubMed
Donders, J., Canady, A. I., & Rourke, B. P. (1990). Psychometric intelligence after infantile hydrocephalus. Child's Nervous System, 6, 148154.CrossRefGoogle ScholarPubMed
Donders, J., Rourke, B. P., & Canady, A. I. (1991). Neuropsychological functioning of hydrocephalic children. Journal of Clinical and Experimental Neuropsychology, 13, 607613.CrossRefGoogle ScholarPubMed
Dyche, G. M., & Johnson, D. A. (1991). Development and evaluation of CHIPASAT, and attention test for children: II. Test-retest reliability and practice effect for a normal sample. Perceptual and Motor Skills, 72, 563572.CrossRefGoogle ScholarPubMed
Edmonds, J. E., & Snow, J. H. (1990). Self-perception and personality profiles of teenagers and young adults with spina bifida. Clinical Research, 38, 51.Google Scholar
Engeiman, B. E., Loomis, J. W., & Kleiback, L. (1994). A psycho-educational group addressing self-care, self-esteem, and social skills in children with spina-bifida. European Journal of Paediatric Surgery, 4, 3839.Google Scholar
Fennell, E. B., Eisenstadt, T., Bodiford, C., Rediess, S., & Mickle, J. (1987). The assessment of neuropsychological dysfunction in children shunted for hydrocephalus. Journal of Clinical and Experimental Neuropsychology, 9, 2526.Google Scholar
Fernell, E., Gillberg, C., & von Wendt, L. (1991). Behavioural problems in children with infantile hydrocephalus. Developmental Medicine and Child Neurology, 33, 388395.CrossRefGoogle ScholarPubMed
Fishman, R. A. (1982). Cerebrospinal fluid in diseases of the nervous system. Philadelphia: W.B. Saunders.Google Scholar
Frank, G. (1983). The Wechsler enterprise. Oxford: Pergamon Press.Google Scholar
Hirst, M. (1989). Patterns of impairment and disability related to social handicap in young people with cerebral palsy and spina bifida. Journal ofBiosocial Science, 21, 112.CrossRefGoogle ScholarPubMed
Jack, A., Dowland, J., Dourado, S. S., & Hyslop, J. R. (1981). Physical disability: Results of a survey in the Wellington Hospital Board area (Special report No. 59). Wellington: Department of Health.Google Scholar
Jensen, P. B. (1987). Psychological aspects of myelomeningocele — a longitudinal study. Scandanavian Journal of Psychology, 28, 313321.CrossRefGoogle ScholarPubMed
Johnson, D. A., Roethig-Johnston, K., & Middleton, J. (1988). Development and evaluation of an attentional test for head injured children — 1. Information processing capacity in a normal sample. Journal of Child Psychology and Psychiatry, 29, 199208.CrossRefGoogle Scholar
Johnston, R. (1983). A revision of socio-economic indices for New Zealand. Wellington: New Zealand Council for Educational Research.Google Scholar
Lezak, M. D. (1988). IQ: R.I.P. Journal of Clinical and Experimental Neuropsychology, 10, 351361.CrossRefGoogle ScholarPubMed
Marsh, N. V., & Knight, R. G. (1991). Relationship between cognitive deficits and social skill after head injury. Neuropsychology, 5, 107117.CrossRefGoogle Scholar
Marsh, N. V., & Webb, J. W. (1993). Hydrocephalic children: An investigation of neuropsychological and psychosocial functioning. In Hendy, J., Caine, D., Pfaff, A., & Hannan, E. (Eds.), The Life Cycle: Development, Maturation, Senescence. Proceedings of the 16th Annual Brain Impairment Conference (pp. 175181). Australia: Australian Academic Press.Google Scholar
McLaughlin, J. F., & Shurtleff, D. B. (1979). Management of the newborn with myelodysplasia. Clinical Pediatrics, 18, 463476.CrossRefGoogle ScholarPubMed
Moilanen, I., Meira, L., Serlo, W., & von Wendt, L. (1985). Psychosocial adaptations of shunted hydrocephalic children. Zeitschrift fur Kinderchirurgie, 40 (Suppl. I), 3133.Google ScholarPubMed
Molnar, G. E. (1989). The influence of psychosocial factors on personality development and emotional health in children with cerebral palsy and spina bifida. In Heller, B. W., Flohr, L. M., & Zegans, L. S. (Eds.), Psychosocial interventions with physically disabled persons (pp. 87107). New Brunswick, NJ: Rutgers University Press.Google Scholar
Naggan, L., & MacMahon, B. (1967). Ethnic differences in the prevalence of anencephaly and spina bifida in Boston, Massachusetts. New England Journal of Medicine, 277, 1119.CrossRefGoogle ScholarPubMed
Olsen, L., & Frykberg, T. (1983). Complications in the treatment of hydrocephalus in children. Acta Paediatrica Scandanavica, 72, 385390.CrossRefGoogle ScholarPubMed
Seidel, U. P., Chadwick, O. F. D., & Rutter, M. (1975). Psychological disorders in crippled children. A comparative study of children with and without brain damage. Developmental Medicine and Child Neurology, 17, 563573.CrossRefGoogle ScholarPubMed
Shaffer, J., Friedrich, W. N., Shurtleff, D. B., & Wolf, L. (1985). Cognitive and achievement status of children with myelomeningocele. Journal of Paediatric Psychology, 10, 325336.CrossRefGoogle ScholarPubMed
Smith, E. D. (1965). Spina bifida and the total care of spinal myelomeningocele, Illinios: C. C. Thomas.Google Scholar
Soare, P. L., & Raimondi, A. J. (1977). Intellectual and perceptual motor characteristics of treated myelomeningocele children. American Journal of Disorders of Childhood, 131, 199204.Google ScholarPubMed
Spreen, O., & Strauss, E. (1991). A compendium of neuropsychological tests. New York: Oxford.Google Scholar
Tew, B., Evans, R., Thomas, M., & Ford, J. (1985). The results of a selective surgical policy on the cognitive abilities of children with spina bifida. Developmental Medicine and Child Neurology, 27, 605614.CrossRefGoogle ScholarPubMed
Torack, R. M. (1982). Historical aspects of normal and abnormal brain fluids. Archives of Neurology, 39, 276279.CrossRefGoogle ScholarPubMed
Wallander, J. L., Varni, J. W., Babani, L., Banis, H. T., & Wilcox, K. T. (1988). Children with chronic physical disorders: Maternal reports of their psychological adjustment. Journal of Pediatric Psychology, 13, 197212.CrossRefGoogle ScholarPubMed
Wallander, J. L., Fellowman, W. S., & Varan, J. W. (1989a). Physical status and psychosocial adjustment in children with spina bifida. Journal of Pediatric Psychology, 14, 89102.CrossRefGoogle ScholarPubMed
Wallander, J. L., Varni, J. W., Babani, L., Banis, H. T., DeHaan, C. B., & Wilcox, K. T. (1989b). Disability parameters, chronic strain, and adaptation of physically handicapped children and their mothers. Journal of Pediatric Psychology, 14, 2342.CrossRefGoogle ScholarPubMed
Wechsler, D. (1974). Wechsler Intelligence Scale for Children - Revised. New York: Psychological Corporation.Google Scholar
Wills, K. E. (1993). Neuropsychological functioning in children with spina-bifida and/or hydrocephalus. Journal of Clinical Child Psychology, 22, 247265.CrossRefGoogle Scholar
Wills, K. E., Holmbeck, G. N., Dillon, K., & McLone, D. G. (1990). Intelligence and achievement in children with myelomeningocele. Journal of Pediatric Psychology, 15, 161176.CrossRefGoogle ScholarPubMed
Zimmerman, I. L., & Woo-Sam, J. M. (1973). Clinical interpretation of the Wechsler Adult Intelligence Scale. New York: Grune & Stratton.Google Scholar