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Children with opsoclonus myoclonus syndrome: Types of psychological development

Published online by Cambridge University Press:  23 March 2020

N. Burlakova ,
Y. Mikadze ,
Y. Fedorova ,
R. Bembeeva ,
E. Ilyina  and
N. Zavadenko
N. Burlakova*
Affiliation:
Lomonosov Moscow State University, Faculty of Psychology, Department of Neuro- and Pathopsychology, Moscow, Russia
Y. Mikadze
Affiliation:
Pirogov Russian National Research Medical University, Department of Clinical Psychology, Faculty of Psychology, Moscow, Russia
Y. Fedorova
Affiliation:
Lomonosov Moscow State University, Faculty of Psychology, Department of Neuro- and Pathopsychology, Moscow, Russia
R. Bembeeva
Affiliation:
Pirogov Russian National Research Medical University, Department of Neurology, Neurosurgery and Medical Genetics, Faculty of Pediatrics, Moscow, Russia
E. Ilyina
Affiliation:
Russian Children's Clinical Hospital, Psychoneurology Department, Moscow, Russia
N. Zavadenko
Affiliation:
Pirogov Russian National Research Medical University, Department of Neurology, Neurosurgery and Medical Genetics, Faculty of Pediatrics, Moscow, Russia
*
*Corresponding author.

Abstract

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Introduction

Opsoclonus myoclonus syndrome (OMS) in childhood still remains unexplored from the perspective of clinical psychology.

Objectives and aims

The research was aimed at defining types of psychological development in the group of children with OMS. The study included 18 children between ages 2 years 4 months and 9 years with OMS (8 boys, 10 girls).

Methods

The following methods were used: analysis of patient's development and medical record, psychological interview with parents, neurological state assessment and pathopsychological assessment.

Results

Patients were divided into three groups according to cognitive development level:

– group with normal intelligence level (n = 4);

– group with developmental delay (n = 11);

– group with intellectual disability in different forms (n = 3).

Several children in group 1 (n = 3) and in group 2 (n = 4) expressed neurotic behavior with increased levels of anxiety and fear of trying unusual actions during psychological assessment. Children with delay in psychoverbal development (n = 7) and with developmental delay (n = 1) expressed psychopathy-like states with verbal aggression and had difficulties controlling their emotions. In some cases (n = 2), the psychological state of the patient was defined as borderline state with emotional instability, especially in mother–child interaction.

Conclusion

Psychological features of children with OMS indicate heterogeneity of their development types that implies different prognosis and developmental dynamics for each type. The results point out the necessity of detailed psychological examination aimed at correlation of psychological help to children with OMS and their families with their psychological state.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: child and adolescent psychiatry
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S432
Copyright
Copyright © European Psychiatric Association 2017
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