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Zeytinoğlu-Saydam S, Özek MM, Marcus J, Crerand C. Behavioral functioning of school-aged children with non-syndromic craniosynostosis. Childs Nerv Syst 2020; 36:783-792. [PMID: 31823068 DOI: 10.1007/s00381-019-04439-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 11/08/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE This study investigated the risk for children with non-syndromic craniosynostosis to develop behavioral problems during school age determined by the type of craniosynostisis, age at first surgery, and number of surgeries. METHOD Final sample consisted of 43 children aged between 6 years and 8 months and 17 years and 1 month (M = 10 years and 5 months). Behavioral problems were assessed with Child Behavioral Checklist (CBCL). RESULTS Our sample had higher scores on the CBCL than the general population; specific elevations were observed including somatic complaints, aggressive behavior, social problems, attention problems, and thought problems and rule-breaking behavior. Behavioral functioning varied by number of surgical procedures, type of craniosynostosis, and age at first surgery. CONCLUSION For school-aged NSC children's behavioral functioning, diagnosis specific patterns especially impacted by the first age of the surgery and number of surgeries.
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Affiliation(s)
- Senem Zeytinoğlu-Saydam
- Department of Psychology, Özyeğin University, Çekmeköy Kampüsü Nişantepe Mahallesi Orman Sokak Çekmeköy, 34794, İstanbul, Turkey.
| | - M Memet Özek
- Department of Neurosurgery, Division of Pediatric Neurosurgery, Acıbadem University, Altunizade Mahallesi, Yurtcan Sokağı No:1, Üsküdar, 34662, İstanbul, Turkey
| | - Justin Marcus
- College of Administrative Sciences and Economics, Koç University, Rumelifeneri Mahallesi, Rumelifeneri Yolu, Sarıyer, 34450, Istanbul, Turkey
| | - Canice Crerand
- Department of Pediatrics, The Ohio State University College of Medicine, and Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA
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Davis S, Crerand C, Hutaff-Lee C, Thompson T, Tishelman A, Samara O, Umbaugh H, Nahata L, Kremen J. Neurodevelopmental and Mental Health Screening for Patients with Turner Syndrome in Pediatric Endocrine Clinics: Results of a Pediatric Endocrine Society Survey. Horm Res Paediatr 2020; 93:643-650. [PMID: 33915553 PMCID: PMC8205091 DOI: 10.1159/000516126] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 03/25/2021] [Indexed: 01/15/2023] Open
Abstract
INTRODUCTION International Turner syndrome (TS) Clinical Practice Guidelines recommend screening for neurodevelopmental (ND) and mental health (MH) concerns in girls with TS; however, it remains unclear whether this is implemented in current practice. The objective of this mixed methods study was to assess screening practices for ND and MH in girls with TS from the perspective of pediatric endocrinologists. METHODS Pediatric Endocrine Society members who provide care for girls with TS were invited to complete an electronic survey on screening practices. Descriptive statistics were used to summarize quantitative results concurrently with thematic analysis of free-text survey responses. RESULTS A total of 124 surveys were completed (86% attending pediatric endocrinologists, 81% at academic institutions). Overall, 25% of providers reported their patients with TS received both ND and MH screenings. Only 9 (9%) respondents endorsed screening for ND concerns themselves, while more providers (26%) reported they screen for MH concerns. Multiple barriers to screening for ND and MH concerns within the clinical setting were endorsed. Nearly all providers (>93%) reported they would consider using a short, validated screening tool for ND and MH concerns if such tools were available. DISCUSSION A minority of pediatric endocrinologists currently perform ND or MH screening for patients with TS, however, many would be interested in implementing a brief screening tool into their clinical practice. Given almost all girls with a TS diagnosis receive care from pediatric endocrinologists at least annually, this may be an effective method to increase the proportion of girls with TS who receive recommended screenings.
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Affiliation(s)
- Shanlee Davis
- Department of Pediatrics, University of Colorado School of
Medicine, Anschutz Medical Campus, Aurora, CO, USA,eXtraOrdinary Kids Turner Syndrome Clinic,
Children’s Hospital Colorado, Aurora, CO, USA
| | - Canice Crerand
- Center for Biobehavioral Health, The Abigail Wexner
Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA,Department of Pediatrics, The Ohio State University College
of Medicine, Columbus, OH, USA
| | - Christa Hutaff-Lee
- Department of Pediatrics, University of Colorado School of
Medicine, Anschutz Medical Campus, Aurora, CO, USA,eXtraOrdinary Kids Turner Syndrome Clinic,
Children’s Hospital Colorado, Aurora, CO, USA
| | - Talia Thompson
- Department of Pediatrics, University of Colorado School of
Medicine, Anschutz Medical Campus, Aurora, CO, USA
| | - Amy Tishelman
- Department of Pediatrics, Harvard Medical School, Boston,
MA, USA,Division of Endocrinology, Boston Children’s
Hospital, Boston, MA, USA
| | - Omar Samara
- Department of Pediatrics, University of Colorado School of
Medicine, Anschutz Medical Campus, Aurora, CO, USA
| | - Hailey Umbaugh
- Department of Pediatrics, The Ohio State University College
of Medicine, Columbus, OH, USA
| | - Leena Nahata
- Center for Biobehavioral Health, The Abigail Wexner
Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA,Department of Pediatrics, The Ohio State University College
of Medicine, Columbus, OH, USA
| | - Jessica Kremen
- Department of Pediatrics, Harvard Medical School, Boston,
MA, USA,Division of Endocrinology, Boston Children’s
Hospital, Boston, MA, USA
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Stock NM, Marik P, Magee L, Aspinall CL, Garcia L, Crerand C, Johns A. Facilitating Positive Psychosocial Outcomes in Craniofacial Team Care: Strategies for Medical Providers. Cleft Palate Craniofac J 2019; 57:333-343. [PMID: 31446785 DOI: 10.1177/1055665619868052] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objective: Psychosocial issues associated with craniofacial diagnoses and the ongoing burden of care can impact the quality of life of patients and families, as well as treatment adherence and outcomes. Utilizing available literature and clinical expertise across 6 centers, the present article summarizes key psychosocial issues for the benefit of nonmental health medical providers and offers suggestions as to how all members of craniofacial teams can promote positive psychosocial outcomes. Results: Family adjustment across developmental phases is outlined, with strategies to support adaptive parental coping. Teasing is a common concern in craniofacial populations and medical providers can promote coping and social skills, as well as link families to mental health services when needed. Academic issues are described, alongside suggestions for medical providers to assist families with school advocacy and ensure access to appropriate services within the school setting. Medical providers are key in preparing patients and families for surgery, including consideration of medical, social, and logistical supports and barriers. As craniofacial care spans infancy to adulthood, medical providers are instrumental in assisting patients and families to navigate treatment transition periods. In addition to ongoing clinical team assessments, medical providers may utilize screening measures to identify and track patient and family adjustment in multiple areas of team care. Conclusions: Multidisciplinary providers play an important role in supporting positive adjustment in patients affected by craniofacial conditions and their families.
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Affiliation(s)
- Nicola Marie Stock
- Centre for Appearance Research, University of the West of England, Bristol, United Kingdom
| | - Patricia Marik
- Children’s Hospital of Wisconsin, Milwaukee, WI, USA
- Medical College of Wisconsin, Wauwatosa, WI, USA
| | - Leanne Magee
- The Children’s Hospital of Philadelphia, Philadelphia, PA, USA
| | | | - Laura Garcia
- Children’s Hospital Los Angeles, Los Angeles, CA, USA
| | - Canice Crerand
- Departments of Pediatrics and Plastic Surgery, The Ohio State University College of Medicine, Columbus, OH, USA
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
- Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Section of Plastic and Reconstructive Surgery, Nationwide Children’s Hospital, Columbus, OH, USA
| | - Alexis Johns
- Division of Plastic and Maxillofacial Surgery, Children’s Hospital Los Angeles, Los Angeles, CA, USA
- Keck School of Medicine, University of South California, Los Angeles, CA, USA
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Zeytinoğlu S, Davey MP, Crerand C, Fisher K, Akyil Y. Experiences of Couples Caring for a Child Born with Cleft Lip and/or Palate: Impact of the Timing of Diagnosis. J Marital Fam Ther 2017; 43:82-99. [PMID: 27388679 DOI: 10.1111/jmft.12182] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Raising a child born with cleft lip and/or palate (CL/P) can be challenging for parents. Few researchers have examined how having a child born with CL/P impacts couples. The purpose of this descriptive qualitative study was to examine how a child's CL/P diagnosis affects couples' relational adjustment and coping. We conducted interviews with 17 couples (10 prenatal and seven postnatal) caring for children born with CL/P. After conducting thematic content analysis, six overarching themes emerged: (a) relationship growth, (b) challenges, (c) roles and responsibilities, (d) sources of support, (e) talking about cleft, and (f) lessons learned. Findings suggest that couples should be routinely assessed for psychosocial issues and prevention programs should be tailored to preexisting stressors and timing of the diagnosis.
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Frank ED, Menefee LA, Jalali S, Sanschagrin K, Crerand C, Park J, Padula V, Shaikh R, Barolat G. The Utility of a 7-Day Percutaneous Spinal Cord Stimulator Trial Measured by a Pain Diary: A Long-term Retrospective Analysis. Neuromodulation 2005; 8:162-70. [DOI: 10.1111/j.1525-1403.2005.05234.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Menefee LA, Frank ED, Crerand C, Jalali S, Park J, Sanschagrin K, Besser M. The effects of transdermal fentanyl on driving, cognitive performance, and balance in patients with chronic nonmalignant pain conditions. Pain Med 2004; 5:42-9. [PMID: 14996236 DOI: 10.1111/j.1526-4637.2004.04005.x] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate driving performance, cognition, and balance in patients with chronic nonmalignant pain before and after the addition of transdermal fentanyl to their treatments. DESIGN Prospective, one-group pretest-posttest design. SETTING Outpatient pain center associated with a large, urban medical school. INTERVENTIONS Patients taking less than a 15-mg equivalent of oxycodone per day took baseline driving performance, cognitive, and balance tests. Transdermal fentanyl was initiated and titrated in 25-microg/hour increments, weighing benefits and side effects. At the end of a 1-month period, the achieved dose was maintained for another month. After they were stabilized for 1 month, patients repeated driving, cognitive, and balance tests. RESULTS Twenty three patients completed the study; three discontinued secondary to side effects. The median dose at the end of the titration period was 50 microg/hour (48%). No differences were found in driving simulation measures between the pretreatment and posttreatment periods. No decrements in cognitive performance were found. Improvements in visual motor tracking, visual memory, and attention were found during treatment with transdermal fentanyl. No differences in balance or body sway were found. Pain decreased over the course of treatment. CONCLUSIONS The addition of transdermal fentanyl to a treatment regimen containing no opiates or small amounts of opiates for patients with chronic nonmalignant pain did not negatively affect their driving performances, reaction times, cognition, or balance. Future studies in this area are needed to guide treatment decisions.
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Affiliation(s)
- Lynette A Menefee
- Jefferson Medical College, Department of Anesthesiology, Philadelphia, Pennsylvania 19107, USA.
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