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Outcome following childhood stroke: quality of life, neuropsychological and psychosocial functioning

O'Keeffe, F.; (2010) Outcome following childhood stroke: quality of life, neuropsychological and psychosocial functioning. Doctoral thesis, UCL (University College London).

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Abstract

This thesis investigated psychosocial and neuropsychological outcome following childhood stroke. Part 1, the literature review, critically evaluated 38 outcome studies of childhood stroke. This demonstrated that a significant number of children experience difficulties in a wide range of neuropsychological and psychosocial areas. Health related quality of life (HRQoL) can also be significantly reduced. Methodological issues limited the conclusions that could be drawn regarding the predictors of outcome. Part 2, the empirical paper, investigated HRQoL, neuropsychological and psychosocial outcome in forty-nine children who had experienced stroke. The findings show that children's HRQoL, as rated by the child, parent and teacher, is significantly reduced across several domains of functioning. Predictors of HRQoL include self-esteem, behaviour, executive function and neurological severity. Parental well-being and family functioning were associated with children's HRQoL. Particular neuropsychological vulnerabilities were identified in attention, executive function and expressive language. Difficulties with emotional regulation, inattention and peer relationships were also highlighted. Part 3, the critical appraisal, addresses the strengths and methodological limitations of the study. Cognitive and psychosocial interventions from other areas of paediatric psychology were discussed that could be potentially developed for children who have experienced stroke. This study was conducted with collaboration with another researcher (Bancroft, 2010, unpublished DClinPsy thesis). Victoria Bancroft recruited nine adolescent participants who also took part in this study for a qualitative study (see Appendix E).

Type:Thesis (Doctoral)
Title:Outcome following childhood stroke: quality of life, neuropsychological and psychosocial functioning
Language:English
Additional information:Thesis in two volumes: volume 2 is restricted
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Brain Sciences > Psychology and Language Sciences (Division of)

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