Neuropsychological function and psychosocial deficit in adolescents with chronic neurological impairment

  • Patricia H. Papero
  • George W. Howe
  • David Reiss
Article

Abstract

Research on childhood chronic illness suggests that children with brain-related conditions show elevated risk for psychosocial maladjustment. This study explored how neuropsychological dysfunction might contribute to such maladjustment in adolescents with chronic neurological impairment. Comprehensive neuropsychological assessments were conducted with 31 impaired adolescents and 16 contrast subjects with negative neurologic histories. Groups were balanced on age, socioeconomic status, and race. Psychosocial functioning was assessed via the Achenbach Child Behavior Checklist, Woodcock-Johnson achievement, and work history. The neurological group demonstrated lower scores on almost all neuropsychological indices, more internalizing symptoms, and lower reading and math achievement. Memory continued to distinguish the two groups when IQ was controlled. Neuropsychological indices showed strong relationships to psychosocial adjustment, but these were not independent of IQ. Findings point to the broad effects of neuropsychological dysfunction on psychosocial adjustment in neurologically impaired adolescents but do not support the contribution of specific neuropsychological domains as opposed to a general ability factor.

Key Words

neuropsychological assessment psychosocial defects neurological impairment 

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Copyright information

© Plenum Publishing Corporation 1992

Authors and Affiliations

  • Patricia H. Papero
    • 1
    • 2
  • George W. Howe
    • 2
  • David Reiss
    • 2
  1. 1.Department of PsychologyChildren's National Medical CenterWashington, D.C.
  2. 2.Department of PsychiatryGeorge Washington UniversityUSA

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