Talking with children and young people with 22q11DS about their mental health, behaviour, learning and communication.

Background: 22q11DS11.2 deletion syndrome (22q11DS) is a complex multisystem syndrome characterized by physical abnormalities, psychiatric comorbidities and cognitive deficits. The views of children and young people (CYP) about the challenges associated with their mental health, behaviour, learning...

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Published in:Child: Care, Health & Development Vol. 49; no. 1; pp. 90 - 106
Main Authors: Wray, Jo, Abrines Jaume, Neus, Oulton, Kate, Sell, Debbie
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Jan2023
Online Access:View this record in EBSCOhost
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      dt: Jan2023
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        atl: Talking with children and young people with 22q11DS about their mental health, behaviour, learning and communication.
      aug:
        au:
          Wray, Jo
          Abrines Jaume, Neus
          Oulton, Kate
          Sell, Debbie
        affil: Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
      sug:
        subj:
          22q11 Deletion Syndrome Psychosocial Factors
          Persons with Disabilities
          Mental Health
          Child Behavior
          Learning
          Communication
          Attitude to Illness Evaluation
          Human
          Child
          Adolescence
          Multimethod Studies
          Interviews
          Surveys
          Young Adult
          Adult
          Thematic Analysis
          Nonparametric Statistics
          Emotions
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: Background: 22q11DS11.2 deletion syndrome (22q11DS) is a complex multisystem syndrome characterized by physical abnormalities, psychiatric comorbidities and cognitive deficits. The views of children and young people (CYP) about the challenges associated with their mental health, behaviour, learning and communication difficulties have not been reported. The aim of this study was to address this gap and to understand whether they had help and support with these and their views of this. Methods: A three‐phase mixed‐methods study was undertaken, involving interviews with CYP with 22q11DS, a follow‐up survey for those aged 11–25 years and a stakeholder workshop at which CYP presented their views of living with 22q11DS to health professionals and parents. Interview transcripts were thematically analysed, and non‐parametric statistics were used to analyse survey data. Results: The interviews (n = 13) and survey (n = 32) indicated a mixed picture, with some CYP not reporting ongoing problems; others who had problems received help but a sizeable proportion had unmet needs and wanted to receive help. Two‐thirds reported often experiencing negative feelings, and almost half had difficulties with social interactions. Family members were the main sources of support, with teaching assistants identified as an important support at school. Conclusions: The emotional impact of 22q11DS on CYP can be significant: They often do not understand the consequences of having 22q11DS and are frequently not given strategies to understand and manage their feelings, behaviour or problems. This leads to a range of emotions that manifest in different ways at home and at school. CYP are able to talk about the impact of different aspects of 22q11DS on them, facilitated by the use of creative methods, but they differ in how the condition affects them and their perceptions about that. It is imperative that CYP themselves are asked about their experiences, feelings and needs to ensure tailoring of interventions to their individual requirements.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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