Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism

The Neonatal Screening for Inborn Errors of Metabolism of the Association of Parents and Friends of Special Needs Individuals (APAE) - Bauru, Brazil, was implanted and accredited by the Brazilian Ministry of Health in 1998. It covers about 286 cities of the Bauru region and 420 collection spots. The...

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Main Authors: Mariana Germano Gejão, Amanda Tragueta Ferreira, Greyce Kelly Silva, Fernanda da Luz Anastácio-Pessan, Dionísia Aparecida Cusin Lamônica
Format: Article
Language:English
Published: University of São Paulo 2009-01-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000700012
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author Mariana Germano Gejão
Amanda Tragueta Ferreira
Greyce Kelly Silva
Fernanda da Luz Anastácio-Pessan
Dionísia Aparecida Cusin Lamônica
author_facet Mariana Germano Gejão
Amanda Tragueta Ferreira
Greyce Kelly Silva
Fernanda da Luz Anastácio-Pessan
Dionísia Aparecida Cusin Lamônica
author_sort Mariana Germano Gejão
collection DOAJ
description The Neonatal Screening for Inborn Errors of Metabolism of the Association of Parents and Friends of Special Needs Individuals (APAE) - Bauru, Brazil, was implanted and accredited by the Brazilian Ministry of Health in 1998. It covers about 286 cities of the Bauru region and 420 collection spots. Their activities include screening, diagnosis, treatment and assistance to congenital hypothyroidism (CH) and phenylketonuria (PKU), among others. In 2005, a partnership was established with the Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru, seeking to characterize and to follow, by means of research studies, the development of the communicative abilities of children with CH and PKU. OBJECTIVE: The aim of this study was to describe communicative and psycholinguistic abilities in children with CH and PKU. MATERIALS AND METHODS: Sixty-eight children (25 children aged 1 to 120 months with PKU and 43 children aged 1 to 60 months with CH) participated in the study. The handbooks were analyzed and different instruments were applied (Observation of Communication Behavior, Early Language Milestone Scale, Peabody Picture Vocabulary Test, Gesell & Amatruda's Behavioral Development Scale, Portage Operation Inventory, Language Development Evaluation Scale, Denver Developmental Screening Test, ABFW Child Language Test-phonology and Illinois Test of Psycholinguistic Abilities), according to the children's age group and developmental level. RESULTS: It was observed that the children with PKU and CH at risk for alterations in their developmental abilities (motor, cognitive, linguistic, adaptive and personal-social), mainly in the first years of life. Alterations in the psycholinguistic abilities were also found, mainly after the preschool age. Attention deficits, language and cognitive alterations were more often observed in children with CH, while attention deficits with hyperactivity and alterations in the personal-social, language and motor adaptive abilities were more frequent in children with PKU. CONCLUSION: CH and PKU can cause communicative and psycholinguistic alterations that compromise the communication and affect the social integration and learning of these individuals, proving the need of having these abilities assisted by a speech and language pathologist.
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spelling doaj.art-acea14d9d52e4dc489fbf02fad004f792022-12-22T00:33:52ZengUniversity of São PauloJournal of Applied Oral Science1678-77571678-77652009-01-0117spe697510.1590/S1678-77572009000700012Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidismMariana Germano GejãoAmanda Tragueta FerreiraGreyce Kelly SilvaFernanda da Luz Anastácio-PessanDionísia Aparecida Cusin LamônicaThe Neonatal Screening for Inborn Errors of Metabolism of the Association of Parents and Friends of Special Needs Individuals (APAE) - Bauru, Brazil, was implanted and accredited by the Brazilian Ministry of Health in 1998. It covers about 286 cities of the Bauru region and 420 collection spots. Their activities include screening, diagnosis, treatment and assistance to congenital hypothyroidism (CH) and phenylketonuria (PKU), among others. In 2005, a partnership was established with the Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru, seeking to characterize and to follow, by means of research studies, the development of the communicative abilities of children with CH and PKU. OBJECTIVE: The aim of this study was to describe communicative and psycholinguistic abilities in children with CH and PKU. MATERIALS AND METHODS: Sixty-eight children (25 children aged 1 to 120 months with PKU and 43 children aged 1 to 60 months with CH) participated in the study. The handbooks were analyzed and different instruments were applied (Observation of Communication Behavior, Early Language Milestone Scale, Peabody Picture Vocabulary Test, Gesell & Amatruda's Behavioral Development Scale, Portage Operation Inventory, Language Development Evaluation Scale, Denver Developmental Screening Test, ABFW Child Language Test-phonology and Illinois Test of Psycholinguistic Abilities), according to the children's age group and developmental level. RESULTS: It was observed that the children with PKU and CH at risk for alterations in their developmental abilities (motor, cognitive, linguistic, adaptive and personal-social), mainly in the first years of life. Alterations in the psycholinguistic abilities were also found, mainly after the preschool age. Attention deficits, language and cognitive alterations were more often observed in children with CH, while attention deficits with hyperactivity and alterations in the personal-social, language and motor adaptive abilities were more frequent in children with PKU. CONCLUSION: CH and PKU can cause communicative and psycholinguistic alterations that compromise the communication and affect the social integration and learning of these individuals, proving the need of having these abilities assisted by a speech and language pathologist.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000700012PhenylketonuriasCongenital hypothyroidismCommunicationChild
spellingShingle Mariana Germano Gejão
Amanda Tragueta Ferreira
Greyce Kelly Silva
Fernanda da Luz Anastácio-Pessan
Dionísia Aparecida Cusin Lamônica
Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
Journal of Applied Oral Science
Phenylketonurias
Congenital hypothyroidism
Communication
Child
title Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
title_full Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
title_fullStr Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
title_full_unstemmed Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
title_short Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
title_sort communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism
topic Phenylketonurias
Congenital hypothyroidism
Communication
Child
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000700012
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