The Peculiarities of Mental and Behavioral Disorders
of the Children with the Thyroid Oncopathology Exposed As a Result of the
Chernobyl Accident. S. A. Igumnov, The
Department of Psychotherapy, Belarus institute for Postgraduate Medical
Training, 73 Uborevicha str., Minsk, 220096, Belarus; and V. V. Drozdovitch and
V. F. Minenko, Research and Clinical Institute of Radiation Medicine and
Endocrinology, 23 Masherova ave., Minsk, 220600, Belarus
The
dynamic examination of 116 children operated on the oncopathology of thyroid
gland included the application of standardized clinical psychiatric interview as
well as psychological testing has been conducted. The children operated on the
oncopathology of thyroid gland manifested an increase of mental and behavioral
disorders such as adjustment disorders, hyperkinetic disorder and others. When
making an estimation of a level of intellectual functioning, we found no
significant distinctions between average-group IQ of the children operated on
the thyroid oncopathology (mean IQ score was 95.9 ± 0.9) and the children
belonging to the control group (mean IQ score was 96.5 ± 1.5; p>0.05). At
the same time the subgroup of children with decompensated postoperative
hypothyrosis had (as compared to the control group) a significantly lower
average IQ score (88.17 ± 1.23 vs 96.5 ± 1.5; p<0.05); moderate negative
correlation between IQ score and decompensated hypothyrosis (r = -0.57,
p<0.001) was registered.
The
individual thyroid doses for children with thyroid cancer included in
investigation were reconstructed. According to the data obtained, the tendency
to decrease of IQ score was shown depending on the thyroid doses from 131I
(r = - 0.48, p<0.01). It was found, that in spite of conducting of
substitutional therapy, the moderate correlation between postoperative
hypothyrosis and values of thyroid doses from 131I is exist (r =
0.55, p<0.001).
On
the basis of the data obtained the three-level system of prophylaxis and
correction of mental and behavioral disorders in the children suffering from
thyroid cancer has been developed.
Go to:
Table of Contents of the 1997
SRA-Europe Conference
Program of the 1997 SRA-Europe Conference
RiskWorld Welcome Page
Tec-Com, Inc.