ارزیابی کارکردهای شناختی کودکان مبتلا به مالاریای مغزی در استان سیستان و بلوچستان

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 استادیار، گروه روان‌شناسی، دانشکده‌ی علوم تربیتی و روانشناسی، دانشگاه اصفهان، اصفهان، ایران

2 کارشناس ارشد، گروه روان‌شناسی بالینی، دانشگاه آزاد اسلامی، واحد خوراسگان، اصفهان، ایران

3 دانشیار، گروه روانپزشکی و روان‌شناسی بالینی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران

چکیده

مقدمه: مالاریای مغزی یکی از شایع‌ترین عفونت‌های سیستم اعصاب مرکزی است. این بیماری که در کودکان فراوانی بیشتری دارد، اختلالات عصب‌شناختی متعددی را سبب می‌شود. اختلالات عصب‌شناختی ناشی از این بیماری، می‌تواند بر عملکرد شناختی کودکان مبتلا به آن اثر بگذارد. هدف پژوهش حاضر، ارزیابی عملکرد شناختی کودکان مبتلا به مالاریای مغزی و مقایسه‌ی آن با کودکان سالم بود.روش‌ها: جامعه‌ی آماری پژوهش علی- مقایسه‌ای حاضر، شامل کودکان 12-7 ساله‌ی مبتلا به مالاریای مغزی و سالم استان سیستان و بلوچستان بود. آزمودنی‌ها شامل 30 کودک مبتلا به مالاریای مغزی و 30 کودک سالم بودند که با روش نمونه‌گیری در دسترس از بین مراجعه کنندگان به بیمارستان رازی شهرستان سراوان، بیمارستان امام علی (ع) شهرستان چابهار و مراکز مربوط به کودکان این دو شهرستان انتخاب شدند. برای جمع‌آوری داده‌ها از آزمون توجه ردیابی رنگی (CTT یا Trails test color)، شاخص حافظه‌ی فعال ویرایش چهارم آزمون هوش Wechsler (WMS یا Wechsler memory scale)، آزمون‌های حافظه‌ی دیداری- شنیداری Rey و آزمون عملکردهای اجرایی برج لندن (Tower of London) و برای تحلیل داده‌ها از آزمون ANOVA (Analysis of variance) استفاده شد.یافته‌ها: تفاوت معنی‌دار بین عملکرد دو گروه در مقیاس‌های توجه (001/0 > P)، حافظه‌ی فعال (001/0 > P)، حافظه‌ی دیداری فوری (001/0 > P)، حافظه‌ی دیداری تأخیری (001/0 > P)، حافظه‌ی شنیداری فوری (001/0 > P)، حافظه‌ی شنیداری تأخیری (001/0 > P) و کارکردهای اجرایی (010/0 > P) مشاهده شد.نتیجه‌گیری: مالاریای مغزی نقص‌هایی را در عملکرد شناختی کودکان مبتلا به آن ایجاد می‌کند. 

کلیدواژه‌ها

عنوان مقاله [English]

Assessment of Cognitive Functions in Children with Cerebral Malaria in Sistan and Baluchestan Province, Iran

نویسندگان [English]

  • Mahgol Tavakoli 1
  • Esmat Karimzadeh 2
  • Noormohammad Bakhshani 3
1 Assistant Professor, Department of Psychology, School of Educational Sciences and Psychology, University of Isfahan, Isfahan, Iran
2 Department of Clinical Psychology, Islamic Azad University, Khorasgan Branch, Isfahan, Iran
3 Professor, Department of Psychiatry and clinical Psychology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
چکیده [English]

Background: Cerebral malaria is the most common parasitic infection of the central nervous system. This disease is more common in children than adults. Cerebral malaria could cause neurologic injuries and cognitive deficits. The aim of this study was to assess cognitive function in children with cerebral malaria and to compare them with healthy children in Sistan and Baluchestan Province, Iran.Methods: The population of this causal-comparative study was children aged 7 to 12 years in Sistan and Baluchestan province. 30 children with cerebral malaria and 30 healthy children were selected from Razi hospital in Saravan, Imam Ali hospital in Chabahar and centers for children in these two cities. They were assessed through the Color Training Test (CTT), Working memory subscale of Wechsler Intelligence test for Children (WISC-IV), Rey visual memory test, Rey Auditory Memory Test and The executive functions Tower of London Test. The data were analysed using multivariate analysis of variances (MANOVA).Findings: There were significant differences between the two groups in attention (P < 0.001), working memory (P < 0.001), immediate visual memory (P < 0.001), delay visual memory (P < 0.001), immediate auditory memory (P < 0.001), delay auditory memory (P < 0.001) and executive functions (P < 0.01).Conclusion: Findings indicated that cerebral malaria causes deficits in cognitive performance of children with this disease.

کلیدواژه‌ها [English]

  • Cerebral malaria
  • Cognitive function
  • Memory
  • Attention
  • Executive functions

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مجله دانشکده پزشکی اصفهان
دوره 32، شماره 302 - شماره پیاپی 302
مهر و آبان 1393
صفحه 1546-1556

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سابقه مقاله

  • تاریخ دریافت: 25 مرداد 1393
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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