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Journal of Tropical Pediatrics Advance Access published online on August 26, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp080
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Behaviour Profiles After Tuberculous Meningitis

J. W. Waita and J. F. Schoemana,b

aDepartment of Psychology, Stellenboch University, Republic of South Africa
bDepartment of Paediatrics and Child Health, Tygerberg Children's Hospital and Faculty of Health Sciences, Stellenbosch University, Republic of South Africa

Correspondence: J. F. Schoeman, Department of Paediatrics and Child Health, PO Box 19063, Tygerberg 7505, Cape Town, South Africa. Tel.: +27-21-9389111; Fax: +27-21-9389138; E-mail: <jfs{at}sun.ac.za>.


  Abstract

The purpose of the study was to investigate child behaviour in children who recovered from tuberculous meningitis (TBM) and to compare behaviour profiles of stage II and stage III patients. The mean age of the cohort of 74 children at the time of evaluation was 10 years and 7 months. At follow-up all patients underwent a thorough neurological examination and a psychometric test battery, which included intellectual assessment and evaluation of behaviour by means of the CBCL/6–18. Results indicated elevated mean scores (T > 60) on CBCL/6–18 scales which measure problems with anxiety, depression, attention, social relationships, disruptive and rule-breaking behaviour. Mean CBCL scores of stage III patients were significantly higher than the mean scores of stage II patients on scales which measure social problems, disruptive and rule-breaking behaviour. In addition, problems with conduct, attention, attention-deficit/hyperactivity problems, affective problems as well as the total problem scores were more pronounced in the patients with stage III TBM. We conclude that general behavioural disinhibitions as well as internalized emotional disorder probably are long-term complications in more than 10% of the survivors of TBM.

Key Words: TBM • CBCL • behaviour • social problems • attention • child


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