{"id":{"repo_id":"u-iceland","oai_identifier":"oai:skemman.is:1946/35826"},"canonical_url":"https://search.dev.ndltd.org/etd/u-iceland/oai:skemman.is:1946/35826","repository":{"repo_id":"u-iceland","name":"University of Iceland","base_url":"https://skemman.is/oai/request"},"display":{"title":"Behavioral changes in children in Malawi, after recovering from cerebral malaria and treatment acceptability among Malawian parents","abstract":"Cerebral malaria is a life-threatening disease that affects many children in sub-Saharan Africa. Research has shown that children that survive this disease are often left with neurological disabilities after their recovery, for example behavioral changes similar to ADHD. However, diagnosis and treatments for ADHD are limited in many places in Africa. Research has also shown that externalizing mental disorders, like ADHD and ODD, are common in children after recovering from cerebral malaria. The purpose of this study was twofold. Firstly, to see if children in Malawi who have survived cerebral malaria showed behavioral changes, similar to ADHD and ODD, after their recovery. Secondly, to analyze treatment acceptability among parents in Malawi whose child had recovered from cerebral malaria compared to parents in the general population in Malawi, as no studies were found on treatment acceptability in the country The result showed that more than half of the children that recovered from cerebral malaria reached respectively the clinical criteria for the number of ADHD and ODD symptoms. Around half of the children showed both ADHD and ODD symptoms after the recovery. The results also showed that the most acceptable treatments among parents in Malawi were interrupt/redirect, discussion, and medication. There was only a significant difference between the two parents’ groups when asking about acceptability toward medication as a treatment, where parents of children who survive cerebral malaria were more accepting of medication as a treatment. Further studies are needed to be able to provide appropriate treatment for these children.","abstract_html":"Cerebral malaria is a life-threatening disease that affects many children in sub-Saharan Africa. Research has shown that children that survive this disease are often left with neurological disabilities after their recovery, for example behavioral changes similar to ADHD. However, diagnosis and treatments for ADHD are limited in many places in Africa. Research has also shown that externalizing mental disorders, like ADHD and ODD, are common in children after recovering from cerebral malaria. The purpose of this study was twofold. Firstly, to see if children in Malawi who have survived cerebral malaria showed behavioral changes, similar to ADHD and ODD, after their recovery. Secondly, to analyze treatment acceptability among parents in Malawi whose child had recovered from cerebral malaria compared to parents in the general population in Malawi, as no studies were found on treatment acceptability in the country The result showed that more than half of the children that recovered from cerebral malaria reached respectively the clinical criteria for the number of ADHD and ODD symptoms. Around half of the children showed both ADHD and ODD symptoms after the recovery. The results also showed that the most acceptable treatments among parents in Malawi were interrupt/redirect, discussion, and medication. There was only a significant difference between the two parents’ groups when asking about acceptability toward medication as a treatment, where parents of children who survive cerebral malaria were more accepting of medication as a treatment. Further studies are needed to be able to provide appropriate treatment for these children.","abstract_has_math":false,"creators":["Guðlaug María Sveinbjörnsdóttir 1994-"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Háskóli Íslands"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2020,"date_issued":"2020-06-04T10:59:53Z","date_published":"2020-06-04T10:59:53Z","updated_at":"2026-07-27T21:37:37Z","subjects":["Klínisk sálfræði"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/1946/35826","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Háskóli Íslands"]},{"key":"dc:creator","label":"Author","values":["Guðlaug María Sveinbjörnsdóttir 1994-"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2020-06-04T10:59:52Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2020-06-04T10:59:52Z"]},{"key":"dc:date.issued","label":"Date","values":["2020-06-04T10:59:53Z"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Klínisk sálfræði"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1946/35826"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Cerebral malaria is a life-threatening disease that affects many children in sub-Saharan Africa. Research has shown that children that survive this disease are often left with neurological disabilities after their recovery, for example behavioral changes similar to ADHD. However, diagnosis and treatments for ADHD are limited in many places in Africa. Research has also shown that externalizing mental disorders, like ADHD and ODD, are common in children after recovering from cerebral malaria. The purpose of this study was twofold. Firstly, to see if children in Malawi who have survived cerebral malaria showed behavioral changes, similar to ADHD and ODD, after their recovery. Secondly, to analyze treatment acceptability among parents in Malawi whose child had recovered from cerebral malaria compared to parents in the general population in Malawi, as no studies were found on treatment acceptability in the country The result showed that more than half of the children that recovered from cerebral malaria reached respectively the clinical criteria for the number of ADHD and ODD symptoms. Around half of the children showed both ADHD and ODD symptoms after the recovery. The results also showed that the most acceptable treatments among parents in Malawi were interrupt/redirect, discussion, and medication. There was only a significant difference between the two parents’ groups when asking about acceptability toward medication as a treatment, where parents of children who survive cerebral malaria were more accepting of medication as a treatment. Further studies are needed to be able to provide appropriate treatment for these children.","Heilahimnubólga af völdum malaríu er lífshættulegur sjúkdómur sem hefur áhrif á mörg börn í Afríku. Rannsóknir hafa sýnt að raskanir, t.d. hegðunarbreytingar sem svipar til ADHD, fylgja oft í kjölfarið hjá börnum sem lifa af þessa tegund af heilahimnubólgu. Því miður þá virðast greiningar og meðferðir við ADHD vera af skornum skammti á mörgum stöðum í Afríku. Rannsóknir hafa sýnt að geðraskanir með úthverf einkenni, eins og ADHD og ODD, séu algengar hjá börnum sem lifa af heilahimnubólgu af völdum malaríu. Tilgangur þessarar rannsóknar var tvíþættur. Annars vegar að athuga hvort börn í Malaví, sem höfðu lifað af heilahimnubólgu af völdum malaríu, sýni hegðunarbreytingar, eins og ADHD og ODD, eftir veikindin. Hins vegar var kannað meðferðarsamþykki foreldra í Malaví þar sem borin voru saman svör foreldra barna sem hafa lifað af heilahimnubólguna við svör foreldra í almennu þýði, en engar rannsóknir fundust á meðferðarsamþykki foreldra í Malaví. Niðurstöðurnar sýndu að meira en helmingur barnanna sem höfðu lifað af heilahimnubólgu af völdum malaríu, uppfylltu klínísku skilmerkin fyrir fjölda ADHD og/eða ODD einkenna. Einnig sýndu niðurstöðurnar að þær meðferðir sem margir foreldrar í Malaví virðast samþykkja eru: að leiðbeina og grípa inní, nota umræðu og notast við lyf. Aðeins var marktækur munur á milli foreldrahópanna þegar kom að meðferðarsamþykki fyrir lyfjanotkun, þar sem foreldrar barna sem hafa lifað af heilahimnubólguna eru líklegri til að samþykkja lyfjanotkun sem meðferð. Þörf er á frekari rannsóknum svo hægt sé að veita viðeigandi meðferð fyrir þennan hóp barna."]},{"key":"dc:title","label":"Title","values":["Behavioral changes in children in Malawi, after recovering from cerebral malaria and treatment acceptability among Malawian parents","Hegðunarbreytingar hjá börnum sem hafa lifað af heilahimnubólgu af völdum malaríu, í Malaví og meðferðarsamþykki foreldra í Malaví"]}]}],"canonical_facts":{"dc:contributor":["Háskóli Íslands"],"dc:creator":["Guðlaug María Sveinbjörnsdóttir 1994-"],"dc:date.accessioned":["2020-06-04T10:59:52Z"],"dc:date.available":["2020-06-04T10:59:52Z"],"dc:date.issued":["2020-06-04T10:59:53Z"],"dc:description.abstract":["Cerebral malaria is a life-threatening disease that affects many children in sub-Saharan Africa. Research has shown that children that survive this disease are often left with neurological disabilities after their recovery, for example behavioral changes similar to ADHD. However, diagnosis and treatments for ADHD are limited in many places in Africa. Research has also shown that externalizing mental disorders, like ADHD and ODD, are common in children after recovering from cerebral malaria. The purpose of this study was twofold. Firstly, to see if children in Malawi who have survived cerebral malaria showed behavioral changes, similar to ADHD and ODD, after their recovery. Secondly, to analyze treatment acceptability among parents in Malawi whose child had recovered from cerebral malaria compared to parents in the general population in Malawi, as no studies were found on treatment acceptability in the country The result showed that more than half of the children that recovered from cerebral malaria reached respectively the clinical criteria for the number of ADHD and ODD symptoms. Around half of the children showed both ADHD and ODD symptoms after the recovery. The results also showed that the most acceptable treatments among parents in Malawi were interrupt/redirect, discussion, and medication. There was only a significant difference between the two parents’ groups when asking about acceptability toward medication as a treatment, where parents of children who survive cerebral malaria were more accepting of medication as a treatment. Further studies are needed to be able to provide appropriate treatment for these children.","Heilahimnubólga af völdum malaríu er lífshættulegur sjúkdómur sem hefur áhrif á mörg börn í Afríku. Rannsóknir hafa sýnt að raskanir, t.d. hegðunarbreytingar sem svipar til ADHD, fylgja oft í kjölfarið hjá börnum sem lifa af þessa tegund af heilahimnubólgu. Því miður þá virðast greiningar og meðferðir við ADHD vera af skornum skammti á mörgum stöðum í Afríku. Rannsóknir hafa sýnt að geðraskanir með úthverf einkenni, eins og ADHD og ODD, séu algengar hjá börnum sem lifa af heilahimnubólgu af völdum malaríu. Tilgangur þessarar rannsóknar var tvíþættur. Annars vegar að athuga hvort börn í Malaví, sem höfðu lifað af heilahimnubólgu af völdum malaríu, sýni hegðunarbreytingar, eins og ADHD og ODD, eftir veikindin. Hins vegar var kannað meðferðarsamþykki foreldra í Malaví þar sem borin voru saman svör foreldra barna sem hafa lifað af heilahimnubólguna við svör foreldra í almennu þýði, en engar rannsóknir fundust á meðferðarsamþykki foreldra í Malaví. Niðurstöðurnar sýndu að meira en helmingur barnanna sem höfðu lifað af heilahimnubólgu af völdum malaríu, uppfylltu klínísku skilmerkin fyrir fjölda ADHD og/eða ODD einkenna. Einnig sýndu niðurstöðurnar að þær meðferðir sem margir foreldrar í Malaví virðast samþykkja eru: að leiðbeina og grípa inní, nota umræðu og notast við lyf. Aðeins var marktækur munur á milli foreldrahópanna þegar kom að meðferðarsamþykki fyrir lyfjanotkun, þar sem foreldrar barna sem hafa lifað af heilahimnubólguna eru líklegri til að samþykkja lyfjanotkun sem meðferð. Þörf er á frekari rannsóknum svo hægt sé að veita viðeigandi meðferð fyrir þennan hóp barna."],"dc:identifier.uri":["http://hdl.handle.net/1946/35826"],"dc:language.iso":["en"],"dc:subject":["Klínisk sálfræði"],"dc:title":["Behavioral changes in children in Malawi, after recovering from cerebral malaria and treatment acceptability among Malawian parents","Hegðunarbreytingar hjá börnum sem hafa lifað af heilahimnubólgu af völdum malaríu, í Malaví og meðferðarsamþykki foreldra í Malaví"],"dc:type":["Thesis"]},"updated_at":"2026-07-27T21:37:37Z"}