Intellectual development, mental and behavioural disorders in the children whose mothers were exposed to pathogenic radioecological and psychosocial factors as a result of Chernobyl ac- cident at the different stages of pregnancy

"Radiation and Risk" 1999. Vol. 11, pp.101-107

Authors

Igumnov S.A., Drozdovich V.V.1
Belarus Institute for Postgraduate Medical Training, Minsk
1Institute of Power Engineering Problems, Minsk, Belarus

Abstract

The study examined psychological development in 187 children at the age of 6-7 and 10-11, who had suffered prenatal radiation exposure at the time of the Chernobyl accident in 1986. These children were compared to a control group of 150 children of the same age from non-contaminated areas of Belarus. The examination included neurological and psychiatric examination, intellectual assessment and clinical psychological investigation of parents as well as estimation of thyroid exposure in utero. The exposed group manifested a relative increase in psychological impairment compared with the control group, with increased prevalence in cases of specific developmental speech-language disorders (8.56% and 4.67% at 10-11 years old) and emotional disorders (18.2% and 7.3% at 10-11 years old). The mean IQ of the exposed group was lower than that of the control group and there were more cases of borderline IQ (IQ=70-79) (14.4% and 8.0% at 6-7 years; 6.42% and 4.0% at 10-11 years). The mean value of thyroid doses from 131I 0.4 Gy was estimated for children ex- posed in utero. No correlation was found between individual thyroid doses and IQ at age 6-7 years or 10-11 years. We notice a positive moderate correlation between IQ of children and the educational level of their parents. There was a moderate correlation between high personal anxiety in parents and emotional disorders in children. We conclude that a significant role in the genesis of borderline intellectual functioning, specific developmental disorders of speech, language and scholastic skills as well as emotional disorders in the exposed group of children was played by unfavourable social-psychological and social-cultural factors such as a low educational level of parents, the break of microsocial contacts and adaptational difficulties, which appear following the evacuation and relocation from the contaminated areas.

Key words
Prenatal radiation exposure, intellectual index, dose of prenatal radiation, thyroid gland, iodine radioisotopes, psychoemotional stress, emotional disorders.

References

1. Clinical and psychological characteristics and diagnosis of affective disorders: Methodological recommendations. L .: V.M. Bekhterev PNII Publ., 1988. 27 p.

2. International Classification of Diseases (10th revision). Classification of mental and behavioral disorders. Clinical descriptions and guidelines for diagnosis. St. Petersburg: AFIS Publ. 304 p.

3. Prilipko L.L., Nyagu A.I., Kozlova I.A., Gayduk F.M. etc. Results of the WHO pilot project "Intrauterine brain damage". Proc. of the International Conference "Actual and predictable mental health disorders after the nuclear disaster in Chernobyl". Kiev, 1995. PP. 316-317.

4. Filimonenko Yu., Timofeev V. A guide to the method of studying intelligence in children D. Veksler (WISC). Adapted option. St. Petersburg, 1994. 94 p.

5. Drozdovitch V.V., Goulko G.M., Minenko V.F., Paretzke H.G., Voight G., Kenigsberg Ya.E. Thyroid dose reconstruction for the population of Belarus after the Chernobyl accident. Radiat. Environ. Biophysics. 1997. Vol. 36. РP. 17-23.

6. Holowinsky I.Z. Chernobyl nuclear catastrophe and the high risk potential for mental retardation. Mental Retardation. 1993. Vol. 31, no. 1. PР. 35-40.

7. Streffer C. Strahleneffecte nach Exposition wahrend der praenatalen Entwicklung. Radiologie. 1995. Vol. 35, no. 3. PP. 141-147.

8. Wechsler D. Manual for the Wechsler Intelligence Scale for Children. Third Edition. London: The Psychological Corporation, 1992.

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