• Jian-Hui Xie, Hai-Bo Mei, Kun Liu, Guang-Hui Zhu, Ya-Qi Ouyang, Yuan Huang, Shu-Ting Hou, Lan-Ying Wang, and Ying-Zhi Yi.
• Hunan Children's Hospital, Department of Orthopedics - Changsha, China.
• Rev Assoc Med Bras (1992). 2022 Jul 1; 68 (7): 893-897.

ObjectiveThis study aimed to investigate the factors associated with behavioral problems in children with congenital pseudarthrosis of the tibia.MethodsRandom sampling is utilized to obtain a sample of 90 patients. The behavioral problems of the patients are detected by Achenbach Children's Behavior Scale. Parental emotional problems are investigated by the Self-Rating Depression Scale and Self-Rating Anxiety Scale.ResultsThe results demonstrate that the detection rate of behavioral problems in children with congenital pseudarthrosis of the tibia is 53.3% (48/90). Among these behavioral problems, an abnormal rate is higher in the four dimensions: thinking, violation of discipline, social interaction, and aggression. The anxiety and depression scores of caregivers are statistically higher in the abnormal group than in the normal group. The results of the multivariate analysis show that the anxiety degree of the parents had a significant impact on the behavior of the children.ConclusionsChildren with congenital pseudarthrosis of the tibia are facing the issues of high rates of behavioral problems. Parents of children with congenital pseudarthrosis of the tibia had higher levels of anxiety and depression than parents of normal children. The anxiety and depressive state of mind of parents or caregivers had a significant impact on the behavior of children with congenital pseudarthrosis of the tibia.

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