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Theses

Fonctions exécutives chez les enfants atteints de phénylcétonurie

Abstract : Due to the risk of the impairment of Executive functions (EF), medical recommendations advocate asystematic follow up of the neuropsychological development for children with early and continuously treated phenylketonuria (ECT-PKU). However, there are discrepancies in the practical modalities of evaluation.This thesis is looking to question the relevance of the different evaluation tools for the EF with regards to the understanding of these children’s neuropsychological phenotype. It is about bringing evaluation recommendations and comparing them with the current guidelines. In this context, thirty one children with ECTPKU have been evaluated with executive tasks based on performance, and with a questionnaire assessing everyday executive functioning at home and at school.The results confirm some executive difficulties compared to control children. The difficulties described by the parents and teachers seem to be increased in relation to the disorders observed during the tasks. This suggests that these two types of tools evaluate different executive aspects. This work recommends the use of varied and complementary tools and it justifies the relevance of a plural and exhaustive evaluation of the different executive components. The major issue of the tools currently available remains. In this perspective, the pluridisciplinary dynamic associating clinicians and scholars is to be encouraged in order to offer reliable tools and thus allowing an evaluation, and a care and support, that are closer and more appropriate to the patient's difficulties.
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https://tel.archives-ouvertes.fr/tel-01992243
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Submitted on : Thursday, January 24, 2019 - 12:36:20 PM
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Marie Canton. Fonctions exécutives chez les enfants atteints de phénylcétonurie. Psychologie. Université d'Angers, 2017. Français. ⟨NNT : 2017ANGE0024⟩. ⟨tel-01992243⟩

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