Mental health risk and protective factors associated with brachial plexus birth injuries: a scoping review.

Abstract

The purpose of this scoping review is to synthesize the current evidence on the risk and protective factors associated with mental health in children with brachial plexus birth injury (BPBI) and associated interventions. MEDLINE, EMBASE, and Cochrane databases were searched for reports on mental health in children with BPBI between 10 and 18 years. Risk and protective factors were charted using the VicHealth review and the Person-Environment-Occupation model. Of 732 records found, 133 full text reports were reviewed and 16 reports were included. Multiple mental health risks associated with BPBI were identified, while protective factors were largely unexplored. Person-related risks were most common including negative coping strategies (<i>n</i> = 8, 50%) and pain (<i>n</i> = 6, 38%). Most frequently reported environment and occupation risk factors were social difficulties (<i>n =</i> 9, 56%) and challenges with upper limb function and daily activities (<i>n</i> = 6, 38%). Good self-determination and/or self-concept (<i>n</i> = 5, 30%) was the most common protective factor. Research using a strengths-based approach is needed to elucidate protective factors and further understanding of the intersection of person and socio-cultural risk factors of mental health in children with BPBI.