Behavioral Difficulties in Adolescents With Cerebral Palsy

被引:32
作者
Brossard-Racine, Marie [2 ]
Waknin, Joey [1 ]
Shikako-Thomas, Keiko [3 ]
Shevell, Michael [4 ]
Poulin, Chantal [4 ]
Lach, Lucy [5 ]
Law, Mary [6 ]
Schmitz, Norbert [7 ]
Majnemer, Annette [1 ,3 ]
机构
[1] Montreal Childrens Hosp MUHC, Div Pediat Neurol, Montreal, PQ H3H 1P3, Canada
[2] Childrens Natl Med Ctr, Adv Paediat Brain Imaging Res Lab, Div Diagnost Imaging & Radiol Fetal & Transit Med, Washington, DC 20010 USA
[3] McGill Univ, Sch Phys & Occupat Hlth, Montreal, PQ, Canada
[4] McGill Univ, Dept Pediat, Dept Neurol & Neurosurg, Montreal, PQ H3A 2T5, Canada
[5] McGill Univ, Sch Social Work, Montreal, PQ, Canada
[6] McMaster Univ, Sch Rehabil Sci, Hamilton, ON, Canada
[7] McMaster Univ, Dept Psychiat, Hamilton, ON, Canada
关键词
cerebral palsy; behavioral difficulties; functional status; parental stress; SCHOOL-AGE-CHILDREN; PRESCHOOL-CHILDREN; PARENTING STRESS; PEER PROBLEMS; STRENGTHS; HEALTH; CLASSIFICATION; QUESTIONNAIRE; HEMIPLEGIA; MOTHERS;
D O I
10.1177/0883073812461942
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Behavioral problems are common in children with cerebral palsy; however, little is known about the persistence of these difficulties during adolescence. This study aimed to describe the nature and frequency of behavioral difficulties in adolescents with cerebral palsy and to explore associated factors. Parents of the participants completed the Strengths and Difficulties Questionnaire. Participants' motor and cognitive abilities, functional status, as well as parental stress were evaluated. Overall, the study enrolled 160 adolescents with cerebral palsy (65 girls, mean age 15.4 +/- 2.17 years). Behavioral difficulties were present in 36.9% of the adolescents, with peer problems the most frequently reported (61.9%). Prosocial behaviors were associated with better function (r = 0.24-0.65) whereas hyperactive symptoms were associated with greater limitations (r = -0.19 to -0.55). Weak associations were found between parental stress and externalized problems (r = 0.22-0.24). Behavioral difficulties remained frequent in adolescents with cerebral palsy, particularly in those with greater functional limitations.
引用
收藏
页码:27 / 33
页数:7
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