Pain, fatigue, depressive symptoms and sleep disturbance in young adults with cerebral palsy

被引：28

作者：

van Gorp, Marloes ^{[1
,2
,3
]}

Dallmeijer, Annet J. ^{[2
]}

van Wely, Leontien ^{[1
,2
]}

de Groot, Vincent ^{[2
]}

Terwee, Caroline B. ^{[4
]}

Flens, Gerard ^{[5
]}

Stam, Henk J. ^{[1
,3
]}

van der Slot, Wilma ^{[1
,3
]}

Roebroeck, Marij E. ^{[1
,3
]}

Roebroeck, M. E. ^{[6
,7
]}

van Gorp, M. ^{[6
,7
]}

Tan, S. S. ^{[6
,7
]}

van Meeteren, J. ^{[6
,7
]}

van der Slot, W. ^{[6
,7
]}

Stam, H. ^{[6
,7
]}

Dallmeijer, A. J. ^{[8
]}

van Wely, L. ^{[8
]}

de Groot, V ^{[8
]}

Ketelaar, M. ^{[9
,10
]}

Voorman, J. M. ^{[9
,10
]}

Reinders-Messelink, H. A. ^{[11
,12
]}

Gorter, J. W. ^{[13
]}

Verheijden, J. ^{[14
]}

机构：

[1] Erasmus MC, Dept Rehabil Med, Univ Med Ctr, Postbus 2040, NL-3000 WB Rotterdam, Netherlands

[2] Vrije Univ Amsterdam, Dept Rehabil Med, Amsterdam UMC, Amsterdam Movement Sci, Amsterdam, Netherlands

[3] Rijndam Rehabil, Rotterdam, Netherlands

[4] Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Dept Epidemiol & Biostat, Amsterdam UMC, Amsterdam, Netherlands

[5] Akwa GGZ Alliance Qual Mental Hlth Care, Utrecht, Netherlands

[6] Erasmus MC, Univ Med Ctr, Rotterdam, Netherlands

[7] Erasmus MC, Rijndam Rehabil, Rotterdam, Netherlands

[8] Vrije Univ Amsterdam Med Ctr, Amsterdam, Netherlands

[9] Univ Med Ctr Utrecht, Utrecht, Netherlands

[10] Rehabil Ctr Hoogstr, Utrecht, Netherlands

[11] Revalidatie Friesland, Groningen, Netherlands

[12] Univ Med Ctr Groningen, Groningen, Netherlands

[13] McMaster Univ, Hamilton, ON, Canada

[14] BOSK Assoc Physically Disabled Persons & Their Pa, Amsterdam, Netherlands

来源：

DISABILITY AND REHABILITATION | 2021年 / 43卷 / 15期

关键词：

Cerebral palsy; young adult; pain; fatigue; depressive symptoms; sleep disturbance; QUALITY-OF-LIFE; CLASSIFICATION-SYSTEM; MUSCULOSKELETAL PAIN; MOTOR FUNCTION; MENTAL-HEALTH; ITEM BANKS; CHILDREN; INDIVIDUALS; GROSS; PARTICIPATION;

D O I：

10.1080/09638288.2019.1694998

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Purpose: Investigate pain, fatigue, depressive symptoms and sleep disturbance in young adults with cerebral palsy compared to references. Materials and methods: Young adults with cerebral palsy (n = 97, aged 21-34 years) and age-matched references from the general population (n = 190) rated pain using a numeric rating scale and fatigue, depressive symptoms, sleep disturbance and global health using Patient-Reported Outcomes Measurement Information System (R) short forms. Scores were compared between cerebral palsy subgroups and the reference population. Correlation coefficients and linear regression analyses assessed interrelationships of health issues and associations with global health. Results: Individuals with Gross Motor Function Classification System level I had less pain, fatigue and depressive symptoms, while individuals with levels II and III-V had more pain (53% and 56%, p < 0.001) and those with levels III-V more fatigue (39%, p = 0.035) than references (pain: 26%, fatigue: 14%). Pain and fatigue were more interrelated (correlation coefficients: 0.71 vs. 0.41) and stronger associated with global mental health in individuals with cerebral palsy. Conclusions: Young adults with Gross Motor Function Classification System levels II-V report more pain and those with levels III-V report more fatigue than references. Pain and fatigue are highly interrelated and specifically relate to mental health in individuals with cerebral palsy.

引用

页码：2164 / 2171

页数：8

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