Mental health, physical activity, and sports among children with cerebral palsy.
Mental health, physical activity, and sports among children with cerebral palsy.
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脑瘫儿童的心理健康、身体活动和运动。
DOI：
10.1111/cch.13122
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Colquitt,Gavin
中科院分区：
文献类型：
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作者：
Cribb,CoryF;Keko,Mario;Creveling,Sarah;Rochani,HareshD;Modlesky,ChristopherM;Colquitt,Gavin
脑性瘫痪（CP）患者由于同时发生与该疾病相关的身体和交流限制，可能会增加精神健康障碍的风险。参加体育活动（PA）和运动可以提供机会，以增加社会化和改善身体功能。本研究的目的是研究参与日常PA和运动之间的关联和心理健康的儿童CP。MethodParticipants包括儿童CP（n= 458）和典型发展的儿童（TDC）（n= 40 091）6-17岁的父母参加了2016-2020年全国儿童健康调查。心理健康障碍包括焦虑、抑郁、行为障碍和注意缺陷多动障碍（ADHD）。结果与TDC相比，CP儿童的心理健康障碍患病率更高（75.5%比54.2%），更容易接受心理健康护理（21.5%比14.6%）。控制社会人口统计学变量后，CP儿童更容易发生焦虑[比值比（OR）2.6; 95%置信区间（CI）= 2.1-3.3）、抑郁（OR 1.8; 95% CI 1.3-2.4）、行为障碍（OR 4.8; 95% CI 3.8-6.0）和ADHD（OR 2.1; 95% CI 1.6-2.6）。当儿童因焦虑（OR 2.2; 95% CI 1.8-2.8）、抑郁（OR = 1.4; 95% CI 1.0-2.0）、行为障碍（OR 4.1; 95% CI 3.2-5.1）和ADHD（OR 1.9; 95% CI 1.5-2.5）而参加运动时，这些疾病的可能性降低。焦虑的可能性（OR 2.3; 95% CI 1.8-2.8），抑郁（OR 1.4; 95% CI 1.0-1.9），行为障碍（OR 4.4; 95% CI 3.5-5.5）和ADHD（或1.9; 95% CI 1.5-2.4）也减少了参与日常PA。结论有一个压倒性的差距与CP儿童谁有心理健康障碍和那些谁，接受心理健康护理。增加参与体育和PA的机会可能是有益的。
BackgroundPeople with cerebral palsy (CP) may be at an increased risk for mental health disorders due to co‐occurring physical and communication limitations associated with the condition. Participation in physical activity (PA) and sports may provide opportunities to increase socialization and improve physical function. The purpose of this study was to examine associations between participation in daily PA and sports and mental health among children with CP.MethodParticipants included children with CP (n= 458) and typically developing children (TDC) (n= 40 091) 6–17 years whose parents participated in the 2016–2020 National Survey of Children's Health. Mental health disorders included anxiety, depression, behavioural disorders and attention‐deficit/hyperactivity disorder (ADHD).ResultsCompared with TDC, children with CP had a higher prevalence of mental health disorders (75.5% vs. 54.2%) and were more likely to receive mental health care (21.5% vs. 14.6%). Controlling for sociodemographic variables, children with CP were more likely to experience anxiety [odds ratio (OR) 2.6; 95% confidence interval (CI) = 2.1–3.3), depression (OR 1.8; 95% CI 1.3–2.4), behavioural disorders (OR 4.8; 95% CI 3.8–6.0) and ADHD (OR 2.1; 95% CI 1.6–2.6). The likelihood of these conditions decreased when children participated in sports for anxiety (OR 2.2; 95% CI 1.8–2.8), depression (OR = 1.4; 95% CI 1.0–2.0), behavioural disorders (OR 4.1; 95% CI 3.2–5.1) and ADHD (OR 1.9; 95% CI 1.5–2.5). The likelihood for anxiety (OR 2.3; 95% CI 1.8–2.8), depression (OR 1.4; 95% CI 1.0–1.9), behavioural disorders (OR 4.4; 95% CI 3.5–5.5) and ADHD (OR 1.9; 95% CI 1.5–2.4) also decreased with participation in daily PA.ConclusionsThere is an overwhelming disparity in the number of children with CP who have a mental health disorder and those who receive mental health care. Increasing access to participation in sports and PA may be beneficial.