Behavioral and emotional problems in children and adults with cerebral palsy
Behavioral and emotional problems in children and adults with cerebral palsy
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DOI：
10.1016/j.ejpn.2015.12.003
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发表时间：
2016-03-01
影响因子：
3.1
通讯作者：
Kaetterer, Christian
中科院分区：
文献类型：
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作者：
Weber, Peter;Bolli, Philipp;Kaetterer, Christian
目的：脑性瘫痪（CP）患者的心理问题影响其社会参与。鲜为人知的是持久性的行为和社会问题进入adultage.Materials和方法：在两个中心的横断面研究中，照顾者的121名成人和88名儿童被要求评估的患者的行为，通过父母/照顾者的形式的儿童行为检查表（CBCL），优势和困难问卷（SDQ），和葡萄园适应行为量表II（VABS）。结果：在两组中，我们发现注意力问题的异常频率相同（32.4 vs. 36.1%，p = 0.826）和社交问题（32.3 vs. 33.3%; p = 0.926），SDQ中的同伴问题（38.9 vs. 75.7%; p = 0.115）。孩子们表现出不正常的亲社会行为的比例较低（41.7 vs. 16.2%，p = 0.016）和较低的交流异常率（88.2 vs. 61.5; p = 0.01）和日常生活技能（90.0 vs. 71.8; p = 0.041），而两组VABS这些维度的异常水平明显较高。心理和社会问题从童年到成年一直存在，这突出表明必须注重早期干预。(C)2015年欧洲儿科神经病学学会。由爱思唯尔有限公司出版。保留所有权利。
Objective: In patients with cerebral palsy (CP), psychological problems influence their participation in society. Little is known about the persistence of behavioral and social problems into adulthood.Materials and methods: In a two-center cross-sectional study, caregivers of 121 adults and 88 children were ask to assess behavior of the patients through the parent/caregiver forms of the Child Behavior Checklist (CBCL), the Strengths and Difficulties Questionnaire (SDQ), and the Vineland Adaptive Behavior Scale II (VABS). Questionnaires were returned from 43 adults and 39 children.Results: In both groups we found the same frequency of abnormalities in attention problems (32.4 vs. 36.1%, p = 0.826) and social interaction problems (32.3 vs. 33.3%; p = 0.926) in the CBCL, and peer problems (38.9 vs. 75.7%; p = 0.115) in the SDQ. Children show a lower percentage of abnormal prosocial behavior (41.7 vs. 16.2%, p = 0.016) and lower abnormal rates of communication (88.2 vs. 61.5; p = 0.01) and daily living skills (90.0 vs. 71.8; p = 0.041), whereas the level of abnormalities in both groups in these dimensions of VABS notably high.Conclusion: The persistence of psychological and social problems from childhood into adulthood underlines the importance of focusing on early intervention. (C) 2015 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.