Abstract
AbstractObjective: Children diagnosed with cerebral palsy have been reported to be at increased risk of executive function deficits and neurodevelopmental disorders. This population-based cohort study aimed to assess executive function, attention, behaviour, and autism symptomatology in school-aged children with CP, using parent-report measures that can provide insight into everyday functioning in these neurodevelopmental domains. Methods: 74 participants (male n = 51) mean age 9 years 9 months, SD 1 year 1.2 months (range 8 years 0 months to 12 years 11 months), GMFCS I = 45 (60.8%), II = 17 (23%), III = 8 (10.8%), and IV = 4 (5.4%), were assessed on measures of attention and behaviour (Conners-3), executive function (BRIEF), and autism symptomatology (AQ10-Child). Analysis was via one-sample t-tests and MANCOVAs. Results: Participants’ scores were elevated in comparison to the general population in all domains, while 29.1% of participants scored above the cut-off level on an autism symptomatology screener. Greatest impairment was reported for working memory (M = 60.7, SD = 10.0, t(72) = 9.2, p < .001), peer relations (M = 72.7, SD = 16.2, t(73) = 12.0, p < .001), and inattention subscales (M = 66.3, SD = 12.5, t(73) = 11.2, p < .001). No statistically significant differences were found for different GMFCS levels on domains of executive functioning. A statistically significant difference was found between GMFCS levels for inattention F(3, 71) = 3.83, p = .013, partial η2 = 0.162, with most elevated scores associated with GMFCS level II (M = 74.1, SD = 14.2). Conclusion: EF, attention and behavioural difficulties, and autism symptomatology are commonly reported in school-aged children with CP. Screening for these comorbidities using ratings scales will assist with early diagnosis and targeted intervention.
Funder
National Health and Medical Research Council
Australian Government
Cerebral Palsy Alliance Research Foundation
The University of Queensland
Publisher
Springer Science and Business Media LLC
Subject
Developmental and Educational Psychology,Physical Therapy, Sports Therapy and Rehabilitation
Reference44 articles.
1. Allison, C., Auyeung, B., & Baron-Cohen, S. (2012). Toward Brief “Red Flags”for Autism Screening: The Short Autism Spectrum Quotient and the Short Quantitative Checklist in 1,000 Cases and 3,000 Controls. Journal of the American Academy of Child & Adolescent Psychiatry,51(2), 202–212.e207. https://doi.org/10.1016/j.jaac.2011.11.003
2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.,).
3. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787
4. Australian Cerebral Palsy Register Group (2018). Australian Cerebral Palsy Register Report, 2018.
5. Australian Cerebral Palsy Register. (2020). Australian Cerebral Palsy Register Bulletin Birth years 1995–2014. https://cpregister.com/wp-content/uploads/2020/10/ACPR-Report-2020-Bulletin_s_lr.pdf
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献