Pervasive developmental disorders in individuals with cerebral palsy

Kılınçaslan, Ayşe; Mukaddes, Nahit Motavallı

doi:10.1111/j.1469-8749.2008.03171.x

Cited by 65 publications

(50 citation statements)

References 30 publications

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“…Mean scores for peer problems however were higher in the present study compared to previous studies of children with cerebral palsy (2.7–3.0) [3, 14, 15]. Peer problems were found in nine of ten children with CP in the present study, whereas Parkes et al found peer problems in one of three children in their studies and two of five children in the Canadian study by Brossard-Racine et al Peer problems were highly prevalent across all diagnostic groups, that is, emotional disorders, conduct disorders/ODD, as well as hyperactivity disorders, and could be related symptomatically to autism spectrum disorders (ASD) which have been found to be prevalent in children with CP [23]. Similarly, ASD is often part of neurodevelopmental conditions in general with a considerable overlap of conditions as described in the ESSENCE model [8].…”

Section: Discussioncontrasting

confidence: 48%

Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

Bjørgaas

Elgen

Bøe

et al. 2013

The Scientific World Journal

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Introduction. Children with cerebral palsy (CP), one of the most common childhood neurological disorders, often have associated medical and psychological symptoms. This study assesses mental health problems compared to population controls and the ability of a mental health screening tool to predict psychiatric disorders and to capture the complexity of coexisting symptoms. Methods. Children with CP (N = 47) were assessed according to DSM-IV criteria using a psychiatric diagnostic instrument (Kiddie-SADS) and a mental health screening questionnaire (SDQ). Participants from the Bergen Child Study, a large epidemiological study, served as controls. Results. Children with CP had significantly higher means on all problem scores including impact scores. Two in three children scored above 90th percentile cutoff on Total Difficulties Score (TDS), and 57% met criteria for a psychiatric disorder, yielding a sensitivity of 0.85 and a specificity of 0.55. Mental health problems coexisted across symptom scales, and peer problems were highly prevalent in all groups of psychiatric disorders. Conclusion. A high prevalence of mental health problems and cooccurrence of symptoms were found in children with CP compared to controls. Screening with SDQ detects mental health problems, but does not predict specific disorders in children with CP. ADHD is common, but difficult to diagnose due to complexity of symptoms. Mental health services integrated in regular followup of children with CP are recommended due to high prevalence and considerable overlap of mental health symptoms.

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Section: Discussioncontrasting

confidence: 48%

Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

Bjørgaas

Elgen

Bøe

et al. 2013

The Scientific World Journal

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“…However, given the range of types of CP, functional gross motor skills, and visual impairments among children within our sample (see Table 2), it seems likely that our sample is a representative one. Note, however, that none of the children in our sample had autism spectrum disorders based on both parent report and review of medical records; although in a larger sample it is very likely that children with CP who also have autism spectrum disorders would be represented (Kilincaslan & Mukaddes, 2008). …”

Section: Methodsmentioning

confidence: 93%

Classification of Speech and Language Profiles in 4-Year-Old Children With Cerebral Palsy: A Prospective Preliminary Study

Hustad

Gorton

Lee

2010

J Speech Lang Hear Res

112

151

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Purpose-Little is known about the speech and language abilities of children with cerebral palsy (CP) and there is currently no system for classifying speech and language profiles. Such a system would have epidemiological value and would have the potential to advance the development of interventions that improve outcomes. In this study, we propose and test a preliminary speech and language classification system by quantifying how well speech and language data differentiate among children classified into different hypothesized profile groups.Method-Speech and language assessment data were collected in a laboratory setting from 34 children with CP (18 males; 16 females) who were a mean age of 54 months (SD 1.8 months). Measures of interest were vowel area, speech rate, language comprehension scores, and speech intelligibility ratings.Results-Canonical discriminant function analysis showed that three functions accounted for 100% of the variance among profile groups, with speech variables accounting for 93% of the variance. Classification agreement varied from 74% to 97% using four different classification paradigms.Conclusions-Results provide preliminary support for the classification of speech and language abilities of children with CP into four initial profile groups. Further research is necessary to validate the full classification system. Keywords cerebral palsy; dysarthria; speech acoustics; speech and language profiles; classification Cerebral palsy (CP) is the most common cause of severe motor disability in children (Lepage, Noreau, Bernard, & Fougeyrollas, 1998), and it can have a profound impact on all aspects of life (Kennes, Rosenbaum, Hanna, Walter et al., 2002;Liptak, O'Donell, Conaway, Chumlea et al., 2001). For the past 40 years, the prevalence of CP has been relatively stable (or perhaps increasing slightly (Paneth, Hong, & Korzeniewski, 2006)). International estimates suggest that CP affects between 1.2 and 3.0 per 1000 children in developed countries (Odding, Roebroeck, & Stam, 2006;Paneth et al., 2006). However, in the United States, the most recent study suggests that CP may affect up to 3.6 per 1000 children (Yeargin-Allsopp, Braun, Doernbery, Benedict et al., 2008).CP is an umbrella term for which a number of different definitions have been proposed over the years. The most recent consensus definition specifies that CP: a.) is characterized by movement and posture disturbance; b.) is non-progressive in nature; c.) has its onset within NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript the pre-natal or neonatal period; d.) is caused by some type of damage to the central nervous system; and e.) is often accompanied by co-occurring problems with sensation, perception, cognition, communication, and behavior (Rosenbaum, Paneth, Leviton, Goldstein et al., 2007). Although experts have recognized the latter-most part of this definition for many years, problems with sensation, cognition, communication, and behavior have not been formally acknowledged as ...

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“…According to the Autism Diagnostic Interview-Revised (ADI-R) [13], 49% of children under the age of 18 with myotonic dystrophy type 1 had an ASD [14], while 15% of children aged 4–18 with cerebral palsy have been reported to meet DSM-IV criteria for an ASD [15]. …”

Section: Introductionmentioning

confidence: 99%

Autism spectrum symptoms in children with neurological disorders

Ryland

Hysing

Posserud

et al. 2012

Child Adolesc Psychiatry Ment Health

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BackgroundThe aims of the present study were to assess symptoms associated with an autism spectrum disorder (ASD) in children with neurological disorders as reported by parents and teachers on the Autism Spectrum Screening Questionnaire (ASSQ), as well as the level of agreement between informants for each child.MethodsThe ASSQ was completed by parents and teachers of the 5781 children (11–13 years) who participated in the second wave of the Bergen Child Study (BCS), an on-going longitudinal population-based study. Out of these children, 496 were reported to have a chronic illness, including 99 whom had a neurological disorder. The neurological disorder group included children both with and without intellectual disabilities.ResultsChildren with neurological disorders obtained significantly higher parent and teacher reported ASSQ scores than did non-chronically ill children and those with other chronic illnesses (p<.01; ES = .50-1.01), and 14.1% were screened above the positive cutoff score for ASD according to their combined parent and teacher ASSQ scores. Parent/teacher agreement over ASSQ scores for children with neurological disorders was moderate to high for the total score and for three sub scores generated from a factor analysis, and low to moderate for single items.ConclusionsThe ASSQ identifies a high rate of ASD symptoms in children with neurological disorders, and a large number of children screened in the positive range for ASD. Although a firm conclusion awaits further clinical studies, the present results suggest that health care professionals should be aware of potential ASD related problems in children with neurological disorders, and should consider inclusion of the ASSQ or similar screening instruments as part of their routine assessment of this group of children.

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Pervasive developmental disorders in individuals with cerebral palsy

Cited by 65 publications

References 30 publications

Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

Classification of Speech and Language Profiles in 4-Year-Old Children With Cerebral Palsy: A Prospective Preliminary Study

Autism spectrum symptoms in children with neurological disorders

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