A Population-Based Analysis of Behavior Problems in Children with Cerebral Palsy

Abstract

Used the National Health Interview Survey, Child Health Supplement for 1981 and 1988, to analyze parent-reported behavior problems of children, ages 4-17 years, with cerebral palsy (n = 47), with mental retardation (n = 50), with other chronic conditions (n = 6,038), and with no known health problem (n = 5,930), using the Behavior Problem Index (developed by Zill & Peterson). Behaviors with scores greater than the 90th percentile of the entire sample were considered problem behaviors. Parent-reported behavior problems were 5 times more likely in children with cerebral palsy (25.5%) compared with children having no known health problem (5.4%). The adjusted odds ratio for behavior problems of children with cerebral palsy without mental retardation was 4.9 and of children with mental retardation without cerebral palsy was 7.9. Specific behaviors that were most problematic for children with cerebral palsy were identified as dependency, headstrong, and hyperactive.

Cognitive profile in young Icelandic children with cerebral palsy

“…33,34 Edu cators may not expect academic underachievement in a child with relatively fluent language skills and often normal IQ, which in turn may delay accurate diagnosis and subsequent interventions.…”

Behavioral problems in children with motor and intellectual disabilities: Prevalence and associations with maladaptive personality and marital relationship

“…Accordingly, the types of behavioral problems in children with motor disabilities also varied. The most reported problems are anxiety (Hendriks et al, 2001;Van Handel, Swaab, De Vries, & Jongmans, 2010), attention problems (Peters et al, 1999;Sigurdardottir et al, 2010), social problems (Hinton, Nereo, Fee, & Cyrulnik, 2006) and hyperactivity (Brossard-Racine et al, 2012;McDermott et al, 1996;Parkes et al, 2008). However, the use of different questionnaires hampers the comparability of studies addressing the prevalence of different types of problem behavior.…”

Behavioral problems in children with cerebral palsy and mild intellectual disability

“…One of few studies in which the presence of behavioral problems in respondents with CP functioning on the level of intellectual disability was investigated is the study conducted by authors Vrijmoeth and colleagues (2012), but they did not include a control sample group. Other researchers had compared the incidence of behavioral problems in children with CP and children with ID aged 4 to 17 years (McDermott et al, 1996). Basing the analysis on parents' assessments, these researchers suggest that children with CP are at the highest risk for the occurrence of behavioral problems in the domain of stubbornness and dependency, whereas children with ID are at the greatest risk in the areas of anti-social behavior, anxiety, hyperactivity and peer conflicts.…”