Jenny Downs1,2, Amanda Marie Blackmore3, Amy Epstein1, Rachel Skoss1, Katherine Langdon4, Peter Jacoby1, Andrew J O Whitehouse1, Helen Leonard1, Peter W Rowe5,6, Emma J Glasson1. 1. Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia. 2. School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia. 3. Therapy and Health Services, Ability Centre, Mount Lawley, WA, Australia. 4. Paediatric Rehabilitation, Princess Margaret Hospital for Children, Perth, WA, Australia. 5. Department of Neurology, Princess Margaret Hospital for Children, Perth, WA, Australia. 6. Department of Health, Child Development Service, Perth, WA, Australia.
Abstract
AIM: Mental health conditions and problems are often reported in children and adolescents with cerebral palsy (CP). A systematic review was undertaken to describe their prevalence. METHOD: MEDLINE and PsycINFO databases from 1996 to 2016 were searched and reference lists of selected studies were reviewed. Studies were included if they reported point prevalence of mental health diagnoses or symptoms in a general population of children and/or adolescents with CP. Pooled prevalence for mental health symptoms was determined using a random effects meta-analysis. RESULTS: Of the 3158 studies identified, eight met the inclusion criteria. Mental health disorders were diagnosed by psychiatric interview in one study, giving a prevalence of 57% (32 out of 56 children). The remaining seven studies (n=1715 children) used parent-report mental health screening tools. The pooled prevalence for mental health symptoms using the Strengths and Difficulties Questionnaire (n=5 studies) was 35% (95% confidence interval [CI] 20-61) and using the Child Behavior Checklist (n=2 studies) was 28% (95% CI 22-36). Evidence was characterized by a moderate level of bias. INTERPRETATION: More studies are needed to ascertain the prevalence of mental health disorders. Mental health symptoms are common and mental health evaluations should be incorporated into multidisciplinary assessments for these children. WHAT THIS PAPER ADDS: Children with cerebral palsy and intellectual disability have a higher risk of mental health symptoms. The prevalence of mental health symptoms for age and severity groups is unclear.
AIM: Mental health conditions and problems are often reported in children and adolescents with cerebral palsy (CP). A systematic review was undertaken to describe their prevalence. METHOD: MEDLINE and PsycINFO databases from 1996 to 2016 were searched and reference lists of selected studies were reviewed. Studies were included if they reported point prevalence of mental health diagnoses or symptoms in a general population of children and/or adolescents with CP. Pooled prevalence for mental health symptoms was determined using a random effects meta-analysis. RESULTS: Of the 3158 studies identified, eight met the inclusion criteria. Mental health disorders were diagnosed by psychiatric interview in one study, giving a prevalence of 57% (32 out of 56 children). The remaining seven studies (n=1715 children) used parent-report mental health screening tools. The pooled prevalence for mental health symptoms using the Strengths and Difficulties Questionnaire (n=5 studies) was 35% (95% confidence interval [CI] 20-61) and using the Child Behavior Checklist (n=2 studies) was 28% (95% CI 22-36). Evidence was characterized by a moderate level of bias. INTERPRETATION: More studies are needed to ascertain the prevalence of mental health disorders. Mental health symptoms are common and mental health evaluations should be incorporated into multidisciplinary assessments for these children. WHAT THIS PAPER ADDS: Children with cerebral palsy and intellectual disability have a higher risk of mental health symptoms. The prevalence of mental health symptoms for age and severity groups is unclear.
Authors: Daniel G Whitney; Danielle N Shapiro; Seth A Warschausky; Edward A Hurvitz; Mark D Peterson Journal: Ann Epidemiol Date: 2018-11-15 Impact factor: 3.797
Authors: Catherine R Hoyt; Sarah K Sherman; Shelby K Brown; Dillan J Newbold; Ryland L Miller; Andrew N Van; Joshua S Shimony; Mario Ortega; Annie L Nguyen; Bradley L Schlaggar; Nico Uf Dosenbach Journal: Rehabil Process Outcome Date: 2021-04-27
Authors: Ellen N Sutter; Linda Smith Francis; Sunday M Francis; Daniel H Lench; Samuel T Nemanich; Linda E Krach; Theresa Sukal-Moulton; Bernadette T Gillick Journal: Am J Phys Med Rehabil Date: 2021-09-01 Impact factor: 3.412