ArticleDevelopmental medicine and child neurology2019
Mental health disorders and physical risk factors in children with cerebral palsy: a cross-sectional study.
Article in Developmental medicine and child neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Diagnosis-Specific Links Between Physical Activity and Sleep Duration in Youth with Disabilities: A Systematic Review with Quantitative Synthesis.International journal of environmental research and public health · 2026Pooled it
- Assessment of Sport and Physical Recreation Participation for Children and Youth with Disabilities: A Systematic Review.International journal of environmental research and public health · 2025Pooled it
- Trial
- Mental health difficulties in cerebral palsy: A qualitative study of young people's and parents' perspectives.Developmental medicine and child neurology · 2026Article
- Vulnerability and Pediatric Pain.Paediatric & neonatal pain · 2026Article
- The prevalence of mental health difficulties and mental disorders among children with cerebral palsy.BMC psychiatry · 2026Article
- A core outcome set to assess chronic pain interference and impact on emotional functioning for children and young people with cerebral palsy.Developmental medicine and child neurology · 2025Article
- The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research.Journal of clinical medicine · 2025Review
- Beyond the Label: Antipsychotic Prescribing Practices at a Paediatric Neurodisability Service in Australia.Child: care, health and development · 2025Article
- Mental Health Diagnoses Risk Among Children and Young Adults With Cerebral Palsy, Chronic Conditions, or Typical Development.JAMA network open · 2024Article
- Chronic pain in children and young people with cerebral palsy: a narrative review of challenges, advances, and future directions.BMC medicine · 2024Review
- Muscle power is associated with higher levels of walking capacity and self-reported gait performance and physical activity in individuals with cerebral palsy.Frontiers in physiology · 2024Article
- Population- and individual-level trajectories of opioid prescription patterns among adults with cerebral palsy: a retrospective cohort study.International journal of clinical pharmacy · 2023Article
- Mental health problems among transition-aged youth with physical disabilities: an initial evaluation.Frontiers in rehabilitation sciences · 2023Article
- Preventive dental care utilization for children with special healthcare needs including the COVID-19 pandemic, national survey of children's health, 2020.PLOS global public health · 2023Article
- Trajectories of medication use and polypharmacy among children with cerebral palsy.Journal of managed care & specialty pharmacy · 2023Article
- Article
- Estimation of Gross Motor Functions in Children with Cerebral Palsy Using Zebris FDM-T Treadmill.Journal of clinical medicine · 2022Article
- Psychiatric symptoms in adult patients with cerebral palsy: A cohort study.Frontiers in neurology · 2022Article
- The association between physical activity and mental health in children with special educational needs: A systematic review.Preventive medicine reports · 2021Review
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3 authors.
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Abstract
aimTo examine the prevalence of mental health disorders among children with and without cerebral palsy (CP), and to examine how physical risk factors in children with CP might mitigate any elevated risk of mental health disorders in this population.
methodChildren from 6 years to 17 years of age with (n=111) and without (n=29 909) CP from the 2016 National Survey of Children's Health were included in this cross-sectional study. Mental health disorders included depression, anxiety, behavior/conduct problems, and attention deficit disorder/attention-deficit/hyperactivity disorder (ADHD). Physical risk factors included physical activity (number of active days ≥60min), sleep duration, and pain.
resultsAdjusting for sociodemographics, children with CP had higher odds of mental health disorders (odds ratio [OR]=2.7-7.1, p<0.05) except for attention deficit disorder/ADHD (OR=2.5; 95% confidence interval [CI]=0.9-7.1). Further adjusting for physical factors, the odds of depression were no longer increased (i.e. attenuated) in children with CP (OR=1.0; 95% CI=0.3-3.3); however, the odds of anxiety (OR=3.8; 95% CI=1.9-7.8) and behavior/conduct problems (OR=3.8; 95% CI=1.3-11.1) remained elevated. Assessed individually, low physical activity and pain attenuated the odds of depression in children with CP (OR=1.9; 95% CI=0.7-5.3; OR=1.4; 95% CI=0.6-3.8 respectively).
interpretationChildren with CP have an elevated prevalence of mental health disorders even after accounting for physical risk factors. Low physical activity and pain partially accounts for the association between CP and depression. WHAT THIS PAPER ADDS: Children with cerebral palsy (CP) have an elevated risk of developing mental health disorders. Physical factors do not fully account for higher mental health disorder prevalence. Physical activity partially accounts for the relationship between CP and depression. Pain partially accounts for the relationship between CP and depression.
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