One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study

Påhlman, M., Gillberg, C. and Himmelmann, K. (2019) One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study. Acta Paediatrica, 108(11), pp. 2048-2055. (doi: 10.1111/apa.14844) (PMID:31077607)

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Abstract

AIM:To describe motor function and associated impairments, particularly autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD), in school-aged children with cerebral palsy (CP). METHODS:Population-based study of all children with CP born 1999-2006 from the county of Västra Götaland, Sweden; 264 children (141 males, 123 females). Information was obtained from the CP Register of western Sweden (data collected at 4-8 years of age) and all medical records at 10-17 years of age. RESULTS:Cerebral palsy was spastic in 76%, dyskinetic in 17% and ataxic in 7% of all children. Sixty-three per cent were independent walkers. Associated impairments were present in 75%. Vision was impaired in 19%, hearing in 8% and speech in 54%. Intellectual disability (ID) was present in 53% and epilepsy in 41%. ID had increased from 42% to 53% since preschool-age. Neuropsychiatric impairments were present in 32% of the children; ASD in 18%; and ADHD in 21%. All impairments, except for ASD and ADHD, increased with more severe motor impairment. CONCLUSION:Three in four school-aged children with CP have associated impairments, underscoring the need to broadly assess every child. The high rate of ASD and ADHD points to the importance of in-depth studies of such impairments in CP.

Item Type:Articles
Additional Information:This study was supported by grants from the Bertha and Felix Neubergh Memorial Foundation, the Gothenburg Society of Medicine, the Linnea and Josef Carlsson Foundation, the Petter Silfverskiöld Memorial Foundation, the Queen Silvia Children´s Hospital Research Foundations, the Queen Silvia Jubilee Foundation, the RBU Research Foundation, the Sahlgrenska University Hospital Foundations and the Foundation Sunnerdahl Disability Fund.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Gillberg, Professor Christopher
Authors: Påhlman, M., Gillberg, C., and Himmelmann, K.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:Acta Paediatrica
Publisher:Wiley
ISSN:0803-5253
ISSN (Online):1651-2227
Published Online:13 June 2019

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