The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta‐analysis
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 revie...
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| Veröffentlicht in: | Developmental medicine and child neurology 2018-01, Vol.60 (1), p.30-38 |
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| creator | Downs, Jenny Blackmore, Amanda Marie Epstein, Amy Skoss, Rachel Langdon, Katherine Jacoby, Peter Whitehouse, Andrew J O Leonard, Helen Rowe, Peter W Glasson, Emma J |
| description | 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.
Resumen
La prevalencia de trastornos y síntomas de salud mental en niños y adolescentes con parálisis cerebral: una revisión sistemática y meta‐ análisis
Objetivos
las condiciones de salud mental y sus problemas son reportados frecuentemente en niños y adolescentes con parálisis cerebral (PC). Se realizó una revisión sistemática para describir la prevalencia.
Metodos
se buscaron datos desde 1996 al 2016 en MEDLINE y PsyncINFO y se revisaron las listas de resúmenes seleccionados. Se incluyeron aquellos estudios que reportaron prevalencia en diagnósticos y síntomas de enfermedad mental en una población general de niños y/o adolescentes con PC. La prevalencia de la muestra de los síntomas de enfermedad mental se determinó mediante un meta‐análisis de forma aleatoria.
Resultados
De los 3158 estudios que se identificaron, 8 reunieron los criterios de inclusión. En un estudio los trastornos de sal |
| doi_str_mv | 10.1111/dmcn.13555 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1940057234</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1940057234</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3655-b075860f4e05d24623e679308da4fa0e75deba82a2cdcd1f2194dd5c07c891743</originalsourceid><addsrcrecordid>eNp9kctO3DAUhi1UBFNgwwNUXlaVArZj59JdNaVQicsG1tEZ-0Tjyk5SO8Mou74BPCNPgmcGWNYbL_x9v338E3LK2RlP69x43Z3xXCm1R2ZcFnVWlbL-RGaMcZHxQohD8jnGP4yxvFDygByKquZSSjUjT_dLpEPAR3DYaaR9Sz12Izi6RHDjkhob-2AwRAqdoXHyw9j7SG1H9dI6E7DbHoDpHUad1EjXNnkaAy5CyhnAxek7heTGET2MVtN0n8X1VvQ4wsu_Z-jATdHGY7LfJgFP3vYj8vDr4n5-lV3fXf6e_7jOdBpBZQtWqqpgrUSmjJCFyLEo65xVBmQLDEtlcAGVAKGNNrwVvJbGKM1KnUYvZX5Evu5yh9D_XWEcG2_T852DDvtVbBLPmCpFvkG_7VAd-hgDts0QrIcwNZw1mwKaTQHNtoAEf3nLXS08mg_0_ccTwHfA2jqc_hPV_LyZ3-5CXwEd65Q_</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1940057234</pqid></control><display><type>article</type><title>The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta‐analysis</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>Wiley Online Library (Open Access Collection)</source><creator>Downs, Jenny ; Blackmore, Amanda Marie ; Epstein, Amy ; Skoss, Rachel ; Langdon, Katherine ; Jacoby, Peter ; Whitehouse, Andrew J O ; Leonard, Helen ; Rowe, Peter W ; Glasson, Emma J</creator><creatorcontrib>Downs, Jenny ; Blackmore, Amanda Marie ; Epstein, Amy ; Skoss, Rachel ; Langdon, Katherine ; Jacoby, Peter ; Whitehouse, Andrew J O ; Leonard, Helen ; Rowe, Peter W ; Glasson, Emma J ; Cerebral Palsy Mental Health Group ; The Cerebral Palsy Mental Health Group</creatorcontrib><description>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.
Resumen
La prevalencia de trastornos y síntomas de salud mental en niños y adolescentes con parálisis cerebral: una revisión sistemática y meta‐ análisis
Objetivos
las condiciones de salud mental y sus problemas son reportados frecuentemente en niños y adolescentes con parálisis cerebral (PC). Se realizó una revisión sistemática para describir la prevalencia.
Metodos
se buscaron datos desde 1996 al 2016 en MEDLINE y PsyncINFO y se revisaron las listas de resúmenes seleccionados. Se incluyeron aquellos estudios que reportaron prevalencia en diagnósticos y síntomas de enfermedad mental en una población general de niños y/o adolescentes con PC. La prevalencia de la muestra de los síntomas de enfermedad mental se determinó mediante un meta‐análisis de forma aleatoria.
Resultados
De los 3158 estudios que se identificaron, 8 reunieron los criterios de inclusión. En un estudio los trastornos de salud mental fueron diagnosticados con la entrevista psiquiátrica, obteniendo una prevalencia de 57% (32 de los 56 niños). En los restantes 7 estudios (n= 1715 niños) usaron herramientas de pesquisa para enfermedad mental con cuestionarios a padres. La prevalencia de la muestra para los síntomas de condiciones mentales usando cuestionarios sobre fortalezas y dificultades (n=5 estudios) fue de 35% (intervalo de confianza del 95% [IC] 20‐62) y usando una lista de control de comportamientos del niño (n=2 estudios) fue de 28% (IC 95% 22‐36). Se caracterizó la evidencia con un nivel de sesgo moderado.
Interpretacion
Son necesarios más estudios para determinar la prevalencia de trastornos de salud mental. Los síntomas de enfermedades mentales son frecuentes y se debería incorporar evaluaciones de salud mental en la evaluación multidisciplinaria de niños con PC.
Resumo
Prevalência de sintomas e de transtornos de saúde mental em crianças e adolescentes com paralisia cerebral: revisão sistemática e metanálise
Objetivo
Transtornos de saúde mental são freqüentemente relatados em crianças e adolescentes com paralisia cerebral (PC). Foi realizada uma revisão sistemática para descrever sua prevalência.
Método
Foram pesquisadas as bases de dados MEDLINE e PsycINFO de 1996 a 2016, as listas das referências dos estudos selecionados foram revisadas. Estudos foram incluídos se relatassem prevalência pontual de diagnósticos ou de sintomas de transtornos de saúde mental em uma população geral de crianças e / ou adolescentes com PC. A prevalência comum para sintomas de saúde mental foi determinada usando uma meta‐análise de efeitos aleatórios.
Resultados
Dos 3158 estudos identificados, oito preencheram os critérios de inclusão. Transtornos de saúde mental foram diagnosticados por entrevista psiquiátrica em um estudo, com uma prevalência de 57% (32 de 56 crianças). Os sete estudos restantes (n = 1715 crianças) usaram ferramentas de rastreamento de saúde mental que utilizavam relato dos pais. A prevalência combinada de sintomas de saúde mental nos estudos que utilizaram o Strengths and Difficulties Questionnaire (n = 5 estudos) foi de 35% (intervalo de confiança de 95% [IC] 20‐61) e naqueles que usaram a Child Behavior Checklist (n = 2 estudos) foi de 28% (IC 95% 22‐36). A evidência foi caracterizada por um nível moderado de viés.
Interpretação
Mais estudos são necessários para verificar a prevalência de transtornos de saúde mental. Os sintomas da saúde mental são comuns e as avaliações de saúde mental devem ser incorporadas nas avaliações multidisciplinares para essas crianças.
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.
This article's has been translated into Spanish and Portuguese.
Follow the links from the to view the translations.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/dmcn.13555</identifier><identifier>PMID: 28914445</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; Cerebral Palsy - epidemiology ; Child ; Comorbidity ; Humans ; Intellectual Disability - epidemiology ; Mental Disorders - epidemiology</subject><ispartof>Developmental medicine and child neurology, 2018-01, Vol.60 (1), p.30-38</ispartof><rights>2017 Mac Keith Press</rights><rights>2017 Mac Keith Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3655-b075860f4e05d24623e679308da4fa0e75deba82a2cdcd1f2194dd5c07c891743</citedby><cites>FETCH-LOGICAL-c3655-b075860f4e05d24623e679308da4fa0e75deba82a2cdcd1f2194dd5c07c891743</cites><orcidid>0000-0002-5824-9402 ; 0000-0001-7358-9037</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdmcn.13555$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdmcn.13555$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,1434,27929,27930,45579,45580,46414,46838</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28914445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Downs, Jenny</creatorcontrib><creatorcontrib>Blackmore, Amanda Marie</creatorcontrib><creatorcontrib>Epstein, Amy</creatorcontrib><creatorcontrib>Skoss, Rachel</creatorcontrib><creatorcontrib>Langdon, Katherine</creatorcontrib><creatorcontrib>Jacoby, Peter</creatorcontrib><creatorcontrib>Whitehouse, Andrew J O</creatorcontrib><creatorcontrib>Leonard, Helen</creatorcontrib><creatorcontrib>Rowe, Peter W</creatorcontrib><creatorcontrib>Glasson, Emma J</creatorcontrib><creatorcontrib>Cerebral Palsy Mental Health Group</creatorcontrib><creatorcontrib>The Cerebral Palsy Mental Health Group</creatorcontrib><title>The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta‐analysis</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>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.
Resumen
La prevalencia de trastornos y síntomas de salud mental en niños y adolescentes con parálisis cerebral: una revisión sistemática y meta‐ análisis
Objetivos
las condiciones de salud mental y sus problemas son reportados frecuentemente en niños y adolescentes con parálisis cerebral (PC). Se realizó una revisión sistemática para describir la prevalencia.
Metodos
se buscaron datos desde 1996 al 2016 en MEDLINE y PsyncINFO y se revisaron las listas de resúmenes seleccionados. Se incluyeron aquellos estudios que reportaron prevalencia en diagnósticos y síntomas de enfermedad mental en una población general de niños y/o adolescentes con PC. La prevalencia de la muestra de los síntomas de enfermedad mental se determinó mediante un meta‐análisis de forma aleatoria.
Resultados
De los 3158 estudios que se identificaron, 8 reunieron los criterios de inclusión. En un estudio los trastornos de salud mental fueron diagnosticados con la entrevista psiquiátrica, obteniendo una prevalencia de 57% (32 de los 56 niños). En los restantes 7 estudios (n= 1715 niños) usaron herramientas de pesquisa para enfermedad mental con cuestionarios a padres. La prevalencia de la muestra para los síntomas de condiciones mentales usando cuestionarios sobre fortalezas y dificultades (n=5 estudios) fue de 35% (intervalo de confianza del 95% [IC] 20‐62) y usando una lista de control de comportamientos del niño (n=2 estudios) fue de 28% (IC 95% 22‐36). Se caracterizó la evidencia con un nivel de sesgo moderado.
Interpretacion
Son necesarios más estudios para determinar la prevalencia de trastornos de salud mental. Los síntomas de enfermedades mentales son frecuentes y se debería incorporar evaluaciones de salud mental en la evaluación multidisciplinaria de niños con PC.
Resumo
Prevalência de sintomas e de transtornos de saúde mental em crianças e adolescentes com paralisia cerebral: revisão sistemática e metanálise
Objetivo
Transtornos de saúde mental são freqüentemente relatados em crianças e adolescentes com paralisia cerebral (PC). Foi realizada uma revisão sistemática para descrever sua prevalência.
Método
Foram pesquisadas as bases de dados MEDLINE e PsycINFO de 1996 a 2016, as listas das referências dos estudos selecionados foram revisadas. Estudos foram incluídos se relatassem prevalência pontual de diagnósticos ou de sintomas de transtornos de saúde mental em uma população geral de crianças e / ou adolescentes com PC. A prevalência comum para sintomas de saúde mental foi determinada usando uma meta‐análise de efeitos aleatórios.
Resultados
Dos 3158 estudos identificados, oito preencheram os critérios de inclusão. Transtornos de saúde mental foram diagnosticados por entrevista psiquiátrica em um estudo, com uma prevalência de 57% (32 de 56 crianças). Os sete estudos restantes (n = 1715 crianças) usaram ferramentas de rastreamento de saúde mental que utilizavam relato dos pais. A prevalência combinada de sintomas de saúde mental nos estudos que utilizaram o Strengths and Difficulties Questionnaire (n = 5 estudos) foi de 35% (intervalo de confiança de 95% [IC] 20‐61) e naqueles que usaram a Child Behavior Checklist (n = 2 estudos) foi de 28% (IC 95% 22‐36). A evidência foi caracterizada por um nível moderado de viés.
Interpretação
Mais estudos são necessários para verificar a prevalência de transtornos de saúde mental. Os sintomas da saúde mental são comuns e as avaliações de saúde mental devem ser incorporadas nas avaliações multidisciplinares para essas crianças.
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.
This article's has been translated into Spanish and Portuguese.
Follow the links from the to view the translations.</description><subject>Adolescent</subject><subject>Cerebral Palsy - epidemiology</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Humans</subject><subject>Intellectual Disability - epidemiology</subject><subject>Mental Disorders - epidemiology</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctO3DAUhi1UBFNgwwNUXlaVArZj59JdNaVQicsG1tEZ-0Tjyk5SO8Mou74BPCNPgmcGWNYbL_x9v338E3LK2RlP69x43Z3xXCm1R2ZcFnVWlbL-RGaMcZHxQohD8jnGP4yxvFDygByKquZSSjUjT_dLpEPAR3DYaaR9Sz12Izi6RHDjkhob-2AwRAqdoXHyw9j7SG1H9dI6E7DbHoDpHUad1EjXNnkaAy5CyhnAxek7heTGET2MVtN0n8X1VvQ4wsu_Z-jATdHGY7LfJgFP3vYj8vDr4n5-lV3fXf6e_7jOdBpBZQtWqqpgrUSmjJCFyLEo65xVBmQLDEtlcAGVAKGNNrwVvJbGKM1KnUYvZX5Evu5yh9D_XWEcG2_T852DDvtVbBLPmCpFvkG_7VAd-hgDts0QrIcwNZw1mwKaTQHNtoAEf3nLXS08mg_0_ccTwHfA2jqc_hPV_LyZ3-5CXwEd65Q_</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Downs, Jenny</creator><creator>Blackmore, Amanda Marie</creator><creator>Epstein, Amy</creator><creator>Skoss, Rachel</creator><creator>Langdon, Katherine</creator><creator>Jacoby, Peter</creator><creator>Whitehouse, Andrew J O</creator><creator>Leonard, Helen</creator><creator>Rowe, Peter W</creator><creator>Glasson, Emma J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5824-9402</orcidid><orcidid>https://orcid.org/0000-0001-7358-9037</orcidid></search><sort><creationdate>201801</creationdate><title>The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta‐analysis</title><author>Downs, Jenny ; Blackmore, Amanda Marie ; Epstein, Amy ; Skoss, Rachel ; Langdon, Katherine ; Jacoby, Peter ; Whitehouse, Andrew J O ; Leonard, Helen ; Rowe, Peter W ; Glasson, Emma J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3655-b075860f4e05d24623e679308da4fa0e75deba82a2cdcd1f2194dd5c07c891743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Cerebral Palsy - epidemiology</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Humans</topic><topic>Intellectual Disability - epidemiology</topic><topic>Mental Disorders - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Downs, Jenny</creatorcontrib><creatorcontrib>Blackmore, Amanda Marie</creatorcontrib><creatorcontrib>Epstein, Amy</creatorcontrib><creatorcontrib>Skoss, Rachel</creatorcontrib><creatorcontrib>Langdon, Katherine</creatorcontrib><creatorcontrib>Jacoby, Peter</creatorcontrib><creatorcontrib>Whitehouse, Andrew J O</creatorcontrib><creatorcontrib>Leonard, Helen</creatorcontrib><creatorcontrib>Rowe, Peter W</creatorcontrib><creatorcontrib>Glasson, Emma J</creatorcontrib><creatorcontrib>Cerebral Palsy Mental Health Group</creatorcontrib><creatorcontrib>The Cerebral Palsy Mental Health Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Downs, Jenny</au><au>Blackmore, Amanda Marie</au><au>Epstein, Amy</au><au>Skoss, Rachel</au><au>Langdon, Katherine</au><au>Jacoby, Peter</au><au>Whitehouse, Andrew J O</au><au>Leonard, Helen</au><au>Rowe, Peter W</au><au>Glasson, Emma J</au><aucorp>Cerebral Palsy Mental Health Group</aucorp><aucorp>The Cerebral Palsy Mental Health Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta‐analysis</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2018-01</date><risdate>2018</risdate><volume>60</volume><issue>1</issue><spage>30</spage><epage>38</epage><pages>30-38</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><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.
Resumen
La prevalencia de trastornos y síntomas de salud mental en niños y adolescentes con parálisis cerebral: una revisión sistemática y meta‐ análisis
Objetivos
las condiciones de salud mental y sus problemas son reportados frecuentemente en niños y adolescentes con parálisis cerebral (PC). Se realizó una revisión sistemática para describir la prevalencia.
Metodos
se buscaron datos desde 1996 al 2016 en MEDLINE y PsyncINFO y se revisaron las listas de resúmenes seleccionados. Se incluyeron aquellos estudios que reportaron prevalencia en diagnósticos y síntomas de enfermedad mental en una población general de niños y/o adolescentes con PC. La prevalencia de la muestra de los síntomas de enfermedad mental se determinó mediante un meta‐análisis de forma aleatoria.
Resultados
De los 3158 estudios que se identificaron, 8 reunieron los criterios de inclusión. En un estudio los trastornos de salud mental fueron diagnosticados con la entrevista psiquiátrica, obteniendo una prevalencia de 57% (32 de los 56 niños). En los restantes 7 estudios (n= 1715 niños) usaron herramientas de pesquisa para enfermedad mental con cuestionarios a padres. La prevalencia de la muestra para los síntomas de condiciones mentales usando cuestionarios sobre fortalezas y dificultades (n=5 estudios) fue de 35% (intervalo de confianza del 95% [IC] 20‐62) y usando una lista de control de comportamientos del niño (n=2 estudios) fue de 28% (IC 95% 22‐36). Se caracterizó la evidencia con un nivel de sesgo moderado.
Interpretacion
Son necesarios más estudios para determinar la prevalencia de trastornos de salud mental. Los síntomas de enfermedades mentales son frecuentes y se debería incorporar evaluaciones de salud mental en la evaluación multidisciplinaria de niños con PC.
Resumo
Prevalência de sintomas e de transtornos de saúde mental em crianças e adolescentes com paralisia cerebral: revisão sistemática e metanálise
Objetivo
Transtornos de saúde mental são freqüentemente relatados em crianças e adolescentes com paralisia cerebral (PC). Foi realizada uma revisão sistemática para descrever sua prevalência.
Método
Foram pesquisadas as bases de dados MEDLINE e PsycINFO de 1996 a 2016, as listas das referências dos estudos selecionados foram revisadas. Estudos foram incluídos se relatassem prevalência pontual de diagnósticos ou de sintomas de transtornos de saúde mental em uma população geral de crianças e / ou adolescentes com PC. A prevalência comum para sintomas de saúde mental foi determinada usando uma meta‐análise de efeitos aleatórios.
Resultados
Dos 3158 estudos identificados, oito preencheram os critérios de inclusão. Transtornos de saúde mental foram diagnosticados por entrevista psiquiátrica em um estudo, com uma prevalência de 57% (32 de 56 crianças). Os sete estudos restantes (n = 1715 crianças) usaram ferramentas de rastreamento de saúde mental que utilizavam relato dos pais. A prevalência combinada de sintomas de saúde mental nos estudos que utilizaram o Strengths and Difficulties Questionnaire (n = 5 estudos) foi de 35% (intervalo de confiança de 95% [IC] 20‐61) e naqueles que usaram a Child Behavior Checklist (n = 2 estudos) foi de 28% (IC 95% 22‐36). A evidência foi caracterizada por um nível moderado de viés.
Interpretação
Mais estudos são necessários para verificar a prevalência de transtornos de saúde mental. Os sintomas da saúde mental são comuns e as avaliações de saúde mental devem ser incorporadas nas avaliações multidisciplinares para essas crianças.
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.
This article's has been translated into Spanish and Portuguese.
Follow the links from the to view the translations.</abstract><cop>England</cop><pmid>28914445</pmid><doi>10.1111/dmcn.13555</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5824-9402</orcidid><orcidid>https://orcid.org/0000-0001-7358-9037</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-1622 |
| ispartof | Developmental medicine and child neurology, 2018-01, Vol.60 (1), p.30-38 |
| issn | 0012-1622 1469-8749 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1940057234 |
| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; Wiley Online Library (Open Access Collection) |
| subjects | Adolescent Cerebral Palsy - epidemiology Child Comorbidity Humans Intellectual Disability - epidemiology Mental Disorders - epidemiology |
| title | The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta‐analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-13T14%3A39%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20prevalence%20of%20mental%20health%20disorders%20and%20symptoms%20in%20children%20and%20adolescents%20with%20cerebral%20palsy:%20a%20systematic%20review%20and%20meta%E2%80%90analysis&rft.jtitle=Developmental%20medicine%20and%20child%20neurology&rft.au=Downs,%20Jenny&rft.aucorp=Cerebral%20Palsy%20Mental%20Health%20Group&rft.date=2018-01&rft.volume=60&rft.issue=1&rft.spage=30&rft.epage=38&rft.pages=30-38&rft.issn=0012-1622&rft.eissn=1469-8749&rft_id=info:doi/10.1111/dmcn.13555&rft_dat=%3Cproquest_cross%3E1940057234%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1940057234&rft_id=info:pmid/28914445&rfr_iscdi=true |