Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors
Aim The objective of this longitudinal study was to describe the course of social functioning and communication in children with cerebral palsy (CP) over a 3‐year period, its difference with the normative course, and its relationship with disease characteristics and personal and environmental facto...
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| Veröffentlicht in: | Developmental medicine and child neurology 2010-05, Vol.52 (5), p.441-447 |
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| creator | VOORMAN, JEANINE M DALLMEIJER, ANNET J VAN ECK, MIRJAM SCHUENGEL, CARLO BECHER, JULES G |
| description | Aim The objective of this longitudinal study was to describe the course of social functioning and communication in children with cerebral palsy (CP) over a 3‐year period, its difference with the normative course, and its relationship with disease characteristics and personal and environmental factors.
Method Participants in this study were 110 children with CP (70 males, 40 females) with a mean age of 11 years and 3 months (SD 1y 8mo). Social functioning and communication were measured with the Vineland Adaptive Behavior Scales. Comparisons were made with normative data; data were analysed with generalized estimating equations. According to the Gross Motor Function Classification System (GMFCS), 50 of the 110 children were categorized as GMFCS level I, 16 as level II, 13 as level III, 13 as level IV, and 18 as level V.
Results The course of social functioning over a 3‐year period showed an increase in restrictions in children with CP (p |
| doi_str_mv | 10.1111/j.1469-8749.2009.03399.x |
| format | Article |
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Method Participants in this study were 110 children with CP (70 males, 40 females) with a mean age of 11 years and 3 months (SD 1y 8mo). Social functioning and communication were measured with the Vineland Adaptive Behavior Scales. Comparisons were made with normative data; data were analysed with generalized estimating equations. According to the Gross Motor Function Classification System (GMFCS), 50 of the 110 children were categorized as GMFCS level I, 16 as level II, 13 as level III, 13 as level IV, and 18 as level V.
Results The course of social functioning over a 3‐year period showed an increase in restrictions in children with CP (p<0.001). Restrictions in communication increased more in children with the most severe forms of CP (p<0.001). In addition to disease characteristics (GMFCS category, presence of epilepsy, and speech problems), personal factors (externalizing behaviour problems) and environmental factors (having no siblings, low parental level of education, and parental stress) were associated with greater restrictions in social functioning and communication.
Interpretation The results indicate that it is important to focus not only on the medical treatment of children with CP, but also on their behavioural problems and social circumstances, and to support the parents so that social functioning and communication in these children may be improved.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/j.1469-8749.2009.03399.x</identifier><identifier>PMID: 19811523</identifier><identifier>CODEN: DMCNAW</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological ; Adjustment (to Environment) ; Adolescent ; Adolescents ; Behavior Problems ; Cerebral Palsy ; Cerebral Palsy - complications ; Cerebral Palsy - physiopathology ; Cerebral Palsy - psychology ; Child ; Children ; Classification ; Communication ; Communication Skills ; Comparative Analysis ; Diseases ; Female ; Follow-Up Studies ; Humans ; Internal-External Control ; Interpersonal Competence ; Longitudinal Studies ; Male ; Medical Services ; Parent Child Relationship ; Personality Assessment ; Raw Scores ; Risk Factors ; Secondary Education ; Severity of Illness Index ; Siblings ; Social Behavior ; Social Environment ; Speech ; Vineland Adaptive Behavior Scales</subject><ispartof>Developmental medicine and child neurology, 2010-05, Vol.52 (5), p.441-447</ispartof><rights>The Authors. Journal compilation © Mac Keith Press 2009</rights><rights>Copyright Mac Keith Press May 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4179-f51ea57f4eb19edba621b71cfad7801628bdc2a2ba244446a7aabdd335f00d683</citedby><cites>FETCH-LOGICAL-c4179-f51ea57f4eb19edba621b71cfad7801628bdc2a2ba244446a7aabdd335f00d683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1469-8749.2009.03399.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1469-8749.2009.03399.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ879915$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19811523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VOORMAN, JEANINE M</creatorcontrib><creatorcontrib>DALLMEIJER, ANNET J</creatorcontrib><creatorcontrib>VAN ECK, MIRJAM</creatorcontrib><creatorcontrib>SCHUENGEL, CARLO</creatorcontrib><creatorcontrib>BECHER, JULES G</creatorcontrib><title>Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>Aim The objective of this longitudinal study was to describe the course of social functioning and communication in children with cerebral palsy (CP) over a 3‐year period, its difference with the normative course, and its relationship with disease characteristics and personal and environmental factors.
Method Participants in this study were 110 children with CP (70 males, 40 females) with a mean age of 11 years and 3 months (SD 1y 8mo). Social functioning and communication were measured with the Vineland Adaptive Behavior Scales. Comparisons were made with normative data; data were analysed with generalized estimating equations. According to the Gross Motor Function Classification System (GMFCS), 50 of the 110 children were categorized as GMFCS level I, 16 as level II, 13 as level III, 13 as level IV, and 18 as level V.
Results The course of social functioning over a 3‐year period showed an increase in restrictions in children with CP (p<0.001). Restrictions in communication increased more in children with the most severe forms of CP (p<0.001). In addition to disease characteristics (GMFCS category, presence of epilepsy, and speech problems), personal factors (externalizing behaviour problems) and environmental factors (having no siblings, low parental level of education, and parental stress) were associated with greater restrictions in social functioning and communication.
Interpretation The results indicate that it is important to focus not only on the medical treatment of children with CP, but also on their behavioural problems and social circumstances, and to support the parents so that social functioning and communication in these children may be improved.</description><subject>Adaptation, Psychological</subject><subject>Adjustment (to Environment)</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Behavior Problems</subject><subject>Cerebral Palsy</subject><subject>Cerebral Palsy - complications</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Cerebral Palsy - psychology</subject><subject>Child</subject><subject>Children</subject><subject>Classification</subject><subject>Communication</subject><subject>Communication Skills</subject><subject>Comparative Analysis</subject><subject>Diseases</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Interpersonal Competence</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical Services</subject><subject>Parent Child Relationship</subject><subject>Personality Assessment</subject><subject>Raw Scores</subject><subject>Risk Factors</subject><subject>Secondary Education</subject><subject>Severity of Illness Index</subject><subject>Siblings</subject><subject>Social Behavior</subject><subject>Social Environment</subject><subject>Speech</subject><subject>Vineland Adaptive Behavior Scales</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkctu1DAYhS0EokPhDRCy2LBK8CU3s0BCQ7lUBRbA2nLsP9SjxJ7aCe08SN8Xe2ZUpK7qTeyc75zk90EIU1LStN5uSlo1oujaSpSMEFESzoUobx6h1Z3wGK0IoaygDWMn6FmMG0IIb-rqKTqhoqO0ZnyFbn96bdWIh8Xp2Xpn3R-snMHaT9PirFb5JbYO60s7mgAOX9v5EmsI0Ifk26ox7t5hFWPO2cN7wNgIKkKyqaD0DMHG2eq4z95CiN4lcz6A-2uDdxO4Of9GYn2Iz9GTIQXDi-PzFP3-dPZr_aW4-PH56_rDRaEr2opiqCmouh0q6KkA06uG0b6lelCm7UgavOuNZor1ilVpNapVqjeG83ogxDQdP0VvDrnb4K8WiLOcbNQwjsqBX6JsOacNF3WTyNf3yI1fQhoiSpp0wllNEtQdIB18jAEGuQ12UmEnKZG5OLmRuR-Z-5G5OLkvTt4k66tj_tJPYP4bj00l4OUBSFep7-Sz864VgtZJfn-Qr-0Iuwd_V378tv6et_wfsMG0uw</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>VOORMAN, JEANINE M</creator><creator>DALLMEIJER, ANNET J</creator><creator>VAN ECK, MIRJAM</creator><creator>SCHUENGEL, CARLO</creator><creator>BECHER, JULES G</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Mac Keith Press</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><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>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201005</creationdate><title>Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors</title><author>VOORMAN, JEANINE M ; DALLMEIJER, ANNET J ; VAN ECK, MIRJAM ; SCHUENGEL, CARLO ; BECHER, JULES G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4179-f51ea57f4eb19edba621b71cfad7801628bdc2a2ba244446a7aabdd335f00d683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adaptation, Psychological</topic><topic>Adjustment (to Environment)</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Behavior Problems</topic><topic>Cerebral Palsy</topic><topic>Cerebral Palsy - complications</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Cerebral Palsy - psychology</topic><topic>Child</topic><topic>Children</topic><topic>Classification</topic><topic>Communication</topic><topic>Communication Skills</topic><topic>Comparative Analysis</topic><topic>Diseases</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Internal-External Control</topic><topic>Interpersonal Competence</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical Services</topic><topic>Parent Child Relationship</topic><topic>Personality Assessment</topic><topic>Raw Scores</topic><topic>Risk Factors</topic><topic>Secondary Education</topic><topic>Severity of Illness Index</topic><topic>Siblings</topic><topic>Social Behavior</topic><topic>Social Environment</topic><topic>Speech</topic><topic>Vineland Adaptive Behavior Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VOORMAN, JEANINE M</creatorcontrib><creatorcontrib>DALLMEIJER, ANNET J</creatorcontrib><creatorcontrib>VAN ECK, MIRJAM</creatorcontrib><creatorcontrib>SCHUENGEL, CARLO</creatorcontrib><creatorcontrib>BECHER, JULES G</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>ProQuest - 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Academic</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VOORMAN, JEANINE M</au><au>DALLMEIJER, ANNET J</au><au>VAN ECK, MIRJAM</au><au>SCHUENGEL, CARLO</au><au>BECHER, JULES G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ879915</ericid><atitle>Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2010-05</date><risdate>2010</risdate><volume>52</volume><issue>5</issue><spage>441</spage><epage>447</epage><pages>441-447</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><coden>DMCNAW</coden><abstract>Aim The objective of this longitudinal study was to describe the course of social functioning and communication in children with cerebral palsy (CP) over a 3‐year period, its difference with the normative course, and its relationship with disease characteristics and personal and environmental factors.
Method Participants in this study were 110 children with CP (70 males, 40 females) with a mean age of 11 years and 3 months (SD 1y 8mo). Social functioning and communication were measured with the Vineland Adaptive Behavior Scales. Comparisons were made with normative data; data were analysed with generalized estimating equations. According to the Gross Motor Function Classification System (GMFCS), 50 of the 110 children were categorized as GMFCS level I, 16 as level II, 13 as level III, 13 as level IV, and 18 as level V.
Results The course of social functioning over a 3‐year period showed an increase in restrictions in children with CP (p<0.001). Restrictions in communication increased more in children with the most severe forms of CP (p<0.001). In addition to disease characteristics (GMFCS category, presence of epilepsy, and speech problems), personal factors (externalizing behaviour problems) and environmental factors (having no siblings, low parental level of education, and parental stress) were associated with greater restrictions in social functioning and communication.
Interpretation The results indicate that it is important to focus not only on the medical treatment of children with CP, but also on their behavioural problems and social circumstances, and to support the parents so that social functioning and communication in these children may be improved.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19811523</pmid><doi>10.1111/j.1469-8749.2009.03399.x</doi><tpages>7</tpages></addata></record> |
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| ispartof | Developmental medicine and child neurology, 2010-05, Vol.52 (5), p.441-447 |
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| subjects | Adaptation, Psychological Adjustment (to Environment) Adolescent Adolescents Behavior Problems Cerebral Palsy Cerebral Palsy - complications Cerebral Palsy - physiopathology Cerebral Palsy - psychology Child Children Classification Communication Communication Skills Comparative Analysis Diseases Female Follow-Up Studies Humans Internal-External Control Interpersonal Competence Longitudinal Studies Male Medical Services Parent Child Relationship Personality Assessment Raw Scores Risk Factors Secondary Education Severity of Illness Index Siblings Social Behavior Social Environment Speech Vineland Adaptive Behavior Scales |
| title | Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors |
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