Correlates of Mental Health in Adolescents and Young Adults with Cerebral Palsy: A Cross-Sectional Analysis of the MyStory Project.

Autor: Gorter JW; Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada.; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., Fehlings D; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada.; Department of Paediatrics, Holland Bloorview Kids Rehabilitation Hospital, University of Toronto, Toronto, ON M4G 1R8, Canada., Ferro MA; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada.; School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada., Gonzalez A; Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L8S 1C7, Canada., Green AD; Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada.; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., Hopmans SN; Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada.; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., McCauley D; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., Palisano RJ; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., Rosenbaum P; Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada.; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., Speller B; Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada.; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8S 1C7, Canada., On Behalf Of The MyStory Study Group
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 May 29; Vol. 11 (11). Date of Electronic Publication: 2022 May 29.
DOI: 10.3390/jcm11113060
Abstrakt: Background: It is important to gain a better understanding of mental health issues in adolescents and young adults (AYA) with cerebral palsy (CP). In this cross-sectional study, we explore if demographics, social and clinical questionnaire scores, and cortisol levels in hair samples from AYA with CP are associated with higher scores on anxiety and/or depression questionnaires.
Methods: Data from a community-based sample of 63 AYA with CP (30 females; ages 16 to 30 (median age of 25)) were analyzed. Forty-one (65%) participants (20 females) provided a hair sample. Outcomes were assessed using bivariate linear regression analyses and hierarchical regression analyses.
Results: Clinical depressive and anxiety symptoms were present in 33% and 31% of participants, respectively. Family functioning, B = 9.62 (95%CI: 5.49-13.74), fatigue, B = 0.15 (95%CI: 0.05-0.25), and pain, B = 1.53 (95%CI: 0.48-2.58) were statistically significant predictors of depressive symptoms. Fatigue, B = 0.24 (95%CI: 0.12-0.35) and pain, B = 1.63 (95%CI: 0.33-2.94) were statistically significant predictors of anxiety. Cortisol levels from hair samples were not found to be associated with depressive symptoms or anxiety.
Conclusions: A high prevalence of mental health problems and co-occurring physical problems was found in AYA with CP. Integrating mental support into regular care for AYA with CP is recommended.
Databáze: MEDLINE
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