Behavioural Problems in School Age Children with Cerebral Palsy
Abstract
Background Although behavioural problems are frequent in children with Cerebral Palsy (CP), the exact nature of these difficulties and their relationship with intrinsic or extrinsic factors are just beginning to be explored.Aim To describe and characterize behavioural problems in children with CP and to determine the nature of any relationships with child and family characteristics.Methods In this cross-sectional study, children with CP between 6 and 12 years of age were recruited. Children were assessed using the Leiter Intelligence Test, the Gross Motor Function Measure, the Strengths and Difficulties Questionnaire (SDQ), the Vineland Adaptive Behavior Scales and questionnaires on demographic factors. Parents' level of stress was measured with the Parenting Stress Index.Results Seventy-six parents completed the SDQ. Using the Total Difficulties Scores, 39.4% of the sample scored in the borderline to clinically abnormal range. Peer problems were the most common (55.3%). High parental stress was consistently associated with behavioural difficulties across all domains of the SDQ. Not surprisingly, better socialization skills and a lower parental stress were correlated with more positive behaviours.Conclusion Behavioural difficulties are common in children with CP and appear not to be associated with socio-demographic variables and physical and cognitive characteristics. These difficulties are an important correlate of parental distress. This study emphasizes the need to recognize and address behavioural difficulties that may arise so as to optimize the health and well-being of children with CP and their families.
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Previous reports of behavior difficulties in children with CP have been high, with 39.4% of parents reporting behavioral concerns in the borderline to abnormal range.
“Previous reports of behavior difficulties in children with CP have been high, with 39.4% of parents reporting behavioral concerns in the borderline to abnormal range [58].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [58]
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- Authors
- Brossard-Racine, M., Hall, N., Majnemer, A., Shevell, M. I., Law, M., Poulin, C., & Rosenbaum, P.
- Affiliations
- University of Manitoba (CA)
- McGill University Health Centre (CA)
- McMaster University (CA)
- Venue
- European Journal of Paediatric Neurology
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 16
- Issue
- 1
- Pages
- 35-41
- ISSN
- 1090-3798 (ISSN-L)
- OpenAlex
- W2020450307
- Cited by
- 95
- References
- 34
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 10 · 2023: 6 · 2022: 9 · 2021: 2 · 2020: 8 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 5 · 2014: 10 · 2013: 6 · 2012: 10
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Paediatric Neurology (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- cerebral palsy, behavioral problems, elementary school students, peer problems, parental stress, Strengths and Difficulties Questionnaire, socialization skills, family factors, child characteristics
- MeSH terms
- Adult, Cerebral Palsy, Child, Child Behavior Disorders, Cross-Sectional Studies, Female, Humans, Male, Surveys and Questionnaires, Stress, Psychological, Comorbidity, Caregivers
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