Cited by 74Cerebral Palsy and Movement DisordersAutism Spectrum Disorder ResearchFamily and Disability Support Research

Pervasive developmental disorders in individuals with cerebral palsy

KILINCASLAN, AYSE, MUKADDES, NAHIT MOTAVALLI·2009·Developmental Medicine & Child Neurology

Abstract

The aim of the present study was to describe the prevalence and associated factors of pervasive developmental disorders (PDD), including autistic disorder and PDD not otherwise specified (NOS), in a clinical sample of 126 children and adolescents (75 males, 51 females; age range 4–18y, mean 8y 8mo, SD 3y 8mo) with tetraplegic, hemiplegic, diplegic, dyskinetic, or mixed types of cerebral palsy (CP); 28% could not crawl or walk even with support, 29% could move with support, and 43% walked independently. Participants were examined for PDD in two stages. In the first stage, probable participants were determined by direct observation, Autism Behavior Checklist score, and medical reports. In the second stage, those with ‘probable’ symptoms underwent psychiatric examination and their autistic symptoms were scored on the Childhood Autism Rating Scale. The final diagnosis of autistic disorder or PDD‐NOS was given according to DSM‐IV criteria. Fourteen (11%) and five (4%) of the participants met the criteria for autistic disorder and PDD‐NOS respectively. Children with CP and PDD differed from those without PDD in terms of type of CP (p=0.02), presence of epilepsy (p<0.001), intellectual level (p<0.001), and level of speech (p<0.001). PDD was more common in children with tetraplegic, mixed, and hemiplegic CP, and in children with epilepsy, learning disability,*and low level of speech. The findings corroborate the notion that CP is a complex disorder, often associated with additional impairments. PDD is not rare in CP and should be considered in patients with comorbid conditions such as epilepsy, learning disability, and language delay and in the presence of tetraplegic, mixed, and hemiplegic CP types.

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Crossref · 10.1111/j.1469-8749.2008.03171.x

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Authors
KILINCASLAN, A., & MUKADDES, N. M.
Venue
Developmental Medicine & Child Neurology
Publisher
Wiley
Published
2009-03-18
Volume
51
Issue
4
Pages
289-294
ISSN
  • 0012-1622 (ISSN-L)
  • 1469-8749
OpenAlex
W1969636028
Cited by
74
References
34
Citations by year
2024: 4 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 22 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 1 · 2013: 7 · 2012: 4
FWCI
2.88
Type
journal article
Language
en
Open access
closed
Locations
  • Developmental Medicine & Child Neurology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
pervasive developmental disorders, autism spectrum disorder, cerebral palsy, comorbidities, prevalence, spastic hemiplegia, dyskinetic cerebral palsy, epilepsy, intellectual disability, language delay, Childhood Autism Rating Scale, Autism Behavior Checklist
MeSH terms
Adolescent, Cerebral Palsy, Child, Child Development Disorders, Pervasive, Child, Preschool, Female, Humans, Male, Psychiatric Status Rating Scales, Retrospective Studies, Severity of Illness Index, Prevalence, Chi-Square Distribution, Diagnostic and Statistical Manual of Mental Disorders

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