Correlates of Mental Health in Adolescents and Young Adults with Cerebral Palsy: A Cross-Sectional Analysis of the MyStory Project
Open accessAbstract
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.
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Depression and anxiety symptoms at a clinical level have been found in just over 30% of a sample of adolescents and young adults with cerebral palsy.
“The presence of depression and anxiety symptoms at a clinical level has been found in just over 30% of a sample of adolescents and young adults with CP [7]”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [7]
Previous research has reported prevalence rates of 33% for depression and 31% for anxiety in a sample of adolescents and young adults with CP.
“Previous research has reported prevalence rates of 33% for depression and 31% for anxiety in a sample of adolescents and young adults with CP [7].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [7]
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- Authors
- Gorter, J. W., Fehlings, D., Ferro, M. A., Gonzalez, A., Green, A. D., Hopmans, S. N., McCauley, D., Palisano, R. J., Rosenbaum, P., Speller, B., & on behalf of the MyStory Study Group
- Affiliations
- CanChild Centre for Childhood-onset Disability Research (CA)
- University of Toronto (CA)
- University of Waterloo (CA)
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L8S 1C7, Canada
- Corresponding author
- Gorter, Jan Willem
- ORCID
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2022-05-29
- Volume
- 11
- Issue
- 11
- Pages
- 3060
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC9181041
- OpenAlex
- W4281777637
- Cited by
- 14
- References
- 68
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 3 · 2023: 3
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion, cc-by)
- Funders
- Ontario Brain Institute
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- cerebral palsy, adolescents and young adults, mental health, depression, anxiety, hair cortisol, family functioning, fatigue, pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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