Self-reported mental health in youth with cerebral palsy and associations to recurrent musculoskeletal pain.
OBJECTIVE
To explore self-reports on emotional, conduct, hyperactivity and peer problems and on prosocial behaviour in youth with cerebral palsy (CP), compare the reports to normative data and to mothers' reports and to analyse if recurrent CP-related musculoskeletal pain (RMP) influence the self-reports.


METHODS
Eighty-one youth with CP (mean age 14.2 years, 40 boys) were assessed by clinical examination, interview and the questionnaire Strengths and Difficulties Questionnaire (SDQ) filled in by the youths and their mothers. Gross motor function (GMFCS) was: level I 43%, level II 41%, level III 12% and level IV-V 4%.


RESULTS
Compared to normative data, youth with CP reported similar levels of peer problems, less conduct problems (p < 0.01), less hyperactivity problems (p < 0.01) and more prosocial behaviour (p < 0.01). Compared to the mothers' reports, youth with CP reported lower levels of peer problems (p < 0.01). Twenty-six boys (65%) and 28 girls (68%) had RMP. Girls, but not boys with RMP reported a higher level of peer problems (p = 0.02) than youth without RMP.


CONCLUSIONS
Self-report on mental health in addition to parental proxy-report is important because it yields additional information. Peer acceptance and the impact of pain on peer problems and participation are candidate topics for further research.
Department of Clinical Neuroscience, Division of Women and Children, Oslo University Hospital , Oslo , Norway .
Kjersti
K
Ramstad
Jon Håvard
JH
Loge
Reidun
R
Jahnsen
Trond H
TH
Diseth
D000293:Adolescent; D002547:Cerebral Palsy / Q000523:psychology*; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D009035:Mothers; D059352:Musculoskeletal Pain / Q000453:epidemiology*; D009664:Norway; D010808:Physical Examination; D019727:Proxy; D057566:Self Report; D011795:Surveys and Questionnaires
Cerebral palsy; mental health; musculoskeletal; pain; young adults