Quality of life in young adults with cerebral palsy.
Little is known about the quality of life (QOL) of young adults with cerebral palsy.



This cross-sectional analysis compares the QOL of a cohort of young Australian adults with CP with a cohort of able-bodied peers to explore the relationship between QOL and impairments, functioning, and social participation.



Young adults identified from the Victorian Cerebral Palsy Register were invited to complete a survey about QOL, gross motor function, independence in self-care, and social participation. QOL was assessed with the Quality of Life Instrument for Young Adults (YAQOL). A general population sample of young North American adults, who had completed the YAQOL was selected for comparison.



Surveys and consent forms were completed by 335 young adults or their proxies, an overall participation rate of 63% of those located. The mean age of the study participants was 24.7 [s.d = 2.8] years; 51% were male and 49% female. Two hundred and seven (62%) of the 335 participants self-reported their QOL. When compared with the general population sample, self-reporting participants had similar QOL scores for the social relationship and environmental context domains (p > 0.05), while QOL scores were lower for the physical health, psychological well-being, and role function domains (p < 0.001). There was no association between psychological well-being and variables related to body structure and gross motor function in young adults with CP.



Contrary to the assumption that young adults with severe CP have low psychosocial well-being, it is apparent that these individuals can have good psychosocial well-being regardless of their disability.
Developmental Medicine, The Royal Children's Hospital, 50 Flemington Road, Parkville, Victoria 3052, Australia; Department of Paediatrics, University of Melbourne, 50 Flemington Road, Parkville, Victoria 3010, Australia.
Benran
B
Jiang
Department of Paediatrics, University of Melbourne, 50 Flemington Road, Parkville, Victoria 3010, Australia; Developmental Disability & Rehabilitation Research, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Victoria 3052, Australia.
Janet
J
Walstab
Department of Paediatrics, University of Melbourne, 50 Flemington Road, Parkville, Victoria 3010, Australia; Developmental Disability & Rehabilitation Research, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Victoria 3052, Australia.
Susan M
SM
Reid
The Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, The Melbourne School of Population & Global Health, The University of Melbourne, Level 5, 207 Bouverie St, Victoria 3010, Australia. Electronic address: eda@unimelb.edu.au.
Elise
E
Davis
Developmental Medicine, The Royal Children's Hospital, 50 Flemington Road, Parkville, Victoria 3052, Australia; Department of Paediatrics, University of Melbourne, 50 Flemington Road, Parkville, Victoria 3010, Australia; Developmental Disability & Rehabilitation Research, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Victoria 3052, Australia.
Dinah
D
Reddihough
D000328:Adult; D002547:Cerebral Palsy / Q000523:psychology; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000523:psychology; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008603:Mental Health; D011788:Quality of Life; D012042:Registries; D012648:Self Care / Q000523:psychology; D057566:Self Report; D012720:Severity of Illness Index; D012931:Social Environment; D058992:Social Participation; D014739:Victoria; D055815:Young Adult
Cerebral palsy; Quality of life; Well-being; Young adults