[Relationship between executive functioning and behaviour in children with cerebral palsy]
V Muriel1, A Garcia-Molina, C Aparicio-Lopez
1Institut de Neurorehabilitacio Guttmann-UAB, 08916 Badalona, Espana.
Insights
Executive functioning and adaptive behavior are linked in children with cerebral palsy (CP). Parent and teacher reports differed, and greater motor impairment correlated with increased home difficulties.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Context:
- Cerebral palsy (CP) involves motor, cognitive, and behavioral challenges.
- Understanding executive function (EF) and adaptive behavior (AB) is crucial for CP management.
Purpose:
- To investigate the relationship between EF and AB in children with CP.
- To analyze parent and teacher perceptions using the Behavior Rating Inventory of Executive Function (BRIEF) and Adaptive Behavior Assessment System, Second Edition (ABAS-II).
Summary:
- A study of 46 children with CP (mean age 10.26) found a significant correlation between EF and AB.
- Discrepancies were noted between parent and teacher ratings on both BRIEF and ABAS-II.
- Higher levels of motor impairment (GMFCS) were associated with increased challenges at home.
Impact:
- This research highlights the interconnectedness of executive functions and adaptive behaviors in children with cerebral palsy.
- It underscores the importance of considering both parent and teacher perspectives for a comprehensive assessment.
- Findings suggest targeted interventions may be needed to address difficulties associated with motor impairment in the home environment.
Introduction:
Cerebral palsy is defined as a group of developmental disorders of movement and posture that causes social and cognitive deficits, emotional, and behavior disturbances.
Aim:
To study the relationship between executive functioning and behavior in children with cerebral palsy from the answers given by parents and teachers on the Behavior Rating Inventory of Executive Function (BRIEF) and on the System Assessment Adaptive Behavior (ABAS-II).
Patients And Methods:
The sample consisted on 46 children with CP with a mean age of 10.26 ± 2.95 years. Forty-four of the 46 children were distributed in Gross Motor Function Classification System (GMFCS) into level I (n = 16), level II (n = 3), level III (n = 11), level IV (n = 10) and level V (n = 4).
Results:
The results showed a relationship between BRIEF and ABAS-II. Furthermore, discrepancies between the responses from parents and teachers, both in the ABAS-II and in the BRIEF, were obtained.
Conclusions:
We found a significant relationship between executive functioning in children with cerebral palsy and adaptive behavior. We found discrepancies in the answers given by parents and teachers. Finally, the data showed that the higher motor impairment increases difficulties at home.
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