Complex Comorbid Presentations are Associated with Harmful Behavior Problems among Children and Adolescents with

Geraldine Leader1, Paola Molina Bonilla1, Katie Naughton1

  • 1National University of Ireland , Galway, Ireland.

Insights

Children with Cerebral Palsy (CP) frequently experience gastrointestinal issues, sleep disturbances, and behavioral challenges, often linked to autism spectrum disorder (ASD) symptoms. These comorbidities significantly impact behavior problems in children with CP.

Area of Science:

  • Neurology
  • Developmental Pediatrics
  • Gastroenterology

Background:

  • Cerebral Palsy (CP) is a complex neurological disorder impacting motor function.
  • Children with CP often present with a range of co-occurring conditions.
  • Understanding these comorbidities is crucial for comprehensive care.

Purpose of the Study:

  • To investigate the frequency of gastrointestinal symptoms, sleep problems, internalizing/externalizing symptoms, behavior problems, and autism spectrum disorder (ASD) symptoms in children with CP.
  • To examine the relationships between these conditions.
  • To identify predictors of behavior problems in this population.

Main Methods:

  • A cross-sectional study involving 104 children and adolescents with CP.
  • Parental completion of validated questionnaires including the Gastrointestinal Symptom Inventory, Children's Sleep Habits Questionnaire, Child Behavior Checklist, Social Communication Questionnaire, and Behavior Problem Inventory-Short Form.

Main Results:

  • High prevalence rates were observed for behavior problems (88.5%), gastrointestinal symptoms (81.7%), sleep problems (81%), ASD symptoms (48%), and internalizing/externalizing symptoms (31.7%).
  • Significant relationships were identified between gastrointestinal symptoms and sleep/internalizing/externalizing symptoms, and between sleep problems and behavior problems.
  • Intellectual disability, sleep problems, internalizing/externalizing symptoms, and ASD symptoms were significant predictors of behavior problems.

Conclusions:

  • Children and adolescents with CP exhibit a high frequency of comorbidities.
  • These comorbidities, including gastrointestinal issues, sleep disturbances, and ASD symptoms, are interconnected and influence behavior problems.
  • Addressing these co-occurring conditions is essential for managing behavior problems in CP.

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