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Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy

You Wu1, Jianyong Tang2, Yanni Chen3

  • 1Department of Neurology, Xi'an Children's Hospital, The Affiliated Children's Hospital of Xi'an Jiaotong University, Xi'an, 710003, Shaanxi, People's Republic of China.

Neuropsychiatric Disease and Treatment
|August 2, 2021
PubMed

Insights

Chinese toddlers with cerebral palsy show lower social-emotional scores, with parental factors and perinatal issues being key risk factors. Early screening and intervention are crucial for improving outcomes.

Area of Science:

  • Developmental Psychology
  • Pediatric Neurology
  • Child Psychiatry

Background:

  • Cerebral palsy (CP) significantly impacts child development, including social-emotional behaviors.
  • Understanding these behaviors and their associated risk factors is crucial for effective intervention.

Purpose of the Study:

  • To analyze social-emotional behaviors in Chinese toddlers with cerebral palsy (CP).
  • To identify risk factors associated with these behaviors in toddlers with CP.

Main Methods:

  • 300 Chinese toddlers with CP and their parents participated.
  • Social-emotional behaviors were assessed using the Infant-Toddler Social-Emotional Assessment (ITSEA).
  • Parental coping styles, anxiety, and depression were evaluated; logistic regression identified risk factors.

Main Results:

  • Toddlers with CP exhibited lower scores in externalizing and competence domains compared to healthy peers.
  • Boys with CP (12-23 months) had lower internalizing and dysregulation scores than national norms.
  • Parental emotional state, education, coping style, and perinatal factors were significantly associated with social-emotional problems.

Conclusions:

  • Children with CP often experience behavioral and emotional issues that may be overlooked.
  • Early identification and intervention targeting identified risk factors can enhance rehabilitation and long-term prognosis for children with CP.
Abstract

Keywords:
Chinese childrencerebral palsycross-sectional studysocial-emotional development

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