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Factors Related to Quality of Life in Children With Cerebral Palsy
Montse Blasco1, María García-Galant1, Olga Laporta-Hoyos1
1Departament de Psicologia Clínica i Psicobiologia, Universitat de Barcelona, Barcelona, Spain; Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Insights
Executive functioning and motor status significantly impact the quality of life (QOL) for children with cerebral palsy (CP). Cognitive interventions may enhance QOL in these children.
Area of Science:
- Pediatrics
- Neuroscience
- Rehabilitation Medicine
Background:
- Cerebral palsy (CP) significantly affects children's quality of life (QOL).
- Understanding factors influencing QOL is crucial for targeted interventions.
- Proxy-reported QOL is a key outcome measure in pediatric CP research.
Purpose of the Study:
- To investigate demographic, clinical, neuropsychological, and psychosocial predictors of QOL in children with CP.
- To identify specific variables associated with different QOL domains.
- To inform potential therapeutic targets for improving QOL in pediatric CP.
Main Methods:
- Utilized the proxy-reported Cerebral Palsy Quality of Life-Child questionnaire (CP QOL-Child) in 58 children with CP.
- Assessed relationships between QOL scores and various demographic, clinical, neuropsychological, and psychosocial variables.
- Employed multiple linear regression analysis to identify significant explanatory variables for QOL.
Main Results:
- Executive functioning and motor status were significant predictors of overall QOL.
- Executive functions explained variance in Social Wellbeing, Feelings about Functioning, and Emotional Wellbeing domains.
- Parental stress, visual perception, and autism spectrum disorder (ASD) traits were associated with specific QOL domains.
Conclusions:
- Executive functioning and motor status are critical determinants of QOL in children with CP.
- Cognitive function interventions show promise for enhancing QOL.
- Addressing factors like parental stress and visual perception may improve specific QOL aspects.
Background:
We investigated the influence of relevant demographic, clinical, neuropsychological, and psychosocial variables on the proxy-reported quality of life (QOL) of children with cerebral palsy (CP).
Methods:
The proxy-reported Cerebral Palsy Quality of Life-Child questionnaire (CP QOL-Child) was completed by 58 children with CP (mean age 10.22 years, SD 1.67). Relationships between QOL scores and demographic, clinical, neuropsychological, and psychosocial variables were assessed. CP QOL scores and other variables that correlated significantly were introduced into a multiple linear regression model.
Results:
Executive functioning and motor functional status were explanatory variables for the CP QOL total score. Executive functions explained three specific QOL domains: Social Wellbeing and Acceptance, Feelings about Functioning, and Emotional Wellbeing and Self-esteem. Parental stress also explained Social Wellbeing and Acceptance. Motor functional status and visual perception were explanatory variables for the Access to Services domain. Finally, autism spectrum disorder (ASD) traits were an explanatory variable for the Participation and Physical Health domain.
Conclusion:
Executive functioning and motor functional status importantly influence QOL of children with CP. Visual perception, ASD symptoms, and parental stress variables are related with specific QOL domains. These findings demonstrate that interventions targeting cognitive functions in children with CP may positively influence QOL.
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