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Depressive Symptoms and Behavioral Manifestations in Children and Adolescents with Cerebral Palsy: A Parent-Child

Daiki Asano1, Masaki Takeda2, Hirokazu Abe3

  • 1Department of Rehabilitation, Japan Baptist Hospital, Kyoto, Japan.

Behavioral Medicine (Washington, D.C.)
|April 23, 2025
PubMed

Insights

Children with cerebral palsy (CP) experience more depressive symptoms, mainly due to reduced activity enjoyment. Peer problems fully explain this link, highlighting the need for social interaction support in CP care.

Area of Science:

  • Pediatrics
  • Psychology
  • Neurology

Background:

  • Cerebral palsy (CP) is frequently associated with mental health challenges, particularly depressive symptoms.
  • Understanding the factors contributing to depression in children with CP is crucial for effective intervention.

Purpose of the Study:

  • To investigate self-reported depressive symptoms in children and adolescents with and without CP.
  • To identify factors associated with depressive symptoms in this population.

Main Methods:

  • Recruited 52 children/adolescents with CP and 38 typically developing (TD) controls.
  • Assessed depressive symptoms using the Birleson Depression Self-Rating Scale for Children.
  • Utilized the Strengths and Difficulties Questionnaire for parent-reported behavioral features.

Main Results:

  • The CP group reported more severe depressive symptoms than the TD group, linked to decreased activity and enjoyment.
  • Depressive symptoms in the CP group were not correlated with age, CP severity, or parent-reported behaviors.
  • Peer problems were significantly associated with increased depressive symptoms and fully mediated the relationship between CP and depression.

Conclusions:

  • Peer problems are a critical factor in the elevated depressive symptoms observed in children with CP.
  • Interventions should focus on facilitating social interactions and enjoyment of activities for children with CP to prevent depression.

Keywords:
Behavioral problemscerebral palsydepressionmental healthpeer problems

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