Psychological Impairments

The prevalence of emotional and behavioral problems in different populations of children with CP is reportedly 30% to 80% (44), but in general, it has not been well defined in the literature.

A wide variety of behavior and emotional disorders are possible, including attention deficit disorder, passivity, immaturity, anger, sadness, impulsivity, emotional lability, low self-esteem, and anxiety. A population-based analysis of behavior problems in children with CP identified problem behaviors in 25% of the children as assessed by parent report (44). Specific behaviors that were most common in this population included dependency, being headstrong, and hyperactivity. An additional populationbased study in Europe found a similar prevalence of significant emotional and behavioral symptoms in 26% of children with CP (45). The most common problems identified were in peer relationships (32%), hyperactivity (31%), and emotion (29%). Difficulty with peer relationships has been found even in children with milder CP (GMFCS I). Compared to their classmates, children with mild CP were found to have fewer reciprocated friendships, fewer sociable and leadership behaviors, and were more isolated and victimized by their classmates (46). Professionals and parents need to be aware that children with CP are at higher risk for psychological impairments than their nondisabled peers and that consideration should be given to a referral to a mental health specialist for evaluation and treatment.

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Source: Alexander M.A., Matthews D.J.. Pediatric Rehabilitation: Principles and Practice. 4 th. еd. — New York: Demos Medical Publishing,2010. — 540 р.. 2010

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