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首页> 外文期刊>Developmental Medicine and Child Neurology >Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors.
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Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors.

机译：脑瘫儿童的社交功能和沟通：与疾病特征以及个人和环境因素相关。

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AIM: The objective of this longitudinal study was to describe the course of social functioning and communication in children with cerebral palsy (CP) over a 3-year period, its difference with the normative course, and its relationship with disease characteristics and personal and environmental factors. METHOD: Participants in this study were 110 children with CP (70 males, 40 females) with a mean age of 11 years and 3 months (SD 1y 8mo). Social functioning and communication were measured with the Vineland Adaptive Behavior Scales. Comparisons were made with normative data; data were analysed with generalized estimating equations. According to the Gross Motor Function Classification System (GMFCS), 50 of the 110 children were categorized as GMFCS level I, 16 as level II, 13 as level III, 13 as level IV, and 18 as level V. RESULTS: The course of social functioning over a 3-year period showed an increase in restrictions in children with CP (p<0.001). Restrictions in communication increased more in children with the most severe forms of CP (p<0.001). In addition to disease characteristics (GMFCS category, presence of epilepsy, and speech problems), personal factors (externalizing behaviour problems) and environmental factors (having no siblings, low parental level of education, and parental stress) were associated with greater restrictions in social functioning and communication. INTERPRETATION: The results indicate that it is important to focus not only on the medical treatment of children with CP, but also on their behavioural problems and social circumstances, and to support the parents so that social functioning and communication in these children may be improved.
机译：目的：这项纵向研究的目的是描述3年期脑瘫（CP）儿童的社会功能和交流过程，与正常过程的差异以及与疾病特征，个人和环境的关系因素。方法：本研究的参与者为110名CP儿童（男70例，女40例），平均年龄11岁零3个月（SD 1y 8mo）。社会功能和沟通能力通过Vineland适应行为量表进行测量。与标准数据进行了比较;数据用广义估计方程分析。根据总运动功能分类系统（GMFCS），在110名儿童中，有50名被分类为GMFCS I级，16级为II级，13级为III级，13级为IV级，18级为V级。在3年期间的社会功能显示，CP儿童的限制增加（p <0.001）。患有最严重CP的儿童的沟通限制增加更多（p <0.001）。除了疾病特征（GMFCS类别，癫痫的存在和言语问题）之外，个人因素（外部性行为问题）和环境因素（没有兄弟姐妹，父母的教育水平低和父母的压力）与社会上更大的限制有关功能和沟通。解释：结果表明，重要的是不仅要关注患有CP的儿童的药物治疗，还应关注他们的行为问题和社会环境，并支持父母，以便改善这些儿童的社会功能和沟通。

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