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

You Wu,1,&ast; Jianyong Tang,2,&ast; Yanni Chen,3 Yanxia Huang4 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; 2Department of Laboratory Medicine, Xi’an Children’s Hospi...

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Autores principales:	Wu Y, Tang J, Chen Y, Huang Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cerebral palsy social-emotional development chinese children cross-sectional study. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/072c59bbf0f24eedbf6f0353f6fd14c9
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spelling	oai:doaj.org-article:072c59bbf0f24eedbf6f0353f6fd14c92021-12-02T16:43:36ZSocial-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy1178-2021https://doaj.org/article/072c59bbf0f24eedbf6f0353f6fd14c92021-07-01T00:00:00Zhttps://www.dovepress.com/social-emotional-development-and-associated-risk-factors-in-chinese-to-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021You Wu,1,&ast; Jianyong Tang,2,&ast; Yanni Chen,3 Yanxia Huang4 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; 2Department of Laboratory Medicine, Xi’an Children’s Hospital, The Affiliated Children’s Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China; 3Department of Children’s Health Care, Xi’an Children’s Hospital, The Affiliated Children’s Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China; 4Department of Rehabilitation, Xi’an Children’s Hospital, The Affiliated Children’s Hospital of Xi’an Jiaotong University, Xi’an, 710003, Shaanxi, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Yanxia Huang Email yanxia_h@sohu.comObjective: This study aimed to analyze the social-emotional behaviors of Chinese toddlers with cerebral palsy and to identify the risk factors associated with these behaviors.Methods: A total of 300 Chinese toddlers and their parents were recruited in this study. A Chinese version of the Infant-Toddler Social-Emotional Assessment was used to assess the children and basic information and clinical data were collected using an author-designed questionnaire. The patients were also assessed using a coping style questionnaire and the hospital anxiety and depression scale. Multiple logistic regression analysis was performed to identify risk factors.Results: The scores of the externalizing and competence domains for Chinese toddlers with cerebral palsy at different ages were lower compared to healthy children of the same age and gender (p< 0.05). For the boys with cerebral palsy aged between 12– 17 and 18– 23 months, the scores of the internalizing and dysregulation domains were significantly lower compared to the national normal (p< 0.01). The effect of perinatal factors on the externalizing and competence domains was more significant compared to other domains, whilst the coping style of the parents significantly affected the dysregulation domain (p=0.001). Multivariate analysis showed that the parental emotional state, education level, coping style and perinatal factors were closely associated with the social-emotional problems of children with cerebral palsy.Conclusion: Children with cerebral palsy are more likely to have behavioral, emotional, and psychiatric issues that are mostly ignored. These children may benefit from early screening and intervention for risk factors to improve rehabilitation and long-term prognosis.Keywords: cerebral palsy, social-emotional development, Chinese children, cross-sectional studyWu YTang JChen YHuang YDove Medical Pressarticlecerebral palsysocial-emotional developmentchinese childrencross-sectional study.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 2451-2463 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebral palsy social-emotional development chinese children cross-sectional study. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	cerebral palsy social-emotional development chinese children cross-sectional study. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wu Y Tang J Chen Y Huang Y Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy
description	You Wu,1,&ast; Jianyong Tang,2,&ast; Yanni Chen,3 Yanxia Huang4 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; 2Department of Laboratory Medicine, Xi’an Children’s Hospital, The Affiliated Children’s Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China; 3Department of Children’s Health Care, Xi’an Children’s Hospital, The Affiliated Children’s Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China; 4Department of Rehabilitation, Xi’an Children’s Hospital, The Affiliated Children’s Hospital of Xi’an Jiaotong University, Xi’an, 710003, Shaanxi, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Yanxia Huang Email yanxia_h@sohu.comObjective: This study aimed to analyze the social-emotional behaviors of Chinese toddlers with cerebral palsy and to identify the risk factors associated with these behaviors.Methods: A total of 300 Chinese toddlers and their parents were recruited in this study. A Chinese version of the Infant-Toddler Social-Emotional Assessment was used to assess the children and basic information and clinical data were collected using an author-designed questionnaire. The patients were also assessed using a coping style questionnaire and the hospital anxiety and depression scale. Multiple logistic regression analysis was performed to identify risk factors.Results: The scores of the externalizing and competence domains for Chinese toddlers with cerebral palsy at different ages were lower compared to healthy children of the same age and gender (p< 0.05). For the boys with cerebral palsy aged between 12– 17 and 18– 23 months, the scores of the internalizing and dysregulation domains were significantly lower compared to the national normal (p< 0.01). The effect of perinatal factors on the externalizing and competence domains was more significant compared to other domains, whilst the coping style of the parents significantly affected the dysregulation domain (p=0.001). Multivariate analysis showed that the parental emotional state, education level, coping style and perinatal factors were closely associated with the social-emotional problems of children with cerebral palsy.Conclusion: Children with cerebral palsy are more likely to have behavioral, emotional, and psychiatric issues that are mostly ignored. These children may benefit from early screening and intervention for risk factors to improve rehabilitation and long-term prognosis.Keywords: cerebral palsy, social-emotional development, Chinese children, cross-sectional study
format	article
author	Wu Y Tang J Chen Y Huang Y
author_facet	Wu Y Tang J Chen Y Huang Y
author_sort	Wu Y
title	Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy
title_short	Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy
title_full	Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy
title_fullStr	Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy
title_full_unstemmed	Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy
title_sort	social-emotional development and associated risk factors in chinese toddlers with cerebral palsy
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/072c59bbf0f24eedbf6f0353f6fd14c9
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Social-Emotional Development and Associated Risk Factors in Chinese Toddlers with Cerebral Palsy

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