Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability

Background: Many individuals with cerebral palsy (CP) or acquired brain injury (ABI) are at higher risk of lowered psychosocial functioning, poor mental health outcomes and decreased opportunities for community integration (CI) as they transition to adulthood. It is imperative to understand the char...

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Autores principales:	Christine Nguyen, Abigail Leung, Andrea Lauzon, Mark T. Bayley, Laura L. Langer, Dorothy Luong, Sarah E. P. Munce
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	cerebral palsy acquired brain injury depression anxiety community integration transitional care services Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/219ee98fb9ad4196ac9dfdf86a4cc279
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spelling	oai:doaj.org-article:219ee98fb9ad4196ac9dfdf86a4cc2792021-11-22T04:37:14ZExamining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability2296-236010.3389/fped.2021.767206https://doaj.org/article/219ee98fb9ad4196ac9dfdf86a4cc2792021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.767206/fullhttps://doaj.org/toc/2296-2360Background: Many individuals with cerebral palsy (CP) or acquired brain injury (ABI) are at higher risk of lowered psychosocial functioning, poor mental health outcomes and decreased opportunities for community integration (CI) as they transition to adulthood. It is imperative to understand the characteristics of those at highest risk of dysfunction so that targeted interventions can be developed to reduce the impact.Methods: This quantitative, cross-sectional study examines current patients of the Living Independently Fully Engaged [(LIFEspan) Service], a tertiary outpatient hospital-based clinic. The Patient Health Questionnaire-4 (PHQ-4) and the Community Integration Questionnaire (CIQ) were administered to participants. Personal health information was also collected from participants' health charts, and participant interviews. Associations of sex and condition with the outcomes of screening for further assessment of depression, screening for further assessment of anxiety, and CI were calculated using t-tests and Chi-square tests.Results: 285 participants completed standardized screening tools for depression and anxiety (PHQ-4) and 283 completed the Community Integration Questionnaire (CIQ). Mean age was 23.4 (4.2) years; 59% were diagnosed with CP, 41% diagnosed with ABI, and 56% were male. A moderate proportion of the sample screened positive for further assessment of anxiety (28%) and depression (16%), and the overall mean score on the CIQ for the sample was 15.8 (SD 5.1). Participants that screened positive for further assessment of depression and anxiety on the PHQ-4 had lower scores on the Social Integration subscale of the CIQ (p = 0.04 and p = 0.036, respectively). Females were found to have significantly higher community integration than males (p = 0.0011) and those diagnosed with ABI were found to have significantly higher community integration than those with CP (p = 0.009), respectively. A weak negative association was found between age for the total sample and overall PHQ-4 score (p = 0.0417). Presence of an intellectual or learning disability/challenge was associated with a lower CIQ score (p = 0.0026).Conclusions: This current study, highlights the need for further research to explore the unique needs and barriers faced by this population. This study may inform assessments and interventions to support the mental health and community integration of this population.Christine NguyenAbigail LeungAndrea LauzonAndrea LauzonAndrea LauzonMark T. BayleyMark T. BayleyMark T. BayleyLaura L. LangerDorothy LuongSarah E. P. MunceSarah E. P. MunceSarah E. P. MunceSarah E. P. MunceFrontiers Media S.A.articlecerebral palsyacquired brain injurydepressionanxietycommunity integrationtransitional care servicesPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebral palsy acquired brain injury depression anxiety community integration transitional care services Pediatrics RJ1-570
spellingShingle	cerebral palsy acquired brain injury depression anxiety community integration transitional care services Pediatrics RJ1-570 Christine Nguyen Abigail Leung Andrea Lauzon Andrea Lauzon Andrea Lauzon Mark T. Bayley Mark T. Bayley Mark T. Bayley Laura L. Langer Dorothy Luong Sarah E. P. Munce Sarah E. P. Munce Sarah E. P. Munce Sarah E. P. Munce Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability
description	Background: Many individuals with cerebral palsy (CP) or acquired brain injury (ABI) are at higher risk of lowered psychosocial functioning, poor mental health outcomes and decreased opportunities for community integration (CI) as they transition to adulthood. It is imperative to understand the characteristics of those at highest risk of dysfunction so that targeted interventions can be developed to reduce the impact.Methods: This quantitative, cross-sectional study examines current patients of the Living Independently Fully Engaged [(LIFEspan) Service], a tertiary outpatient hospital-based clinic. The Patient Health Questionnaire-4 (PHQ-4) and the Community Integration Questionnaire (CIQ) were administered to participants. Personal health information was also collected from participants' health charts, and participant interviews. Associations of sex and condition with the outcomes of screening for further assessment of depression, screening for further assessment of anxiety, and CI were calculated using t-tests and Chi-square tests.Results: 285 participants completed standardized screening tools for depression and anxiety (PHQ-4) and 283 completed the Community Integration Questionnaire (CIQ). Mean age was 23.4 (4.2) years; 59% were diagnosed with CP, 41% diagnosed with ABI, and 56% were male. A moderate proportion of the sample screened positive for further assessment of anxiety (28%) and depression (16%), and the overall mean score on the CIQ for the sample was 15.8 (SD 5.1). Participants that screened positive for further assessment of depression and anxiety on the PHQ-4 had lower scores on the Social Integration subscale of the CIQ (p = 0.04 and p = 0.036, respectively). Females were found to have significantly higher community integration than males (p = 0.0011) and those diagnosed with ABI were found to have significantly higher community integration than those with CP (p = 0.009), respectively. A weak negative association was found between age for the total sample and overall PHQ-4 score (p = 0.0417). Presence of an intellectual or learning disability/challenge was associated with a lower CIQ score (p = 0.0026).Conclusions: This current study, highlights the need for further research to explore the unique needs and barriers faced by this population. This study may inform assessments and interventions to support the mental health and community integration of this population.
format	article
author	Christine Nguyen Abigail Leung Andrea Lauzon Andrea Lauzon Andrea Lauzon Mark T. Bayley Mark T. Bayley Mark T. Bayley Laura L. Langer Dorothy Luong Sarah E. P. Munce Sarah E. P. Munce Sarah E. P. Munce Sarah E. P. Munce
author_facet	Christine Nguyen Abigail Leung Andrea Lauzon Andrea Lauzon Andrea Lauzon Mark T. Bayley Mark T. Bayley Mark T. Bayley Laura L. Langer Dorothy Luong Sarah E. P. Munce Sarah E. P. Munce Sarah E. P. Munce Sarah E. P. Munce
author_sort	Christine Nguyen
title	Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability
title_short	Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability
title_full	Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability
title_fullStr	Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability
title_full_unstemmed	Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability
title_sort	examining the relationship between community integration and mental health characteristics of individuals with childhood acquired neurological disability
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/219ee98fb9ad4196ac9dfdf86a4cc279
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Examining the Relationship Between Community Integration and Mental Health Characteristics of Individuals With Childhood Acquired Neurological Disability

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