Everyday psychological functioning in children with unilateral cerebral palsy: does executive functioning play a role?

Whittingham, Koa, Bodimeade, Harriet L., Lloyd, Owen and Boyd, Roslyn N. (2014) Everyday psychological functioning in children with unilateral cerebral palsy: does executive functioning play a role?. Developmental Medicine and Child Neurology, 56 6: 572-579. doi:10.1111/dmcn.12374


Author Whittingham, Koa
Bodimeade, Harriet L.
Lloyd, Owen
Boyd, Roslyn N.
Title Everyday psychological functioning in children with unilateral cerebral palsy: does executive functioning play a role?
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2014-06-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/dmcn.12374
Volume 56
Issue 6
Start page 572
End page 579
Total pages 8
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2015
Language eng
Formatted abstract
Aim
To identify whether executive functioning mediates the effect of having unilateral cerebral palsy (CP) on executive functioning in everyday life, psychological functioning, and social functioning.

Method
A cross-sectional cohort of 46 children with unilateral CP (25 males, 21 females; mean age 11y 1mo, SD 2y 5mo; 24 right-sided, 22 left-sided) and 20 children with typical development (nine males, 11 females; mean age 10y 10mo, SD 2y 4mo). Cognitive executive functioning was tested using a neuropsychological battery. Executive functioning in everyday life was measured with the Behavior Rating Inventory of Executive Function (BRIEF; teacher and parent reports) and psychological and social functioning by the Strengths and Difficulties Questionnaire (SDQ). Analysis included analysis of covariance and bootstrapping.

Results
Children with unilateral CP were found to have significantly decreased functioning, compared with children with typical development, on the BRIEF Behavioral Regulation Index, the BRIEF Metacognition Index, and on the SDQ emotion, conduct, hyperactivity, and peer problems subscales. Group differences were mediated by cognitive executive functioning for the BRIEF Metacognition Index (teacher and parent report), the BRIEF Behavioral Regulation Index (parent report only), the SDQ conduct subscale, and the SDQ hyperactivity subscale.

Interpretation
This study suggests that the increased risk of children with unilateral CP experiencing executive functioning difficulties in everyday life, conduct problems, and hyperactivity can be partly explained by decreased cognitive executive functioning abilities relative to children with typical development.
Keyword Cerebral palsy
Psychological functioning
Executive functioning
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
School of Psychology Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
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