Asano Daiki, Takeda Masaki, Nobusako Satoshi, Morioka Shu
Department of Rehabilitation, Japan Baptist Hospital, Kyoto 606-8273, Japan.
Department of Rehabilitation, Beppu Developmental Medical Center, Oita 874-0838, Japan.
Behav Sci (Basel). 2020 Nov 1;10(11):167. doi: 10.3390/bs10110167.
Children with cerebral palsy (CP) often exhibit mental health problems, such as depressive symptoms. The purpose of this study was to describe the self-rated depressive symptoms in children with and without CP and to investigate the associated predictors. Participants included 24 children with CP and 33 typically developing (TD) children. Depressive symptoms were assessed using the Birleson Depression Self-Rating Scale for Children. Parents of the participants completed the Strengths and Difficulties Questionnaire. Severity of self-rated depressive symptoms was higher in children with CP than that in TD children. Particularly, decline in activities and enjoyment was identified as a contributor to the increased severity of depressive symptoms. Hierarchical multiple regression analysis revealed that the greater severity of depressive symptoms in children with CP was mediated by hyperactivity/inattention and peer problems. Our study suggests that it is imperative to provide opportunities to participate in social activities from an early age.
患有脑瘫（CP）的儿童常常表现出心理健康问题，比如抑郁症状。本研究的目的是描述有和没有脑瘫的儿童的自评抑郁症状，并调查相关的预测因素。参与者包括24名患有脑瘫的儿童和33名发育正常（TD）的儿童。使用儿童伯利森抑郁自评量表评估抑郁症状。参与者的父母完成了长处与困难问卷。患有脑瘫的儿童自评抑郁症状的严重程度高于发育正常的儿童。特别是，活动和乐趣的减少被认为是抑郁症状严重程度增加的一个因素。分层多元回归分析显示，患有脑瘫的儿童抑郁症状更严重是由多动/注意力不集中和同伴问题介导的。我们的研究表明，从小就提供参与社交活动的机会势在必行。
