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

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...

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Main Authors: Whittingham, K., Bodimeade, H., Lloyd, O., Boyd, Roslyn
Format: Journal Article
Published: 2014
Online Access:http://hdl.handle.net/20.500.11937/24936
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author Whittingham, K.
Bodimeade, H.
Lloyd, O.
Boyd, Roslyn
author_facet Whittingham, K.
Bodimeade, H.
Lloyd, O.
Boyd, Roslyn
author_sort Whittingham, K.
building Curtin Institutional Repository
collection Online Access
description 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. © 2014 Mac Keith Press.
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spelling curtin-20.500.11937-249362017-09-13T15:10:44Z Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role? Whittingham, K. Bodimeade, H. Lloyd, O. Boyd, Roslyn 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. © 2014 Mac Keith Press. 2014 Journal Article http://hdl.handle.net/20.500.11937/24936 10.1111/dmcn.12374 unknown
spellingShingle Whittingham, K.
Bodimeade, H.
Lloyd, O.
Boyd, Roslyn
Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role?
title Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role?
title_full Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role?
title_fullStr Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role?
title_full_unstemmed Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role?
title_short Everyday psychological functioning in children with unilateral cerebral palsy: Does executive functioning play a role?
title_sort everyday psychological functioning in children with unilateral cerebral palsy: does executive functioning play a role?
url http://hdl.handle.net/20.500.11937/24936