TY  - JOUR
PY  - 2021//
TI  - Pain, fatigue, depressive symptoms and sleep disturbance in young adults with cerebral palsy
JO  - Disability and rehabilitation
A1  - van Gorp, Marloes
A1  - Dallmeijer, Annet J.
A1  - van Wely, Leontien
A1  - de Groot, Vincent
A1  - Terwee, Caroline B.
A1  - Flens, Gerard
A1  - Stam, Henk J.
A1  - van der Slot, Wilma
A1  - Roebroeck, Marij E.
SP  - 2164
EP  - 2171
VL  - 43
IS  - 15
N2  - PURPOSE: Investigate pain, fatigue, depressive symptoms and sleep disturbance in young adults with cerebral palsy compared to references. <br><br>MATERIALS AND METHODS: Young adults with cerebral palsy (n = 97, aged 21-34 years) and age-matched references from the general population (n = 190) rated pain using a numeric rating scale and fatigue, depressive symptoms, sleep disturbance and global health using Patient-Reported Outcomes Measurement Information System® short forms. Scores were compared between cerebral palsy subgroups and the reference population. Correlation coefficients and linear regression analyses assessed interrelationships of health issues and associations with global health. <br><br>RESULTS: Individuals with Gross Motor Function Classification System level I had less pain, fatigue and depressive symptoms, while individuals with levels II and III-V had more pain (53% and 56%, p < 0.001) and those with levels III-V more fatigue (39%, p = 0.035) than references (pain: 26%, fatigue: 14%). Pain and fatigue were more interrelated (correlation coefficients: 0.71 vs. 0.41) and stronger associated with global mental health in individuals with cerebral palsy. <br><br>CONCLUSIONS: Young adults with Gross Motor Function Classification System levels II-V report more pain and those with levels III-V report more fatigue than references. Pain and fatigue are highly interrelated and specifically relate to mental health in individuals with cerebral palsy.Implications for rehabilitationExcept for those in the highest level of motor function, young adults with cerebral palsy report higher levels of pain and fatigue compared to the general population of the same age.Pain and fatigue are strongly interrelated and associated with mental health in young adults with cerebral palsy.The present study recommends to monitor pain and fatigue in young adults with cerebral palsy with low levels of gross motor function.We advise rehabilitation professionals to consider combined treatment for both pain and fatigue.<p />  <p>Language: en</p>
LA  - en
SN  - 0963-8288
UR  - http://dx.doi.org/10.1080/09638288.2019.1694998
ID  - ref1
ER  -