Determinants of quality of life in children with cerebral palsy: A comprehensive biopsychosocial approach
Journal
Research in Developmental Disabilities
Journal Volume
35
Journal Issue
2
Pages
520-528
Date Issued
2014
Author(s)
Abstract
This study investigated the determinants of quality of life (QOL) of children with cerebral palsy (CP) considering possible variables comprehensively from a biopsychosocial perspective by adopting the International Classification of Functioning, Disability and Health (ICF) and using a CP-specific QOL questionnaire. A total of 167 children with CP (mean age 9.06 years, SD 2.61 years) and their caregivers participated in this study. Children's QOL was measured by the Cerebral Palsy Quality of Life for Children (CP QOL-Child) - primary caregiver proxy-report form. The potential determinants of QOL were collected based on all ICF dimensions. Results of seven multiple regression models showed that the determinants of QOL in children with CP were multidimensional and biopsychosocial in nature, i.e., encompassing the domains of health condition, body functions and structures, and contextual factors of the ICF. Children's behavioral and emotional problems as well as caregiver's psychological and family-related factors were important determinants of QOL in children with CP. Knowledge of the determinants of QOL could serve as a guide in a holistic approach to evaluation and intervention targeted at these determinants to improve the QOL of children with CP. ? 2013 Elsevier Ltd.
Other Subjects
article; behavior disorder; biology; body build; caregiver; cerebral palsy; Cerebral Palsy Quality of Life for Children; child; clinical assessment tool; controlled study; custody; emotional disorder; factorial analysis; family relation; female; health status; human; International Classification of Functioning, Disability and Health; major clinical study; male; physiology; preschool child; quality of life; questionnaire; school child; social psychology; Cerebral palsy; Determinants; ICF; Quality of life; Adaptation, Psychological; Caregivers; Cerebral Palsy; Child; Child Behavior Disorders; Family Characteristics; Female; Health Status; Humans; Linear Models; Male; Mobility Limitation; Multivariate Analysis; Proxy; Quality of Life; Questionnaires; Severity of Illness Index; Sex Factors; Social Participation
Publisher
Elsevier Inc.
Type
journal article