Health-related quality of life and mental health of adolescents with cerebral palsy in rural Bangladesh

Rosalie Power, Mohammad Muhit, Eamin Heanoy, Tasneem Karim, Nadia Badawi, Rahena Akhter, Gulam Khandaker

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)

Abstract

Aim: To assess the health-related quality of life (HRQoL) and mental health of adolescents with cerebral palsy (CP) in rural Bangladesh. Methods: Case-control study of adolescents with CP (10 to ≤ 18-years) and age and sex matched controls without disability. Primary caregivers were included for proxy report. HRQoL was measured with Bengali versions CP Quality of Life-Teens (CPQoL-Teens) and KIDSCREEN-27. Mental health was measured with Strengths and Difficulties Questionnaire (SDQ). Results: 154 cases and 173 controls matched on age and sex participated (mean age 15.1 (1.6) and 14.9 (1.6) respectively; female n = 48, n = 55 respectively, p>0.05). CPQoL-Teens was administered to adolescents with CP only; mean outcomes ranged from 38.5 (27.4) to 71.5 (16.1) and ‘feelings about functioning’ was poorest domain for both self- and proxy-report groups. KIDSCREEN-27 was administered to adolescents with CP and controls; adolescents with CP mean outcomes ranged from 25.9 (12.2) to 48.7 (10.56) and were significantly poorer than controls, mean difference 4.3 (95% CI 0.7 to 7.8) to 16.7 (95% CI 14.5 to 18.5), p<0.05. ‘Peers and social support’ was poorest domain for all groups. In regards to mental health, adolescents with CP reported significantly poorer mean SDQ than peers without disability, mean difference 0.7 (95% CI 0.3 to 1.1) to 7.8 (95% CI 6.7 to 8.9), p<0.05; and were for self-report 7.8 (95% CI 2.6 to 23.0) and proxy-report 12.0 (95% CI 6.9 to 20.9) times more likely to report ‘probable’ range ‘total difficulties’ score. Individual item analysis of CPQoL-Teens and KIDSCREEN-27 identified unique areas of concern for adolescents with CP related to pain, friendships, physical activity and energy, what may happen later in life and feelings about having CP. Financial resources were of concern for both cases and controls.
Original languageEnglish
Article numbere0217675
Number of pages17
JournalPLoS One
Volume14
Issue number6
DOIs
Publication statusPublished - 2019

Open Access - Access Right Statement

© 2019 Power et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Fingerprint

Dive into the research topics of 'Health-related quality of life and mental health of adolescents with cerebral palsy in rural Bangladesh'. Together they form a unique fingerprint.

Cite this