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Master Thesis

Déterminants de la participation chez les adolescents avec paralysie cérébrale : une étude longitudinale européenne

Abstract : This thesis aims at studying the participation in life situations of adolescents with cerebral palsy, through its relationships with three determinants in childhood that are amenable to interventions: pain, behavioral problems and parenting stress. The prospective longitudinal epidemiological study has followed a multicentric representative cohort of children with cerebral palsy in nine European regions from seven countries, by visiting them at childhood and adolescence. Within each participation domain, a structural equations model has been fitted; the determinants of participation have been included in the models using a forward hierarchical regression, controlled on impairment, participation in childhood, centre, age and gender. From the 818 initially visited children, n=594 were interviewed again in adolescence. Pain and parenting stress in childhood are associated with a restricted adolescent participation in all domains of daily life activities except communication, as well as in relationships and recreation. Behavioral problems in childhood are associated with a restricted adolescent participation in all domains of social roles, as well as in personal care and communication. The effect of childhood determinants is mainly mediated through child participation. The results suggest that participation in adolescents with cerebral palsy could be improved by early and continued interventions on pain, behavioral problems and parenting stress.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00735579
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Submitted on : Wednesday, September 26, 2012 - 9:52:08 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:03 AM
Long-term archiving on: : Friday, December 16, 2016 - 5:05:25 PM

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  • HAL Id : dumas-00735579, version 1

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van Mô Dang. Déterminants de la participation chez les adolescents avec paralysie cérébrale : une étude longitudinale européenne. Médecine humaine et pathologie. 2012. ⟨dumas-00735579⟩

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