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Pain, Fatigue, and School Functioning in Children with Cerebral Palsy: A Path-Analytic Model

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TLDR
Pain and fatigue represent potentially modifiable targets for interventions designed to improve school functioning in children with CP and supported the existence of an indirect relationship between diagnostic subtypes and school functioning that was partially mediated by both pain and fatigue.
Abstract
Objective This study tests a model of how pain and fatigue, independently or in combination, relate to school functioning in pediatric cerebral palsy (CP). Methods One hundred eighty-nine parents of children with CP completed the Pediatric Quality of Life Inventory™ (PedsQL™) 4.0 Generic Core Scales and the PedsQL™ 3.0 Cerebral Palsy Module. Seventy-three children with CP completed the PedsQL™. Path-analytic and mediational techniques were utilized to test the a priori model. Results Data from both parent proxy-report and child self-report were found to have acceptable model fit. Results supported the existence of an indirect relationship between diagnostic subtypes and school functioning that was partially mediated by both pain and fatigue. Conclusions Pain and fatigue represent potentially modifiable targets for interventions designed to improve school functioning in children with CP.

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The PedsQLTM 4.0 as a School Population Health Measure

TL;DR: The PedsQLTM 4.0 Generic Core Scales (Physical, Emotional, Social, School Functioning) were completed by 2437 children ages 8-18 and 4227 parents of children ages 5-18 as mentioned in this paper.
Journal ArticleDOI

Sleep Hygiene for Children With Neurodevelopmental Disabilities

TL;DR: This first comprehensive, multidisciplinary review of sleep hygiene for children with disabilities presents the rationale for incorporating these measures in their treatment, outlines both general and specific sleep-promotion practices, and discusses problem-solving strategies for implementing them in a variety of clinical practice settings.
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Pain, fatigue, and health-related quality of life in children and adolescents with chronic pain.

TL;DR: Fatigue is a significant problem for many youth with chronic pain and may be an important target for clinical intervention, although children self-reported less fatigue, better school functioning, and greater quality of life than did their caregivers.
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Chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy

TL;DR: This study aims to investigate the prevalence and co‐occurrence of chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy and explore associations of chronicPain and fatigue with depressive symptoms and daily functioning.
Journal ArticleDOI

The PedsQL Multidimensional Fatigue Scale in young adults: feasibility, reliability and validity in a University student population.

TL;DR: The findings suggest that the PedsQL™ Multidimensional Fatigue Scale may be utilized in the evaluation of fatigue for a broad age range.
References
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Journal ArticleDOI

The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.

TL;DR: This article seeks to make theorists and researchers aware of the importance of not using the terms moderator and mediator interchangeably by carefully elaborating the many ways in which moderators and mediators differ, and delineates the conceptual and strategic implications of making use of such distinctions with regard to a wide range of phenomena.
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Comparative fit indexes in structural models

TL;DR: A new coefficient is proposed to summarize the relative reduction in the noncentrality parameters of two nested models and two estimators of the coefficient yield new normed (CFI) and nonnormed (FI) fit indexes.
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Structural Model Evaluation and Modification: An Interval Estimation Approach.

TL;DR: Dans les differentes procedures existantes pour l'evaluation and the modifications sequentielles des modeles structuraux, l'auteur s'attache a discuter celle connue sous le terme PMM.
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PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations.

TL;DR: The PedsQL distinguished between healthy children and pediatric patients with acute or chronic health conditions, was related to indicators of morbidity and illness burden, and displayed a factor-derived solution largely consistent with the a priori conceptually-derived scales.
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A Scaled Difference Chi-square Test Statistic for Moment Structure Analysis

TL;DR: In this paper, Satorra and Bentler's scaling corrections are used to improve the chi-square approximation of goodness-of-fit test statistics in small samples, large models, and nonnormal data.
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