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Mental health disorders included depression, anxiety, behavior\/conduct problems, and attention deficit disorder\/attention\u2010deficit\/hyperactivity disorder (<jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content>). Physical risk factors included physical activity (number of active days \u226560min), sleep duration, and pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adjusting for sociodemographics, children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> had higher odds of mental health disorders (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]=2.7\u20137.1, <jats:italic>p<\/jats:italic>&lt;0.05) except for attention deficit disorder\/<jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>=2.5; 95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>]=0.9\u20137.1). Further adjusting for physical factors, the odds of depression were no longer increased (i.e. attenuated) in children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>=1.0; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>=0.3\u20133.3); however, the odds of anxiety (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>=3.8; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>=1.9\u20137.8) and behavior\/conduct problems (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>=3.8; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>=1.3\u201311.1) remained elevated. Assessed individually, low physical activity and pain attenuated the odds of depression in children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>=1.9; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>=0.7\u20135.3; <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>=1.4; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>=0.6\u20133.8 respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> have an elevated prevalence of mental health disorders even after accounting for physical risk factors. Low physical activity and pain partially accounts for the association between <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Children with cerebral palsy (CP) have an elevated risk of developing mental health disorders.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Physical factors do not fully account for higher mental health disorder prevalence.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Physical activity partially accounts for the relationship between CP and depression.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Pain partially accounts for the relationship between CP and depression.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.14083","type":"journal-article","created":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T07:43:45Z","timestamp":1540539825000},"page":"579-585","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":95,"title":["Mental health disorders and physical risk factors in children with cerebral palsy: a cross\u2010sectional study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2132-1527","authenticated-orcid":false,"given":"Daniel G","family":"Whitney","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Michigan Medicine University of Michigan Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth A","family":"Warschausky","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation 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