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Rozensztrauch A, Śmigiel R. Quality of Life in Children with Prader-Willi Syndrome and the Impact of the Disease on the Functioning of Families. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16330. [PMID: 36498413 PMCID: PMC9740001 DOI: 10.3390/ijerph192316330] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 12/02/2022] [Accepted: 12/04/2022] [Indexed: 06/17/2023]
Abstract
Objective: Prader−Willi (PWS; OMIM#176270) syndrome is a clinically distinct genetic disorder, caused by an abnormality in the 15q11-q13 region, referred to as the critical region. One of the most popular concepts existing in modern sciences, not only within psychology, but also in the aspect of all sciences that are related to human life and its course, is the quality of life (QoL). Though it is known that health-related quality of life in children with PWS can be reduced, less is understood about the impact on the family. We aimed to identify factors related to the quality of life of children with PWS and the impact of the disease on family functioning. Methods: A cross-sectional questionnaire survey. The subjects were 46 parents of children with PWS. The Computer Assisted Self-Interviewing (CASI) method was used; the Paediatric Quality of Life Inventory and the PedsQL Family Impact Module. Results: The PedsQL mean score was 49.0; (min−max: 5.6−90.8; SD = 16.8), with the highest scores in the Emotional Functioning (EF) (EF; 55.9; min−max: 5.0−100.0; SD = 22.0), and the lowest in the Social Functioning (SF) (SF; 42.7; min−max: 5.0−85.0; SD = 18.7) 56.4 (SD ± 14.7). The child’s age does not affect the quality of life, there were no statistically significant (p > 0.05). families have difficulties in performing daily activities (total score 27.6; SD 16.7), support family functioning (total score 28.9; SD 18.8) and effects physical domain (total score 27.7; SD 15.7). Conclusion: Research on the QoL of patients with PWS and their families is very important in order to assess the QoL, but also to provide the perspective of an active change in the perspective of a better treatment process, rehabilitation and communication in society.
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Bąk J, Zarzycka D. Parents' from Poland coping with the illness of a child-Preliminary research. Cultural adaptation and evaluation of the psychometric properties of the coping health inventory for parents - polish version. J Pediatr Nurs 2022; 62:69-77. [PMID: 34799204 DOI: 10.1016/j.pedn.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 10/14/2021] [Accepted: 11/03/2021] [Indexed: 11/17/2022]
Abstract
PURPOSE The goal was to present preliminary research results on how parents cope with the illness of a child using the Coping Health Inventory for Parents (CHIP) after it had been culturally adapted and its psychometric properties evaluated. DESIGN AND METHODS Taking part in the study were 459 parents of children with asthma (n = 230) or suffering pain (n = 229).A. RESULTS The content validity of the coefficient of variation ratio (CVR) for each item on the scale ranged from 0.84 to 1.00. Exploratory factor analysis by principal components method with Equamax rotation confirmed the three-factor structure of the test. THe theoretical validity of the tool was confirmed by intercorrelation matrix analysis, and the criterion validity of the CHIP test was evaluated based on analysis of intergroup differences regarding individual measurements of coping by parents of children diagnosed with asthma but differentiated by need of regular medication. CHIP has high Cronbach alpha coefficients values: 0.80-0.86. Results indicate that the children's parents rate as moderately helpful the Support (2.23, ± 0.60) and Family (2.17, ± 0.55) styles. Parents rated the Medical style as least helpful in coping (1.75, ± 0,59). CONCLUSIONS This study confirms both the accuracy and the reliability of the CHIP test, and the obtained coefficient values indicate that the tool can be used for individual and for scientific research. PRACTICE IMPLICATIONS The study shows that assessment of the manner of a parent's coping with the illness of a child is influenced by the child's gender and place of residence.
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Affiliation(s)
- Jadwiga Bąk
- Faculty of Health Sciences, Medical University of Lublin, Poland.
| | - Danuta Zarzycka
- Department of Paediatric Nursing, Faculty of Health Sciences, Medical University of Lublin, Poland
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Meade C, Martin R, McCrann A, Lyons J, Meehan J, Hoey H, Roche E. Prader-Willi Syndrome in children: Quality of life and caregiver burden. Acta Paediatr 2021; 110:1665-1670. [PMID: 33378107 DOI: 10.1111/apa.15738] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 12/03/2020] [Accepted: 12/28/2020] [Indexed: 12/28/2022]
Abstract
Prader-Willi syndrome is a complex condition requiring constant care and supervision of the affected child. AIM To evaluate quality of life and caregiver burden in children with Prader-Willi syndrome. METHODS All children with Prader-Willi syndrome, attending a tertiary referral centre, were invited to participate (n = 44). Quality of life was evaluated using the PedsQL questionnaire. Family impact modules and parent proxy reports evaluated the impact on the quality of life of the child and family. Additional challenges were captured using a burden questionnaire. RESULTS Nineteen children participated. Median age was 7.9 years (0.6-18.1 years). Majority were female (n = 14, 74%). Median age at diagnosis was 2.5 weeks (range birth-2 years 8 months). Growth hormone treatment was in place for the majority (n = 14, 74%). Increased weight and age were identified as significantly impacting on family functioning and relationships. Parents perceived increased weight and age to have a significant negative impact on their child's psychosocial health and social functioning. Caregivers of children >12 years reported an increased burden of care. Disruption to routines, restriction of social activities and psychological difficulties were reported as increasing caregiver burden. CONCLUSION Prader-Willi syndrome impacts significantly on quality of life for both the affected child and the family.
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Affiliation(s)
- Christina Meade
- Department of Nutrition and Dietetics National Children's Hospital Tallaght University Hospital Dublin Ireland
| | - Ruth Martin
- Department of Nutrition and Dietetics National Children's Hospital Tallaght University Hospital Dublin Ireland
| | - Ann McCrann
- Department of Paediatric Growth Diabetes and Endocrinology National Children's Hospital Tallaght University Hospital Dublin Ireland
| | - Jacqueline Lyons
- Department of Paediatric Growth Diabetes and Endocrinology National Children's Hospital Tallaght University Hospital Dublin Ireland
| | - Judith Meehan
- Discipline of Paediatrics Trinity College Dublin The University of Dublin Dublin Ireland
| | - Hilary Hoey
- Discipline of Paediatrics Trinity College Dublin The University of Dublin Dublin Ireland
| | - Edna Roche
- Department of Paediatric Growth Diabetes and Endocrinology National Children's Hospital Tallaght University Hospital Dublin Ireland
- Discipline of Paediatrics Trinity College Dublin The University of Dublin Dublin Ireland
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Ganetsos A, Farrelly E, Magoulas P, Stevenson DA. Stress and Coping in Caregivers of Children with RASopathies: Assessment of the Impact of Caregiver Conferences. J Pediatr Genet 2020; 9:235-242. [PMID: 32765926 DOI: 10.1055/s-0040-1712178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 04/20/2020] [Indexed: 10/24/2022]
Abstract
The study aimed to assess baseline stress and coping mechanisms among caregivers of children with RASopathies (i.e., cardiofaciocutaneous and Costello's syndrome) and the impact of attending biennial caregiver conferences. Caregivers completed the Perceived Stress Scale, Coping Health Inventory for Parents, and demographic surveys prior to family conferences, and 1- and 6-month postconferences. Baseline stress was increased and associated with child age, parental age, and number of conferences attended. After 1 month, caregiver stress was lowered among men and caregivers attending ≥2 support conferences.
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Affiliation(s)
- Athena Ganetsos
- Division of Medical Genetics, Department of Pediatrics, Stanford University, Palo Alto, California, United States
| | - Ellyn Farrelly
- Division of Medical Genetics, Department of Pediatrics, Stanford University, Palo Alto, California, United States
| | - Pilar Magoulas
- Department of Molecular and Human Genetics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, United States
| | - David A Stevenson
- Division of Medical Genetics, Department of Pediatrics, Stanford University, Palo Alto, California, United States
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Toledano-Toledano F, Moral de la Rubia J, McCubbin LD, Cauley B, Luna D. Brief version of the coping health inventory for parents (CHIP) among family caregivers of children with chronic diseases. Health Qual Life Outcomes 2020; 18:104. [PMID: 32307007 PMCID: PMC7168940 DOI: 10.1186/s12955-020-01357-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2018] [Accepted: 04/08/2020] [Indexed: 01/10/2023] Open
Abstract
Background The Coping Health Inventory for Parents (CHIP) has demonstrated good psychometric properties in several language forms and has been used to assess the coping behaviors of families facing disease. However, the CHIP has not been validated in Mexico among families of children with chronic conditions, where it could be useful for research and intervention. The objectives of this instrumental study were to obtain a version of the CHIP for the Spanish language in Mexico, establish the factor structure of the Mexican version of the CHIP, probe its internal consistency reliability, and assess its concurrent construct validity. Methods A nonprobability sample of 405 family caregivers of children with chronic diseases responded to a battery of measurement instruments that included the CHIP, the Beck Anxiety Inventory, and the Beck Depression Inventory. The sample was randomly divided into two parts. In one subsample (190 participants), an exploratory factor analysis was performed using a principal component analysis and oblique rotation. In the second subsample (215 participants), a confirmatory factor analysis was performed using maximum likelihood estimation. Results The scale was reduced to 16 items (CHIP-16) with factorial loads greater than .50. The empirical criteria used to determine the number of factors converged on the following five factors: belief and trust (McDonald ω = .85), spouse/partner relationship (ω = .79), home care (ω = .77), family involvement (ω = .75), and security/stability (ω = .79). The overall internal consistency was good (ω = .88). The five-factor model showed acceptable fit indices and high parsimony. The mean CHIP-16 scores and the Spouse/partner relationship scores among the caregivers with anxiety were greater than those among the caregivers without anxiety. The mean home-care scores among the women were greater than those among men. Conclusions The 16-item version of the CHIP showed good internal consistency and construct validity; thus, the CHIP-16 is a useful instrument for measuring and assessing coping in family caregivers of children with chronic diseases.
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Affiliation(s)
- Filiberto Toledano-Toledano
- Unidad de investigación en Medicina Basada en Evidencias del Hospital Infantil de México Federico Gómez National Institute of Health, Dr. Márquez 162, Doctores, Cuauhtémoc, 06720, México City, Mexico.
| | - José Moral de la Rubia
- Facultad de Psicología, Universidad Autónoma de Nuevo León, Dr. Carlos Canseco, 110, Esq. Dr. Aguirre Pequeño, Col. Mitras Centro, 64460, Monterrey, Mexico
| | - Laurie D McCubbin
- College of Education and Human Development, University of Louisville, 1905S1st St, Louisville, KY, 40208, USA
| | - Bridget Cauley
- College of Education and Human Development, University of Louisville, 1905S1st St, Louisville, KY, 40208, USA
| | - David Luna
- Comisión Nacional de Arbitraje Médico, Mitla No. 250-10° Floor, esq. Axis 5 South (Eugenia). Col. Narvarte, 03020, Benito Juárez, Mexico City, Mexico
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Church K, Campbell D, Halliday V. Impact of hospitalisation of children on parental dietary habits: a qualitative study. Arch Dis Child 2019; 104:967-971. [PMID: 31079071 DOI: 10.1136/archdischild-2018-316280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Revised: 04/17/2019] [Accepted: 04/23/2019] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To explore how prolonged hospitalisation of a child with a neurological condition influences the dietary habits of parents, taking account of their attitudes and perceptions of this experience. DESIGN Qualitative study using semi-structured interviews and inductive thematic analysis. SUBJECTS Fifteen parents of children (aged 2-16 years) with a neurological condition resulting in prolonged periods of hospitalisation were recruited. RESULTS Mothers (n=13) and fathers (n=2) who were interviewed experienced frequent hospital visits brought about by their child's condition, or associated medical complications. Dietary habits of parents were affected throughout their time in hospital. Three key themes were identified relating to how hospitalisation influenced this: (1) access to food, (2) emotional and physical well-being and (3) impact on eating patterns and food choice. CONCLUSIONS Findings from this study suggest that parents in these circumstances need to be better supported within the hospital setting as a number of barriers exist when it comes to accessing food in hospital and making healthy food choices. Additionally, having a child in hospital has a considerable effect on a parent's emotional well-being, which further impacts on their dietary habits. The long-term physical and mental health implications of this may influence their ability to care for the sick child.
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Affiliation(s)
- Kirstyn Church
- Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK
| | - David Campbell
- Gastroenterology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK
| | - Vanessa Halliday
- School of Health and Related Research, University of Sheffield, Sheffield, UK
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Umeh KF. Ethnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing. ETHNICITY & HEALTH 2019; 24:57-72. [PMID: 28385036 DOI: 10.1080/13557858.2017.1315056] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE There is limited understanding of ethnic inequalities in doctor-patient communication regarding personal care plans (PCPs). This study investigated the mediating effects of positive mental wellbeing on differences in PCP-related doctor-patient communication amongst South Asian and Caucasian UK residents. DESIGN Data from 10,980 respondents to the 2013 Health Survey for England was analysed using bootstrapping methods. Constructs from the WEMWBS (Warwick and Edinburgh Mental Wellbeing Scale) (Stewart-Brown, S., and K. Janmohamed. 2008. Warwick, UK) were assessed as mediators of relations between ethnicity and several doctor-patient communication variables, including PCP-related interactions; (a) had a PCP-related discussion about a long-term condition with a doctor/nurse, and (b) had this conversation within the past year, (c) agreed to a PCP with a health professional; and (d) talked to a doctor in the past 2 weeks. RESULTS Bootstrapped mediation analysis (Hayes, A. F. 2013. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-based Approach. New York, NY: The Guilford Press) showed that three positive mind-sets mediated associations between ethnicity and doctor-patient contact, including PCP-related communication. Being able to make up one's mind (ab = -0.05; BCa CI [-0.14, 0.01]) mediated the effect of ethnicity on agreeing to a PCP, while having energy to spare (ab = 0.07; BCa CI [-0.04, 0.12]), and feeling good about oneself (ab = 0.03; BCa CI [0.01, 0.07]), mediated ethnic effects on talking to a doctor during the past fortnight. The mediating effect of reported energy persisted after controlling for medical history, perceived health, and other covariates. CONCLUSIONS Ethnic disparities in doctor-patient interaction, including PCP-related communication, are partly explained by positive mental wellbeing. Gauging positive psychological moods in patients, particularly self-worth, self-perceived vigour and decisiveness, are relevant to addressing ethnic inequalities in doctor-patient communication. As PCPs may have direct implications for patient health it is important for health professionals to address deficits in psychological functioning that may precipitate ethnic inequalities in setting up PCPs.
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Affiliation(s)
- Kanayo F Umeh
- a School of Natural Sciences & Psychology , Liverpool John Moores University , Liverpool , UK
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Comparing Parental Well-Being and Its Determinants Across Three Different Genetic Disorders Causing Intellectual Disability. J Autism Dev Disord 2017; 48:1651-1665. [DOI: 10.1007/s10803-017-3420-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Zanon RB, Da Silva MA, Filho EJDM, Bandeira DR, Dos Santos MA, Halpern R, Bosa CA. Brazilian study of adaptation and psychometric properties of the Coping Health Inventory for Parents. PSICOLOGIA-REFLEXAO E CRITICA 2017; 30:10. [PMID: 32026041 PMCID: PMC6964195 DOI: 10.1186/s41155-017-0065-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 04/20/2017] [Indexed: 11/20/2022] Open
Abstract
The Coping Health Inventory for Parents (CHIP) evaluates coping patterns of parents of chronically ill children and assesses different coping strategies using three subscales. This study aimed to translate and transculturally adapt the CHIP for a Brazilian sample and investigate the preliminary psychometrics of the scale. Rating scale Rasch analysis was performed on CHIP responses, and the psychometric performance of each of the three subscales was tested. Two hundred twenty parents of individuals with health problems participated in the study, answering a sociodemographic questionnaire-the Brazilian version of the CHIP-and Folkman and Lazarus's coping questionnaire. All items exhibited good fit to the measurement model, although response categories were not used as intended and little variability on person parameter estimates was obtained. These preliminary results suggested that each construct being measured by the three subscales should be treated separately, corroborating the theoretical model of the original instrument. Suggestions to address the psychometric limitations of the instrument were made in order to improve measurement precision.
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Affiliation(s)
- Regina Basso Zanon
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Mônia Aparecida Da Silva
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Euclides José De Mendonça Filho
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Denise Ruschel Bandeira
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Manoel Antônio Dos Santos
- Department of Philosophy, Sciences and Letters of the Ribeirão Preto College of the University of São Paulo, Av. Bandeirantes, 3900 - Monte Alegre, Ribeirão Preto, SP 14049-900 Brazil
| | - Ricardo Halpern
- Federal University for Medical Sciences of Porto Alegre, Rua Sarmento Leite, 245, Porto Alegre, RS 90050-170 Brazil
| | - Cleonice Alves Bosa
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
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Mori Y, Downs J, Wong K, Anderson B, Epstein A, Leonard H. Impacts of caring for a child with the CDKL5 disorder on parental wellbeing and family quality of life. Orphanet J Rare Dis 2017; 12:16. [PMID: 28103894 PMCID: PMC5248472 DOI: 10.1186/s13023-016-0563-3] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Accepted: 12/27/2016] [Indexed: 12/22/2022] Open
Abstract
Background Although research in this area remains sparse, raising a child with some genetic disorders has been shown to adversely impact maternal health and family quality of life. The aim of this study was to investigate such impacts in families with a child with the CDKL5 disorder, a newly recognised genetic disorder causing severe neurodevelopmental impairments and refractory epilepsy. Methods Data were sourced from the International CDKL5 Disorder Database to which 192 families with a child with a pathogenic CDKL5 mutation had provided data by January 2016. The Short Form 12 Health Survey Version 2, yielding a Physical Component Summary and a Mental Component Summary score, was used to measure primary caregiver’s wellbeing. The Beach Center Family Quality of Life Scale was used to measure family quality of life. Linear regression analyses were used to investigate relationships between child and family factors and the various subscale scores. Results The median (range) age of the primary caregivers was 37.0 (24.6–63.7) years and of the children was 5.2 (0.2–34.1) years. The mean (SD) physical and mental component scores were 53.7 (8.6) and 41.9 (11.6), respectively. In mothers aged 25–54 years the mean mental but not the physical component score was lower than population norms. After covariate adjustment, caregivers with a tube-fed child had lower mean physical but higher mean mental component scores than those whose child fed orally (coefficient = −4.80 and 6.79; p = 0.009 and 0.012, respectively). Child sleep disturbances and financial hardship were negatively associated with the mental component score. The mean (SD) Beach Center Family Quality of Life score was 4.06 (0.66) and those who had used respite services had lower scores than those who had not across the subscales. Conclusions Emotional wellbeing was considerably impaired in this caregiver population, and was particularly associated with increased severity of child sleep problems and family financial difficulties. Family quality of life was generally rated lowest in those using respite care extensively, suggesting that these families may be more burdened by daily caregiving.
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Affiliation(s)
- Yuka Mori
- Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, 6008, Perth, Western Australia
| | - Jenny Downs
- Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, 6008, Perth, Western Australia.,School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia
| | - Kingsley Wong
- Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, 6008, Perth, Western Australia
| | - Barbara Anderson
- Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, 6008, Perth, Western Australia
| | - Amy Epstein
- Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, 6008, Perth, Western Australia
| | - Helen Leonard
- Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, 6008, Perth, Western Australia.
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Life Satisfaction Among Mothers of Individuals with Prader-Willi Syndrome. J Autism Dev Disord 2016; 46:2126-2137. [DOI: 10.1007/s10803-016-2741-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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