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McLaughlin DE, Semrov A, Munshi H, Patel AJ, Rahi J, Grajewski AL. The impact of childhood glaucoma on psychosocial functioning and quality of life: a review of the literature. Eye (Lond) 2023; 37:3157-3173. [PMID: 36949247 PMCID: PMC10032631 DOI: 10.1038/s41433-023-02492-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 02/20/2023] [Accepted: 03/06/2023] [Indexed: 03/24/2023] Open
Abstract
We present a novel comprehensive literature review of studies of the psychosocial functioning (PF) and quality of life (QoL) of patients with childhood glaucoma and their caregivers. Our findings demonstrate variable study quality and approach, as well as inconsistent results relating to the association of glaucoma-specific factors and sociodemographic variables with measured PF and QoL. Future studies should focus on the development of culturally cognizant and standardized assessment tools, execution of multi-center longitudinal studies with global representation, evaluation of PF and QoL among siblings and childhood glaucoma providers, and implementation of interventions to improve patient and caregiver PF and QoL.
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Affiliation(s)
- Danielle E McLaughlin
- Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Ana Semrov
- Population, Policy and Practice Research and Teaching Department, GOS Institute of Child Health, University College London, London, UK
- Ulverscroft Vision Research Group UCL, London, UK
| | - Hounsh Munshi
- Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Annika J Patel
- Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Jugnoo Rahi
- Population, Policy and Practice Research and Teaching Department, GOS Institute of Child Health, University College London, London, UK
- Ulverscroft Vision Research Group UCL, London, UK
- Great Ormond Street Hospital NHS Foundation, London, UK
- Institute of Ophthalmology UCL, London, UK
| | - Alana L Grajewski
- Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
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Identifying the Resource Needs of Young People with Differences of Sex Development. J Clin Med 2022; 11:jcm11154372. [PMID: 35955990 PMCID: PMC9369005 DOI: 10.3390/jcm11154372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 07/20/2022] [Accepted: 07/22/2022] [Indexed: 12/10/2022] Open
Abstract
Adolescents with differences of sex development (DSD) often have complex medical, surgical, and psychological care needs and require age-appropriate resources. This cross-sectional study describes the past and current experiences of adolescents and young adults with DSD and their need for information and support. Participants aged 14−30 years with DSD diagnoses were identified, either from departmental records at the Royal Children’s Hospital (RCH), Melbourne, Australia, or from the private practice of a gynecologist linked to RCH. Anonymized data were collected from a specifically designed online survey. Of the 314 successfully traced patients, 91 (28.9%) completed the survey. Amongst respondents, older age was strongly correlated with higher levels of distress at the time of disclosure (b = 0.67, p < 0.001). People who reported greater understanding of their condition (b = −0.45, p = 0.010) and higher levels of support (b = −0.40, p = 0.003) identified lower levels of current distress. Respondents preferred to receive information from a specialist doctor, GP, or websites and reported information needs being highest during adolescence. Only one in four respondents recalled ever being offered psychological support. A number of perceived barriers to accessing support were identified. Our findings indicate that young people’s information and support needs may be best met by improving online resources, as well as increasing introductions to knowledgeable and appropriate primary care physicians, psychological services, and peer support groups. Further work to promote and increase engagement with psychological and peer support for those with DSD will be important.
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The sociodemographic and clinical profile of children with an autism spectrum disorder in the oriental region of Morocco. THE EGYPTIAN JOURNAL OF NEUROLOGY, PSYCHIATRY AND NEUROSURGERY 2022. [DOI: 10.1186/s41983-021-00437-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
The objective of our study is to assess the clinical profile of autistic children in Morocco and the cultural perception of their parents. We collect data with a standard questionnaire on 130 children with autism spectrum disorder (ASD). They were recruited from child psychiatry consultation in the hospital for mental health from 2017 to 2019. This questionnaire assesses the socio-demographic characteristics of children and parents, personal and family medical history, the progress of pregnancy and childbirth. For each child, we determined the developmental age, signs of autism, the comorbidities, the nature of the treatment, the evolution. We complete the examination with parents' perception and attitude towards autism.
Results
The age of diagnosis was 3.4 years. The sex ratio in our study was 4.6. A low rate of children screened by general practitioners (4.6%). Language impairment was the main reason for the consultation, followed by social withdrawal and stereotypies. 75% of the children benefited from multidisciplinary care. The autism age of screening was significantly lower among families belonging to medium and high socioeconomic status (F = 11.233; p = 0.001).
Acceptance of diagnosis was present in 83% of cases, while 73.6% were involved in the care. Only 24% of parents thought that autism etiology is genetic, 75.4% notice improvement with age, and 80.2% consider it a source of family suffering.
Conclusions
These findings underscore the sociodemographic and clinical profile of children with ASD in the oriental region in Morocco. It could be relevant for early screening, intervention, and guidance for families with children having these conditions.
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Spencer KA, Ramji J, Unadkat P, Nadeem I, Lalakia PA, Shah J, Reddy PP, Canning DA, Pippi-Salle J, Merguerian P, Kundu A, Weiss DA, Shukla AR, Joshi R, Frazier JR. Caregiver distress: A mixed methods evaluation of the mental health burden of caring for children with bladder exstrophy. Front Pediatr 2022; 10:948490. [PMID: 36313869 PMCID: PMC9614019 DOI: 10.3389/fped.2022.948490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 09/13/2022] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Caring for children with bladder exstrophy-epispadias complex (BEEC) exacts a long-term emotional toll on caregivers. Previous studies leave a gap in understanding the impact that caring for a child with BEEC has on caregivers in low- and middle-income countries (LMIC). We hypothesize that families and caregivers experience psychological distress that has long gone unaddressed. MATERIALS AND METHODS From 2018 to 2020, researchers conducted a multi-method evaluation of caregiver distress with participants recruited as part of the annual International Bladder Exstrophy Collaboration based in Ahmedabad, Gujarat, India. In 2018, pilot data was collected through cognitive interviews. In 2019, researchers conducted structured interviews predicated on themes from the previous year, which subsequently prompted formal mental health screenings in 2020. Caregivers who reported suicidal thoughts were immediately referred for intervention. RESULTS In 2018, caregivers described the primary source of stigma arose from their village (n = 9, 26.5%). Caregivers also identified long-term concerns (n = 18, 52.9%), including future fertility and marital prospects, as sources of anxiety. In 2019, caregivers substantiated preliminary findings with the primary source of anticipated (n = 9, 31%) and experienced (n = 19, 65.5%) stigma again stemming from their communities. Both cohorts identified the collaboration as a positive source of support (n = 23, 36.5%). In 2020, caregivers stated decreased emotional wellbeing as number of subsequent repairs increased (n = 54, 75%, p = 0.002). Caregivers of children who underwent initial surgery within 5 years of screening reported higher anxiety (n = 46, 63.8%) and this was exacerbated as the number of subsequent repairs increased (p = 0.043). CONCLUSION Complex, long-term course of care, including additional surgeries, significantly impacts caregiver distress in the LMIC setting. Screening for caregivers of children with complex congenital anomalies, like BEEC, should be an essential element of any comprehensive effort to alleviate the global burden of disease.
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Affiliation(s)
- Katelyn A Spencer
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Jaishri Ramji
- B. J. Medical College and Civil Hospital, Ahmedabad, India
| | - Pooja Unadkat
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Iqra Nadeem
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Parth A Lalakia
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Jay Shah
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Pramod P Reddy
- Department of Surgery, Division of Pediatric Urology, Cincinnati Children's Hospital, Cincinnati, OH, United States
| | - Douglas A Canning
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | | | - Paul Merguerian
- Department of General Surgery, Division of Urology, Seattle Children's Hospital, Seattle, WA, United States
| | - Anjana Kundu
- Department of Anesthesiology and Pain Medicine, University of Rochester, Rochester, NY, United States
| | - Dana A Weiss
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Aseem R Shukla
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Rakesh Joshi
- B. J. Medical College and Civil Hospital, Ahmedabad, India
| | - Jennifer R Frazier
- Department of General Surgery, Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
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Comorbidity Among Chronic Physical Health Conditions and Neurodevelopmental Disorders in Childhood. CURRENT DEVELOPMENTAL DISORDERS REPORTS 2019. [DOI: 10.1007/s40474-019-00173-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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McLaughlin RM, Schraegle WA, Nussbaum NL, Titus JB. Parental coping and its role in predicting health-related quality of life in pediatric epilepsy. Epilepsy Behav 2018; 87:1-6. [PMID: 30145371 DOI: 10.1016/j.yebeh.2018.08.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Revised: 08/09/2018] [Accepted: 08/12/2018] [Indexed: 02/01/2023]
Abstract
OBJECTIVE Psychosocial difficulties are known to greatly impact the health-related quality of life (HRQOL) of a child with epilepsy, and parental coping is a unique aspect that has not been examined in relation to HRQOL in the pediatric population with epilepsy. This study assessed the relationship of parental coping with HRQOL and other clinical and sociodemographic factors. METHODS Data included parental ratings on the Illness Cognition Questionnaire-Parent (ICQ-P) and the Quality of Life in Childhood Epilepsy (QOLCE) questionnaire for 108 children and adolescents with epilepsy (mean 11.34 years of age). The ICQ-P examines parental coping through constructs of illness cognitions while QOLCE determines overall functioning as indicated by parents. Bivariate correlations were conducted to identify significant associations with parental coping, followed by a multiple linear regression to determine the relative contribution of parental coping on HRQOL. Sociodemographic factors on parental coping were explored with an analysis of covariance. RESULTS Longer duration of epilepsy (r = 0.202) and higher HRQOL (r = 0.208) were significantly associated with parental acceptance on the ICQ-P. Higher parental helplessness was significantly associated with female gender of the child (r = 0.262), diminished HRQOL (r = -0.566), greater seizure frequency (r = 0.255), and higher number of prescribed antiepileptic drugs (AEDs) (r = 0.226). Parent-rated perceived benefits did not have significant association with study variables. Multiple linear regression revealed age of seizure onset (β = 0.19, p = 0.05), seizure frequency (β = -0.22, p = 0.01), and degree of parental helplessness (β = -0.50, p ≤ 0.01) as unique predictors of HRQOL. Two separate ANCOVAs revealed no significant associations between maternal education or insurance type on parental helplessness. SIGNIFICANCE Parental coping is significantly related to HRQOL in youth with epilepsy, and elevated feelings of helplessness, along with epilepsy severity, predict lower HRQOL. These findings are the first to demonstrate the unique role of parental coping in HRQOL among youth with epilepsy, and they highlight the importance of providing support to the whole family during pediatric epilepsy treatment.
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Affiliation(s)
- Rachael M McLaughlin
- Neuropsychology Laboratory, Dell Children's Medical Center of Central Texas, United States of America; Comprehensive Epilepsy Program, Dell Children's Medical Center of Central Texas, United States of America
| | - William A Schraegle
- Neuropsychology Laboratory, Dell Children's Medical Center of Central Texas, United States of America; Department of Educational Psychology, The University of Texas at Austin, United States of America
| | - Nancy L Nussbaum
- Neuropsychology Laboratory, Dell Children's Medical Center of Central Texas, United States of America; Comprehensive Epilepsy Program, Dell Children's Medical Center of Central Texas, United States of America; Department of Educational Psychology, The University of Texas at Austin, United States of America
| | - Jeffrey B Titus
- Neuropsychology Laboratory, Dell Children's Medical Center of Central Texas, United States of America; Comprehensive Epilepsy Program, Dell Children's Medical Center of Central Texas, United States of America; Department of Neurology, Dell Medical School at The University of Texas at Austin, United States of America.
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Crandell JL, Sandelowski M, Leeman J, Havill NL, Knafl K. Parenting behaviors and the well-being of children with a chronic physical condition. FAMILIES, SYSTEMS & HEALTH : THE JOURNAL OF COLLABORATIVE FAMILY HEALTHCARE 2018; 36:45-61. [PMID: 29172624 PMCID: PMC5880719 DOI: 10.1037/fsh0000305] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Numerous studies have identified the importance of parenting behaviors to the well-being of children with chronic physical conditions. Synthesizing the findings of these studies has potential to identify which parenting behaviors are associated with specific aspects of child well-being. METHOD We retrieved research reports addressing the relationship between parenting behaviors and well-being in children with chronic physical conditions, and categorized parenting behaviors based on Skinner, Johnson, and Snyder's (2005) core dimensions of parenting (warmth, rejection, structure, chaos, autonomy support, and coercion) Through meta-analysis, we examined relationships between parenting dimension and child well-being variables. RESULTS Fifty-four reports from 47 unique studies met inclusion criteria. Parent warmth was associated with less child depression, better quality of life, better physical functioning, and fewer externalizing behavior problems. Parent rejection was associated with more child depression, internalizing/externalizing behavior problems, and poorer physical functioning. Parent structure was associated with better child physical functioning. Parent chaos was associated with poorer child physical functioning. Parent autonomy support was associated with better quality of life and fewer externalizing behavior problems. Parent coercion was associated with more child depression, poorer quality of life, poorer physical function, and more internalizing behavior problems. CONCLUSION The results identify multiple, potentially modifiable parenting dimensions associated with well-being in children with a chronic condition, which could be targeted in developing family-focused interventions. They also provide evidence that research using Skinner's core dimensions could lead to conceptualization and study of parenting behaviors in ways that would enable comparison of parenting in a variety of health and sociocultural contexts. (PsycINFO Database Record
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Affiliation(s)
| | | | - Jennifer Leeman
- School of Nursing, University of North Carolina at Chapel Hill
| | - Nancy L Havill
- School of Nursing, University of North Carolina at Chapel Hill
| | - Kathleen Knafl
- School of Nursing, University of North Carolina at Chapel Hill
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El-Gamasy MA, Eldeeb MM. Assessment of physical and psychosocial status of children with ESRD under regular hemodialysis, a single centre experience. Int J Pediatr Adolesc Med 2017; 4:81-86. [PMID: 31528682 PMCID: PMC6738519 DOI: 10.1016/j.ijpam.2017.01.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 12/22/2016] [Accepted: 01/03/2017] [Indexed: 11/24/2022]
Abstract
BACKGROUND AND OBJECTIVES Children with end stage renal disease (ESRD) under regular hemodialysis suffer from various health problems that result either from the sequelae of disease itself or its various lines of therapy. The aim of this study is to clarify biodemographic characteristics, common complaints, and physical, and psychosocial status of children with ESRD under regular maintenance hemodialysis. PATIENTS AND METHODS This study was conducted on forty children (13 males, 17 females) aged 6-16 years with ESRD under regular hemodialysis, selected from the Pediatric Nephrology Unit at Tanta University Hospitals. Three structured questionnaires were used that measured the biodemographic data of children and their parents, common complaints before and after the onset of hemodialysis, and a physical and psychosocial status assessment sheet comprising of nutritional habits, sleeping patterns, daily physical activities, school achievement, the emotional, behavioral and social aspects of children, and different social relationships. RESULTS Most children with ESRD exhibited abnormal nutritional habits, disturbed sleep, decreased physical daily activities, impaired school achievement, and changing emotions and behaviors, and depressed social relationships. CONCLUSION Common adverse effects of ESRD and hemodialysis in our center are inadequate nutritional status, abnormal sleep patterns, decreased physical activity, low school achievement, and psychosocial deterioration. RECOMMENDATIONS Great efforts on the part of parents, pediatric nephrologists, nurses, psychologist, and school teachers are needed to improve the physical and psychosocial health of dialysis patients and thereby improve their quality of life.
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Brown A, Crowe L, Boneh A, Anderson V. Parent Coping and the Behavioural and Social Outcomes of Children Diagnosed with Inherited Metabolic Disorders. JIMD Rep 2016; 31:29-36. [PMID: 27008193 DOI: 10.1007/8904_2016_544] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 12/21/2015] [Accepted: 02/02/2016] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE To explore the level of coping and management of parents of children with inherited metabolic disorders (IMD) and the relationship with children's cognitive, behavioural and social functioning. METHODS Parents of children (n = 22) with confirmed IMD (glutaric aciduria type I, methylmalonic aciduria, propionic aciduria, isovaleric aciduria, glycogen storage disease, maple syrup urine disease, ornithine transcarbamylase or very long-chain acyl-CoA dehydrogenase deficiency) completed standardised questionnaires regarding psychological distress, coping and family management. Children completed cognitive assessments and parents rated their behavioural and social functioning on standardised questionnaires. Scores were compared with normative data. RESULTS Most parents were coping well; 4/22 reported high levels of psychological distress. Exploratory analysis found that parent coping variables were correlated to the child's internalising symptoms, whereas family management was related to children's externalising behaviours and social skills. No relationship was found between parent variables and cognitive functioning. CONCLUSIONS Parental coping and family management impact on the child's internalising symptoms and externalising behaviours, respectively. Early identification of issues in these domains may enhance referral for therapeutic interventions and family support programmes.
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Affiliation(s)
- Amy Brown
- Murdoch Childrens Research Institute, Australian Centre for Child Neuropsychological Studies, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, VIC, 3052, Australia. .,Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia.
| | - Louise Crowe
- Murdoch Childrens Research Institute, Australian Centre for Child Neuropsychological Studies, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, VIC, 3052, Australia.,Department of Psychology, Royal Children's Hospital, Melbourne, VIC, Australia
| | - Avihu Boneh
- Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia.,Metabolic Research, Murdoch Childrens Research Institute, Royal Childrens Hospital, Melbourne, VIC, Australia
| | - Vicki Anderson
- Murdoch Childrens Research Institute, Australian Centre for Child Neuropsychological Studies, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, VIC, 3052, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia.,Department of Psychology, Royal Children's Hospital, Melbourne, VIC, Australia
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Little MC. An exploration of children's nursing graduates' ability to assess children's emotional health and well-being. J Child Health Care 2015; 19:370-80. [PMID: 24270990 DOI: 10.1177/1367493513509032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This exploratory, qualitative study was designed to be the first stage of an action research project to investigate whether graduates from BSc children's nursing programmes are sufficiently prepared to assess children's emotional health. Early identification of children's and young people's emotional problems is important for timely interventions to be initiated. Data were gathered from a focus group and a series of semi-structured interviews and interpreted using thematic analysis approaches. The findings indicated those interviewed can recognise when a child was emotionally unwell, reporting that assessments were brief, subjective and completed without the use of age-appropriate assessment tools. It is concluded that assessment of a child's emotional health appears to take low priority in comparison to its physical counterpart.
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Rennick JE, Dougherty G, Chambers C, Stremler R, Childerhose JE, Stack DM, Harrison D, Campbell-Yeo M, Dryden-Palmer K, Zhang X, Hutchison J. Children's psychological and behavioral responses following pediatric intensive care unit hospitalization: the caring intensively study. BMC Pediatr 2014; 14:276. [PMID: 25344699 PMCID: PMC4286947 DOI: 10.1186/1471-2431-14-276] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Accepted: 10/10/2014] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Pediatric intensive care unit (PICU) hospitalization places children at increased risk of persistent psychological and behavioral difficulties following discharge. Despite tremendous advances in medical technology and treatment regimes, approximately 25% of children demonstrate negative psychological and behavioral outcomes within the first year post-discharge. It is imperative that a broader array of risk factors and outcome indicators be explored in examining long-term psychological morbidity to identify areas for future health promotion and clinical intervention. This study aims to examine psychological and behavioral responses in children aged 3 to 12 years over a three year period following PICU hospitalization, and compare them to children who have undergone ear, nose and/or throat (ENT) day surgery. METHODS/DESIGN This mixed-methods prospective cohort study will enrol 220 children aged 3 to 12 years during PICU hospitalization (study group, n = 110) and ENT day surgery hospitalization (comparison group, n = 110). Participants will be recruited from 3 Canadian pediatric hospitals, and followed for 3 years with data collection points at 6 weeks, 6 months, 1 year, 2 years and 3 years post-discharge. Psychological and behavioral characteristics of the child, and parent anxiety and parenting stress, will be assessed prior to hospital discharge, and again at each of the 5 subsequent time points, using standardized measures. Psychological and behavioral response scores for both groups will be compared at each follow-up time point. Multivariate regression analysis will be used to adjust for demographic and clinical variables at baseline. To explore baseline factors predictive of poor psychological and behavioral scores at 3 years among PICU patients, correlation analysis and multivariate linear regression will be used. A subgroup of 40 parents of study group children will be interviewed at years 1 and 3 post-discharge to explore their perceptions of the impact of PICU hospitalization on their children and enhance our understanding of findings generated from standardized measures in the larger cohort study. An interpretive descriptive approach will guide qualitative data collection and analysis. DISCUSSION This study aims to generate new information regarding the magnitude and duration of psychological and behavioral disturbances among children admitted to PICUs, potentially leading to remedial or preventive interventions.
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Affiliation(s)
- Janet E Rennick
- The Montreal Children's Hospital, McGill University Health Centre, 2300 Tupper Street, Montreal, Quebec, Canada.
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The impact of a 1-week residential program on anxiety in adolescents with incontinence: a quasi-experimental study. J Wound Ostomy Continence Nurs 2014; 40:185-92. [PMID: 23354366 DOI: 10.1097/won.0b013e31827e8465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
PURPOSE To determine the effect of a 1-week residential program on anxiety in adolescents with bowel and/or bladder dysfunction. SUBJECTS AND SETTING Participants were 89 adolescents (mean age = 14.56 years, range 11-18 years) attending a 1-week residential program for individuals with bowel and/or bladder dysfunction. The program is both educational and social in nature and is held at 1 of 3 rotating university campuses. METHODS A quasi-experimental study design that included 3 administrations of the Multi-dimensional Anxiety Scale for Children (MASC) was employed for data collection. The MASC was administered immediately before the program, immediately after the program, and 2 to 4 months after conclusion of the program. INTERVENTION The 1-week program includes structured and unstructured sessions facilitated by young adults with these conditions and/or WOC nurses. Topics are physiological and psychological in nature, focusing on strategies for home, school, and medical settings. There are also social activities designed to facilitate development of social relationships among peers. RESULTS : A positive, statistically significant impact on total MASC scores was found (F1.679, 80.587 = 3.587; P = .404) as well as on the Social Anxiety scale (F2,96 = 5.299; P = .007) and its 2 subscales, Humiliation/Rejection Fears (F2,96 = 3.876; P = .024) and Performance Fears (F2,96 = 6.453; P = .002). CONCLUSIONS This 1-week residential summer program was found to exert a positive impact on anxiety symptoms, particularly social anxiety, and benefits persisted for 2 to 4 months. This suggests the psychological benefits of even relatively brief experiences for individuals with bowel and/or bladder dysfunction.
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Liao LM, Simmonds M. A values-driven and evidence-based health care psychology for diverse sex development. PSYCHOLOGY & SEXUALITY 2013. [DOI: 10.1080/19419899.2013.831217] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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Kirk KD, Fedele DA, Wolfe-Christensen C, Phillips TM, Mazur T, Mullins LL, Chernausek SD, Wisniewski AB. Parenting characteristics of female caregivers of children affected by chronic endocrine conditions: a comparison between disorders of sex development and type 1 diabetes mellitus. J Pediatr Nurs 2011; 26:e29-36. [PMID: 21911316 DOI: 10.1016/j.pedn.2010.10.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2010] [Revised: 10/14/2010] [Accepted: 10/17/2010] [Indexed: 10/18/2022]
Abstract
Rearing a child with a chronic illness is stressful and can potentially affect parenting style, which may result in poorer outcomes for children. The purpose of this study was to compare parenting characteristics of female caregivers rearing children with a disorder of sex development (DSD) to female caregivers rearing children with type 1 diabetes mellitus (T1DM). Caregivers of both groups were matched according to age and compared on measures of stress and parenting practices. Both groups demonstrated significant levels of stress and negative parenting practices. Children with T1DM and male children with non-life-threatening DSD were perceived as more vulnerable by their caregivers. Better understanding of parenting experiences of female caregivers rearing children with DSD, particularly male children, will facilitate the development of individualized interventions to ameliorate negative parenting practices and stress, with the long-term goal of improved health outcomes for their children.
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Affiliation(s)
- Katherine D Kirk
- University of Oklahoma College of Nursing, Oklahoma City, OK, USA.
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Ananworanich J, Jupimai T, Mekmullica J, Sosothikul D, Pancharoen C. Behavioral and emotional problems in Thai children with HIV infection compared to children with and without other chronic diseases. ACTA ACUST UNITED AC 2011; 7:52-3. [PMID: 18258929 DOI: 10.1177/1545109707305173] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Medical and Psychiatric Comorbidities in Children and Adolescents: A Guide to Issues and Treatment Approaches. Nurs Clin North Am 2010; 45:541-54, v. [DOI: 10.1016/j.cnur.2010.06.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Determining Psychosocial Research Priorities for Adolescents With Implantable Cardioverter Defibrillators Using Delphi Methodology. J Cardiovasc Nurs 2010; 25:398-404. [DOI: 10.1097/jcn.0b013e3181d817b0] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Nisell M, Ojmyr-Joelsson M, Frenckner B, Rydelius PA, Christensson K. Psychosocial experiences of parents of a child with imperforate anus. J SPEC PEDIATR NURS 2009; 14:221-9. [PMID: 19796321 DOI: 10.1111/j.1744-6155.2009.00192.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
PURPOSE This study aims to examine the psychosocial experiences of parents of children with imperforate anus (IA) and to describe their potential positive experiences. DESIGN AND METHODS Parents of IA children and a comparison group answered a questionnaire, which was analyzed quantitatively and with manifest content analysis. RESULTS Social relationships and respect for the child's will were more affected among IA mothers. Positive experiences were revealed in relation to the child, the parent, and the family. PRACTICE IMPLICATIONS Support to parents in caring for a child with IA should be individualized and occasionally undertaken through collaboration with experts from child and adolescent psychiatry.
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Affiliation(s)
- Margret Nisell
- Red Cross University College, Karolinska Institutet, Stockholm, Sweden.
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Caring for Children With Special Health Care Needs and Their Families: What Advanced Practice Nurses Need to Know. J Nurse Pract 2008. [DOI: 10.1016/j.nurpra.2008.04.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Freeman R. A fearful child attends: a psychoanalytic explanation of children's responses to dental treatment. Int J Paediatr Dent 2007; 17:407-18. [PMID: 17935594 DOI: 10.1111/j.1365-263x.2007.00871.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND At the mention of dental treatment some children become overwhelmed by anxiety whereas others appear to take the news in their stride. Sometimes when anxious children attend dental treatment, they appear to cope, contain their fears, and passively submit to treatment, whereas others angrily refuse to open their mouths and a third group of children exist who seem to just 'tough it out' no matter how disagreeable or frightening dental treatment becomes. The question remains: why do children react so differently to dental treatment? AIM This paper aims to provide a psychoanalytic explanation as to why children react and respond differently to dental treatment. RESULTS This paper proposes a psychoanalytic formulation based on the functionality of the family, parent-child dyads, child psychological development, and the child's emotional and actual life experiences. CONCLUSIONS There is a need to understand the dynamic nature of child dental anxiety and to appreciate the hidden factors and underlying complexities associated with the anxious child who attends for dental treatment.
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Affiliation(s)
- Ruth Freeman
- Dental Health Services Research Unit, University of Dundee, Dundee, UK.
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Hendriksen JGM, Poysky JT, Schrans DGM, Schouten EGW, Aldenkamp AP, Vles JSH. Psychosocial Adjustment in Males with Duchenne Muscular Dystrophy: Psychometric Properties and Clinical Utility of a Parent-report Questionnaire. J Pediatr Psychol 2007; 34:69-78. [DOI: 10.1093/jpepsy/jsn067] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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