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Pastor‐Bédard N, Pituch E, Lamata E, Grondin M, Bottari C. Parenting with a physical disability: A scoping review of assessment methods. Aust Occup Ther J 2022; 70:257-300. [PMID: 36285693 DOI: 10.1111/1440-1630.12845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Daily childcare can be challenging for parents with a physical disability who have young children. Occupational therapists are valuable facilitators to family participation. However, occupational therapists have reported significant gaps in knowledge when documenting the parenting role of parents with a physical disability in occupational therapy practice. This study explored and described the parenting assessment methods used with parents with a physical disability in the scientific literature. METHODS A scoping review was conducted, and search results were reviewed by two separate reviewers. The search strategy was applied to five databases (Embase, CINAHL, MEDLINE, HaPI, PsycInfo). Numerical and thematic analyses were conducted. RESULTS Four thousand one hundred fifty articles were screened, and 73 relevant scientific articles were included. Seventy-six assessment methods were identified, including 20 assessment instruments with few reported population-specific psychometric studies. Most assessments were conducted via interviews (n = 45), followed by questionnaires (n = 27), and only six were performance based. Parenting practices and experience were the two dimensions most assessed, with little attention given to parenting responsibility. Mothers with multiple sclerosis, spinal cord injury, rheumatoid arthritis, and cerebral palsy were the most assessed. CONCLUSION Further research is needed to develop specific, multidimensional, and validated parenting assessments for all parents with a physical disability, including performance-based assessments. Formal assessments should be conducted by professionals, including occupational therapists, who have the necessary training.
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Affiliation(s)
- Nadielda Pastor‐Bédard
- School of Rehabilitation, Faculty of Medicine Université de Montréal Montreal Quebec Canada
- CIUSSS du Centre‐Sud‐de‐l'Île‐de‐Montréal Montreal Quebec Canada
| | - Evelina Pituch
- School of Rehabilitation, Faculty of Medicine Université de Montréal Montreal Quebec Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Montreal Quebec Canada
- Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre‐Sud‐de‐l'Île‐de‐Montréal Montreal Quebec Canada
| | - Estelle Lamata
- School of Rehabilitation, Faculty of Medicine Université de Montréal Montreal Quebec Canada
- Ergo 2000 Sherbrooke Sherbrooke Canada
| | - Myrian Grondin
- Marguerite‐d'Youville Library Université de Montréal Quebec Canada
- Urbanisation Culture Société Library, Institut national de la recherche scientifique Montréal Quebec Canada
| | - Carolina Bottari
- School of Rehabilitation, Faculty of Medicine Université de Montréal Montreal Quebec Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Montreal Quebec Canada
- Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre‐Sud‐de‐l'Île‐de‐Montréal Montreal Quebec Canada
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Casey AM, Nolan M, Nixon E. 'You Lose Confidence in Being a Human Being, Never Mind Being a Parent': The Lived Experience of Mothers With Spinal Cord Injury. QUALITATIVE HEALTH RESEARCH 2022; 32:1657-1671. [PMID: 35848715 DOI: 10.1177/10497323221115584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Little research to date has explored the experiences of parenting among mothers with Spinal Cord Injury (SCI). The aim of the study was to explore the lived experiences of mothers with SCI. Semi-structured interviews were conducted with eight mothers and an interpretive phenomenological analysis was carried out. Two super-ordinate themes were identified. The first theme, entitled: 'A sit-down mummy: The visibility of differences as a mother with SCI' highlighted how mothers faced challenges when undertaking practical parenting tasks, thus making them feel less than their non-injured peers, and how they navigated the visible and physical intrusion of the wheelchairs in their relationships with their children. The second theme, entitled: 'What kind of mother? Being a good enough parent' reflected mothers' heightened sense of guilt with respect to unmet expectations of the self as mother, and the contrasting positive experiences of availing of support and finding new ways to connect with their children. Clinical implications, methodological considerations and future directions are discussed.
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Affiliation(s)
- Anne-Marie Casey
- School of Psychology, 8809Trinity College Dublin, Dublin, Ireland
| | - Maeve Nolan
- Psychology Department, 82903National Rehabilitation Hospital, Dublin, Ireland
| | - Elizabeth Nixon
- School of Psychology, 8809Trinity College Dublin, Dublin, Ireland
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Pregnancy, Motherhood and Partner Support in Visually Impaired Women: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074308. [PMID: 35409989 PMCID: PMC8998677 DOI: 10.3390/ijerph19074308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 03/31/2022] [Accepted: 04/02/2022] [Indexed: 12/10/2022]
Abstract
Background: This qualitative study aimed to explore the experiences of women with vision impairments regarding the meaning of motherhood and their mothering-related issues and priorities. Methods: In-depth individual, semi-structured interviews were conducted between July and December 2020 with a group of visually impaired mothers residing in Italy. The interviews explored experiences related to pregnancy, childbirth, and motherhood; support received from partners, family, and friends; ways of interacting and communicating with the child; and the participants’ sense of personal self-efficacy and self-awareness. Results: Fifteen women participated in this study, ten with a congenital visual impairment and five with an acquired disability. The mean age of the sample was 49 years. The qualitative content analysis of the transcripts of the interviews pointed out four main themes or categories: (1) pregnancy and motherhood experiences, (2) family and social support, (3) relationship and communication with the child, and (4) self-efficacy and self-awareness. Conclusions: This study underlined that mothers with visual impairments show a strong desire to be recognized and accepted as women and mothers by their social environment. Adequate social and family support is associated with a better sense of personal self-efficacy and greater confidence in one’s skills as a mother.
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Panuccio F, Berardi A, Marquez MA, Messina MP, Valente D, Tofani M, Galeoto G. Development of the Pregnancy and Motherhood Evaluation Questionnaire (PMEQ) for evaluating and measuring the impact of physical disability on pregnancy and the management of motherhood: a pilot study. Disabil Rehabil 2020; 44:1474-1480. [PMID: 32748671 DOI: 10.1080/09638288.2020.1802520] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE The aim of this study was to develop a questionnaire that allows researchers to investigate and measure the impact of physical disability on pregnancy and the management of motherhood. Such a questionnaire requires good internal consistency. METHODS The tool was developed following a study conducted in 2013 in the United States consisting of a semi-structured interview with open-ended questions. A team of three experts drafted and refined the questions, generating 31 retrospective, self-rated, and predefined questions (answered using a 5-point Likert scale). A statistical analysis of the instrument was also included, to assess its reliability and internal consistency. RESULTS The Pregnancy and Motherhood Evaluation Questionnaire (PMEQ) was prepared. It is a self-administered questionnaire consisting of an initial section and three subscales. In this phase of the study, 35 women with different pathologies leading to physical disability were recruited and completed the questionnaire. The PMEQ was found to have a good internal consistency. Cronbach's α was 0.812 (p > 0.05). CONCLUSION The PMEQ has proven to be a valid, reliable, and rapid administrative tool useful for investigating and measuring the impact of physical disability on the management of pregnancy and motherhood.IMPLICATION FOR REHABILITATIONThis study provides researchers and clinicians a new tool for the evaluation of motherhood and pregnancy in women with physical disabilities.The PMEQ has proven to be a valid, reliable, and rapid administrative tool (10 min) useful for investigating and measuring the impact of physical disability on the management of pregnancy and motherhood.It is a new tool useful in both clinical and research practice to underline the importance of carrying out preventive and woman-centered assistance interventions.This tool is useful for promoting the autonomous management of pregnancy and motherhood in women with physical disabilities, and improving these women's quality of life and sense of satisfaction and competence in managing maternal tasks.
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Affiliation(s)
| | - Anna Berardi
- Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy
| | | | - Marisa Patrizia Messina
- Department of Gynecological-Obstetric Sciences and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - Donatella Valente
- Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.,IRCSS Neuromed, Pozzilli, Italy
| | - Marco Tofani
- Neurorehabilitation Unit, Department of Neurosciences and Neurorehabilitation, Bambino Gesù Children's Hospital, IRCSS, Rome, Italy
| | - Giovanni Galeoto
- Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy
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Delaney KE, Donovan J. Multiple sclerosis and sexual dysfunction: A need for further education and interdisciplinary care. NeuroRehabilitation 2017; 41:317-329. [PMID: 29036844 DOI: 10.3233/nre-172200] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Kate E. Delaney
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA
| | - Jayne Donovan
- Kessler Institute for Rehabilitation, West Orange, NJ, USA
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Hunter N, Coventry A. A Part of Life's Tapestry: Early Parenting with a Spinal Cord Injury. Br J Occup Ther 2016. [DOI: 10.1177/030802260306601007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Rasul A, Biering-Sørensen F. Parents with a spinal cord injury. Spinal Cord 2015; 54:396-401. [PMID: 26666509 DOI: 10.1038/sc.2015.197] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Revised: 09/23/2015] [Accepted: 09/24/2015] [Indexed: 11/09/2022]
Abstract
STUDY DESIGN This is a cross-sectional questionnaire. OBJECTIVES The objective of this study was to describe the impact of parenting young children with a spinal cord injury (SCI) on various life situations (for example, personal, vocational and social). SETTING Community; Denmark. METHODS A postal survey was designed to collect data in persons with SCI regarding the following: (1) socio-demographics, injury characteristics and parental status; (2) employment status; (3) environmental adjustments to support parenting roles; (4) childcare institution use and experiences; (5) network support for parenting; and (6) parenting advice for others. RESULTS A total of 62 persons (58% men) responded to the survey, with 56% having paraplegia and 44% having tetraplegia. The majority of men (83%) and women (62%) were employed during the first 10 years of their child's lives. Half of the sample (50%) did not find the accessibility of their childcare institutions optimal to accommodate their SCI. Only 22% felt that they got answers about being a parent with an SCI. The main advice provided by the sample to those considering of becoming a parent was encouragement, whereas the advice for municipalities was to provide more funding support for personal assistance and aids. CONCLUSION The present study provides insights into the challenges and satisfaction of being a parent post SCI across various life domains. Overall, the sample was very satisfied with their parenting role. The major issue noted for parents with SCI was the lack of support from local municipalities.
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Affiliation(s)
- A Rasul
- Clinic for Spinal Cord Injuries, the NeuroSciense Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - F Biering-Sørensen
- Clinic for Spinal Cord Injuries, the NeuroSciense Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Bertschy S, Bostan C, Meyer T, Pannek J. Medical complications during pregnancy and childbirth in women with SCI in Switzerland. Spinal Cord 2015; 54:183-7. [PMID: 26620876 DOI: 10.1038/sc.2015.205] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Revised: 10/13/2015] [Accepted: 10/16/2015] [Indexed: 12/14/2022]
Abstract
STUDY DESIGN A retrospective interview study of mothers with spinal cord injuries (SCIs) who gave birth over the last 15 years. OBJECTIVES To identify the medical complications of women with SCIs during pregnancy and childbirth in Switzerland and to describe how they dealt with these complications. SETTINGS Swiss Paraplegic Research in Nottwil, the University of Lausanne and participants' homes. METHODS Data were collected by self-reported questionnaires and descriptive analysis was conducted. RESULTS Seventeen women with SCIs who gave birth to 23 children were included. Thirteen of the women were paraplegics and four were tetraplegics. All of them practiced an independent bladder management. Three women changed their bladder management techniques during pregnancy. Five women reported an increased bladder evacuation frequency during pregnancy, and six women reported a new onset or increase in incontinence. We observed no significant increase in bowel dysfunction or skin breakdown due to their pregnancies. Ten women were hospitalised during the course of their pregnancies. Aside from urinary tract infections/pyelonephritis, women were hospitalised for falls, hypertension, pneumonia, preeclampsia, pre-term labour or tachycardia. CONCLUSION The results of our study clearly demonstrated that, although medical complications are not infrequent during pregnancy in women with SCIs, pregnancy and delivery in this group of women are possible without posing intolerable risks to the mothers or the children. Urological problems seemed to be the most frequent complication during pregnancy.
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Affiliation(s)
- S Bertschy
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland.,Department of Health Sciences and Health Policy, University of Lucerne and SPF, Nottwil, Switzerland
| | - C Bostan
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland.,Department of Health Sciences and Health Policy, University of Lucerne and SPF, Nottwil, Switzerland
| | - T Meyer
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover, Germany
| | - J Pannek
- Neuro-Urology, Swiss Paraplegic Center (SPZ), Nottwil, Switzerland
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Staccini L, Tomba E, Grandi S, Keitner GI. The evaluation of family functioning by the family assessment device: a systematic review of studies in adult clinical populations. FAMILY PROCESS 2015; 54:94-115. [PMID: 25154959 DOI: 10.1111/famp.12098] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
A large body of research, documenting the impact of a family's functioning on health outcomes, highlights the importance of introducing the evaluation of patients' family dynamics into clinical judgment. The Family Assessment Device (FAD) is a self-report questionnaire designed to assess specific dimensions of family functioning. This qualitative systematic review, which follows PRISMA guidelines, aimed to identify the FAD's clinimetric properties and to report the incremental utility of its inclusion in clinical settings. A thorough literature search was performed, using both computerized and manual searches, yielding a total of 148 studies that were included in this review. The FAD has been extensively used in a variety of research contexts. In the majority of studies it was able to discriminate between clinical populations and controls and among groups of patients with different illnesses. The FAD also showed good test-retest and concurrent reliability, and modest sensitivity to change after treatment. FAD-dysfunctional family functioning was related to several patient clinical outcomes, including lower recovery rates and adherence to treatment, longer recovery time, poorer quality of life, and increased risk of relapse and drop-out. The present review demonstrates that the FAD is a suitable instrument for the evaluation of family functioning both in clinical and research settings.
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Affiliation(s)
- Laura Staccini
- Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy
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Tramonti F, Gerini A, Stampacchia G. Relationship quality and perceived social support in persons with spinal cord injury. Spinal Cord 2014; 53:120-4. [DOI: 10.1038/sc.2014.229] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2014] [Revised: 11/12/2014] [Accepted: 11/14/2014] [Indexed: 11/09/2022]
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Sterling L, Keunen J, Wigdor E, Sermer M, Maxwell C. Pregnancy Outcomes in Women With Spinal Cord Lesions. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2013; 35:39-43. [DOI: 10.1016/s1701-2163(15)31046-x] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Wegener ST, Adams LL, Rohe D. Promoting optimal functioning in spinal cord injury: the role of rehabilitation psychology. HANDBOOK OF CLINICAL NEUROLOGY 2012; 109:297-314. [PMID: 23098721 DOI: 10.1016/b978-0-444-52137-8.00019-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Comprehensive treatment and rehabilitation includes attention to the psychological needs of individuals with SCI and their families. This chapter is designed to familiarize neurologists and other practitioners with psychological issues and care in SCI. While psychologists play a key role, attention to psychosocial health is a responsibility shared by all members of the rehabilitation team, beginning with the patient and family, and including clinicians who are not formally identified as mental health providers. Treatment planning for a person with SCI begins with a thorough assessment of the cognitive, emotional, personality, and social factors that influence functioning and rehabilitation. Rehabilitation psychologists use a mixture of assessment tools, including clinical interviews, behavioral observations, and a wide range of standardized test instruments. Psychological interventions can involve direct intervention with the patient, in individual, family or group-based therapies. Other psychological strategies involve assistance through less direct methods - consultation and training to other rehabilitation team members or facilitating peer role-modeling and support groups. The chapter provides an overview of core clinical issues (emotional responses, substance use, pain, cognitive deficits, sexuality and vocational rehabilitation), delineates the process of psychological assessment and intervention, and provides guidance on incorporation of rehabilitation psychology into SCI rehabilitation.
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Affiliation(s)
- Stephen T Wegener
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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Psychological resources in spinal cord injury: a systematic literature review. Spinal Cord 2011; 50:188-201. [DOI: 10.1038/sc.2011.125] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Tebbet M, Kennedy P. The experience of childbirth for women with spinal cord injuries: an interpretative phenomenology analysis study. Disabil Rehabil 2011; 34:762-9. [DOI: 10.3109/09638288.2011.619619] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Morley D, Selai C, Schrag A, Jahanshahi M, Thompson A. Adolescent and adult children of parents with Parkinson's disease: incorporating their needs in clinical guidelines. PARKINSONS DISEASE 2011; 2011:951874. [PMID: 21766002 PMCID: PMC3135087 DOI: 10.4061/2011/951874] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/20/2011] [Accepted: 04/25/2011] [Indexed: 11/20/2022]
Abstract
Purpose. To compare the quality of life (QoL) and emotional well-being of the offspring of parents with Parkinson's disease (PD) and multiple sclerosis (MS) and to consider results in light of current UK clinical guidelines. Methods. 143 adolescent and adult children of parents with PD and MS were postally administered the Parental Illness Impact Scale and a measure of emotional well-being. Results. Minimal differences were observed between the two groups in both QoL and emotional well-being. Levels of mild to moderate depression were substantially greater than those of the general population. Conclusions. The nonsignificant differences reported indicate a similar degree of impact across the two conditions assessed. A significant body of evidence demonstrates the considerable impact of parental MS, with the needs of children being acknowledged in current clinical guidelines. There is a need to similarly acknowledge the potential impact of parental Parkinson's in UK guidelines for PD.
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Affiliation(s)
- David Morley
- Institute of Neurology, University College London, Queen Square, London WC1N 3BG, UK
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Kim H, Murphy N, Kim CT, Moberg-Wolff E, Trovato M. Pediatric Rehabilitation: 5. Transitioning Teens With Disabilities Into Adulthood. PM R 2010; 2:S31-7. [DOI: 10.1016/j.pmrj.2010.01.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2010] [Accepted: 01/04/2010] [Indexed: 11/26/2022]
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Sexuality and reproductive health in adults with spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med 2010; 33:281-336. [PMID: 20737805 PMCID: PMC2941243 DOI: 10.1080/10790268.2010.11689709] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Cowley KC. Equipment and modifications that enabled infant child-care by a mother with C8 tetraplegia: A case report. Disabil Rehabil Assist Technol 2009; 2:59-65. [DOI: 10.1080/17483100600995110] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Albright K, Duggan C, Rahman R. Motherhood in the Context of Spinal Cord Injury. Top Spinal Cord Inj Rehabil 2009. [DOI: 10.1310/sci1501-43] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Duvdevany I, Buchbinder E, Yaacov I. Accepting disability: the parenting experience of fathers with spinal cord injury (SCI). QUALITATIVE HEALTH RESEARCH 2008; 18:1021-1033. [PMID: 18650559 DOI: 10.1177/1049732308318825] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
This qualitative study describes and analyzes the perceptions and experiences of fathers with spinal cord injury (SCI) regarding their relationship with their children, in the context of social attitudes toward parenting by persons with SCI. The study was conducted within the phenomenological-constructivist paradigm. The sample included 12 males with SCI. All participants were paraplegic Type D1-D12; 2 have incomplete injury to D11 and D12. Data were collected through in-depth semistructured interviews designed to understand participants' meanings. Interviews included a brief questionnaire containing sociodemographic items and an interview guide based on the research topics. The model addresses how fathers with SCI cope with negative social attitudes toward their parenting and their actions to facilitate their children's acceptance of and adjustment to the father's disability.
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Scelza WM, Kirshblum SC, Wuermser LA, Ho CH, Priebe MM, Chiodo AE. Spinal Cord Injury Medicine. 4. Community Reintegration After Spinal Cord Injury. Arch Phys Med Rehabil 2007; 88:S71-5. [DOI: 10.1016/j.apmr.2006.12.004] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Affiliation(s)
- Marca L Sipski
- Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA
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Hubscher CH. Ascending spinal pathways from sexual organs: effects of chronic spinal lesions. AUTONOMIC DYSFUNCTION AFTER SPINAL CORD INJURY 2006; 152:401-14. [PMID: 16198716 DOI: 10.1016/s0079-6123(05)52027-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
A recent survey of paraplegics indicates that regaining sexual function is of the highest priority for both males and females (Anderson, K.D. (2004) Targeting recovery: priorities of the spinal cord-injured population J. Newrotrauma, 21: 1371-1383). Our understanding of the neural pathways and mechanisms underlying sexual behavior and function is limited at the present time. More studies are obviously needed to direct experiments geared toward developing effective therapeutic interventions. In this chapter, a review of studies on the processing of sensory inputs from the male and female reproductive organs is presented with a review of what is known about the location of ascending spinal pathways conveying this information. The effect of spinal cord injury on sexual function and the problems that ensue are discussed.
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Affiliation(s)
- Charles H Hubscher
- Department of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, Louisville, KY 40292, USA.
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Visser-Meily A, Post M, Meijer AM, Maas C, Ketelaar M, Lindeman E. Children's adjustment to a parent's stroke: determinants of health status and psychological problems, and the role of support from the rehabilitation team. J Rehabil Med 2005; 37:236-41. [PMID: 16024480 DOI: 10.1080/16501970510025990] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVE To investigate the support given to young children of patients with stroke by rehabilitation teams and to identify characteristics of the patients, spouses and children that relate to children's adjustment 2 months after the patient's discharge. SUBJECTS AND METHODS Seventy-seven children (< or =18 years of age) of patients with stroke consecutively admitted to inpatient rehabilitation were included. Adjustment was measured with the Child Behaviour Check List, Child Depression Inventory and Functional Status II. Multilevel regression analyses were conducted to identify determinants of adjustment. RESULTS Half of the children received some form of support from a rehabilitation team. Receiving more support was related to more severe disability of the parent with stroke, but not to the child's health or behavioural problems at the start of the stroke victim's inpatient stay. At the start of rehabilitation, 54% of the children had subclinical or clinical problems. Children's adjustment 2 months after their parent's discharge was related to the strain on spouses and not to the patients' characteristics or those of the support. CONCLUSION The children's adjustment was related to the strain perceived by the healthy parent. There is a need for support that focuses on the experience of children of patients with stroke, regardless of stroke severity.
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Affiliation(s)
- Anne Visser-Meily
- Rehabilitation Centre De Hoogstraat and Rudolf Magnus Institute of Neuroscience, University Medical Center, Utrecht.
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