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Demir OB, Yilmaz FT. Religious Coping and Fatalism on Perception of Care Burden in Caregivers of Patients with Cerebral Palsy in Turkey: A Cross-Sectional and Correlational Study. JOURNAL OF RELIGION AND HEALTH 2024; 63:2745-2759. [PMID: 37060387 DOI: 10.1007/s10943-023-01814-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/02/2023] [Indexed: 06/19/2023]
Abstract
Providing care to a patient with cerebral palsy can have many negative impacts upon caregivers. This study was carried out to define caregiving burden in the caregivers of cerebral palsy patients and determine the relationships between religious coping, fatalism, and burden of care. This cross-sectional and correlational study included 132 caregivers. Data were obtained using the Religious Coping Scale, the Fatalism Scale, and the Caregiver Burden Scale. It was determined that 18.9% of the participants experienced a heavy care burden. The luck and pessimism dimensions of the Fatalism Scale were positively and weakly correlated with caregiving burden (p < 0.01), while there was no correlation between caregiving burden and positive or negative religious coping styles (p > 0.05). Perception of fatalism explained 10% of the total variance in caregiving burden (R = 0.329, R2 = 0.109, F = 5.195, p = 0.002). It is recommended that caregivers be supported by religious experts to strengthen positive religious coping styles and advisable fatalism perceptions.
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Affiliation(s)
| | - Feride Taskin Yilmaz
- Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Turkey.
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Mohammed SS, Abdelwahab MS, Zaky NA, Abdelazeim FH. Impact of mother's care burden, fatigue and child's functional level on quality of life in spastic cerebral palsy. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2024; 29:e2067. [PMID: 38126239 DOI: 10.1002/pri.2067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 11/11/2023] [Accepted: 11/14/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND AND PURPOSE Cerebral palsy (CP) may be considered one of the most common motor disabilities that require a lot of caregiving from mothers or caregivers; therefore, the mothers of children with CP face a lot of difficulties in their caregiving, which in turn may affect the child's quality of life (QOL). This work was conducted to evaluate the impact of the children's functional level in different types of spastic CP, mothers' care burden (CB), and fatigue on the child's QOL. METHODS One hundred thirty-eight children with different types of spastic CP (unilateral and bilateral) with different levels of the gross motor function classification system (GMFCS), with an age range of 6-12 years, and their mothers with ages ranged from 25 to 45 years, participated in this study. Mother CB, fatigue, and child QOL were measured and compared between different groups by using the Zarit burden Interview (ZBI), Chalder Fatigue Questionnaire (CFQ), and Pediatric Quality of Life Inventory (PedsQL) CP Module, respectively. RESULTS There were significant differences in all measured variables (ZBI, CFQ, GMFCS, and PedsQL) with p-value <0.001 among the different spastic groups (unilateral and bilateral CP). However, the results revealed a positive impact of the child's GMFCS, mother's CB, and fatigue level on the quality of the child's life, with a greater effect on those with quadriplegic type. CONCLUSION The mother's CB and fatigue should be considered in the rehabilitation of spastic CP children based on their GMFCS, as they have a negative impact on child QOL; therefore, helping the mother with her needs should not be ignored, especially in families with severely spastic CP children and low financial income.
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Affiliation(s)
- Sara S Mohammed
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, October 6 University, Giza, Egypt
| | - Manal S Abdelwahab
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University and 6 October University, Giza, Egypt
| | - Naglaa A Zaky
- Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Faten H Abdelazeim
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University and 6 October University, Giza, Egypt
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Park EY. Psychometric properties of the caregiving difficulty scale in mothers of children with cerebral palsy. BMC Neurol 2023; 23:237. [PMID: 37340392 DOI: 10.1186/s12883-023-03264-w] [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: 06/29/2022] [Accepted: 05/27/2023] [Indexed: 06/22/2023] Open
Abstract
BACKGROUND The Caregiving Difficulty Scale is used to measure the burden of caregiving experienced by mothers of children with cerebral palsy. This study aimed to identify the psychometric properties of the Caregiving Difficulty Scale using the Rasch model. METHODS Data collected from 206 mothers of children with cerebral palsy were analyzed. Unidimensionality, difficulty of item, rating scale appropriateness, and reliability using the separation index of the Caregiving Difficulty Scale were verified. Unidimensionality of all 25 items was identified through the item fit. RESULTS Our analysis of item difficulty indicated that person ability and item difficulty are expressed as a similar logit extend. The use of the 5-point rating scale appeared to be appropriate. Outcome analysis revealed that the reliability was high based on the person and that the item separation level was acceptable. CONCLUSIONS This study showed that the Caregiving Difficulty Scale could be a valuable tool for evaluating the caregiving burden in mothers of children with cerebral palsy.
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Affiliation(s)
- Eun-Young Park
- Department of Secondary Special Education, Jeonju University, Jeonju, 55069, South Korea.
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Hewawitharana BDR, Wijesinghe CJ, De Silva A, Phillips JP, Hewawitharana GP. Disability and caregiver burden: Unique challenges in a developing country. J Pediatr Rehabil Med 2023; 16:483-491. [PMID: 37212077 DOI: 10.3233/prm-220070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/23/2023] Open
Abstract
PURPOSE This study aimed to identify factors, including degree of disability, that contribute to the caregiver burden of raising children with cerebral palsy in Sri Lanka. METHODS Participants were caregivers of children with cerebral palsy attending the pediatric neurology clinic of the only tertiary care center in southern Sri Lanka. The locally validated Caregiver Difficulties Scale (CDS) was administered, and demographic information was obtained in a structured interview. Disability data was accessed through the medical record. RESULTS Of 163 caregivers who participated in this study, 133 (81.2%) demonstrated a moderate to high level of burden, and 91 (55.8%) were at high risk for psychological burden. In the bivariate analysis, caregiver burden significantly correlated with degree of physical disability based on the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS), the presence of medical co-morbidities, and having two or more children. However, only the GMFCS level and number of children remained significant predictors of caregiver burden after controlling for confounding effects. CONCLUSION Raising a child with cerebral palsy in Sri Lanka is likely to cause caregiver burden, particularly if they have a high level of disability or one or more siblings. Monitoring caregiver burden as part of routine cerebral palsy management is important, which allows targeting psychosocial support to families most in need.
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Affiliation(s)
| | - Champa J Wijesinghe
- Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Galle, SriLanka
| | - Aruna De Silva
- Department of Pediatrics, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka
| | - John P Phillips
- The Mind Research Network and Department of Neurology & Pediatrics, University of New Mexico, Albuquerque, NM, USA
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Zhong X, Guo X, Zhang L, Yang X, Jingyao C, Li D, Chen X, Zhou H, Wijesinghe CJ. The Chinese version of the Caregiver Difficulties Scale: Psychometric evaluation. Child Care Health Dev 2022. [PMID: 36579786 DOI: 10.1111/cch.13093] [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: 09/23/2022] [Revised: 11/22/2022] [Accepted: 12/24/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Evaluating caregiver burden and its health impact is an essential component of long-term care plan for children with disabilities; the Caregiver Difficulties Scale (CDS) has high conceptual sensitivity. The aim of this study was to adapt the CDS to Chinese and investigates the psychometric properties of this tool. METHODS The study was carried out among caregivers of children with cerebral palsy (n = 194). The CDS, Caregivers Burden Inventory (CBI) and World Health Organization Quality of Life-BREF (WHOQOL-BREF) were used for data collection. Twenty experts were consulted to evaluate the content validity of the scale. The confirmatory factor analysis was conducted to measure the construct validity of CDS. The Spearman correlation coefficients were calculated among CDS, CBI and WHOQOL-BREF to examine the convergent validity and discriminant validity. The reliability was evaluated by examining internal consistency and test-retest reliability. RESULTS The result of expert consultation showed that the S-CVI was 0.894 and the I-CVI ranged from 0.70 to 1.00. The fit indices showed that the original correlated four-factor model of CDS was adequate: χ2 = 268.397; df = 243; χ2 /df = 1.105; RMSEA = 0.023; CFI = 0.985; NNFI = 0.869; TLI = 0.982; IFI = 0.986. The score of CDS was positively strong associated with the scores of CBI (r = +0.764); negatively correlating with the scores of WHOQOL-BREF (r = -0.627). The Cronbach's alpha was 0.840; intraclass correlation coefficient (ICC) value was 0.843. CONCLUSIONS The Chinese version of the CDS is a valid and reliable tool to evaluate burden for caregivers of children with CP in China.
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Affiliation(s)
- Xiaoying Zhong
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Xiujing Guo
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Li Zhang
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Xiaorong Yang
- Chengdu Women's and Children's Central Hospital, School of Medicine/University of Electronic Science and Technology, Chengdu, Sichuan, China
| | - Chen Jingyao
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Dehua Li
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Xiaoyong Chen
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Hui Zhou
- Department of Children rehabilitation Department Nursing, West China Second University Hospital, Sichuan University/Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Champa J Wijesinghe
- Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Matara, Sri Lanka
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Mehdizadeh Behtash M, Mansuri B, Salmani M, Tohidast SA, Zarjini R, Scherer RC. Development and evaluation of the psychometric properties of the caregiver burden scale for parents of children who stutter (CBS-PCWS). JOURNAL OF FLUENCY DISORDERS 2022; 73:105921. [PMID: 35932583 DOI: 10.1016/j.jfludis.2022.105921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 07/02/2022] [Accepted: 07/18/2022] [Indexed: 06/15/2023]
Abstract
PURPOSE Caring for a child who stutters can impose excessive pressure on parents. Caregiver burden affects many aspects of parents' lives. Paying attention to parents in the treatment of children who stutter (CWS) is important because parents play a key role in the treatment of CWS. The aim of the study was to develop the Caregiver Burden Scale for Parents of Children Who Stutter (CBS-PCWS) and investigate the psychometric properties of the CBS-PCWS. METHOD The CBS-PCWS was developed using interviews with 15 parents of CWS and a literature review. The content validity, face validity, construct validity using exploratory factor analysis (EFA), and reliability of the CBS-PCWS were investigated. The content validity was evaluated using 10 experts' opinions. Face validity was determined using interviews with 10 parents of CWS. The reliability of the CBS-PCWS was evaluated through internal consistency and test-retest reliability. RESULTS The scale development resulted in the creation of 137 items. During an expert panel with the presence of the research team, 51 similar items were eliminated. During the qualitative content validity stage, nine items were added to the initial scale. After determining the content and face validity, the number of CBS-PCWS items was reduced to 52 items. In the construct validity stage using EFA with responses from 364 parents, eight items of the CBS-PCWS were removed due to low factor loadings. The results of the EFA indicated that the CBS-PCWS contained five factors: psychological and emotional, personal and physical, support for caregiving, culpability, and socio-communicative. The Cronbach's alpha values of the scale domains were in the 0.78-0.94 range. In addition, the ICC test-retest coefficient for the total score of the CBS-PCWS was 0.93 and for its domains was in 0.91-0.99 range. CONCLUSION The CBS-PCWS has 44 items with five domains and is a valid and reliable scale that can be used for clinical or research purposes. More studies are required to evaluate further psychometric properties of the CBS-PCWS.
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Affiliation(s)
- Mahsa Mehdizadeh Behtash
- Department of Speech Therapy, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran
| | - Banafshe Mansuri
- Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Masoomeh Salmani
- Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Seyed Abolfazl Tohidast
- Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
| | - Reyhaneh Zarjini
- Department of Speech Therapy, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran
| | - Ronald Callaway Scherer
- Department of Communication Sciences and Disorders, Bowling Green State University, Bowling Green, OH, USA
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Atar E, Dilekçi E, Özsoy Ünübol T, Gündüz N, Atar M, Aşkın A. Caregiver burden in cerebral palsy: Validity and reliability of the Turkish version of caregiver difficulties scale. Child Care Health Dev 2022; 48:465-473. [PMID: 34904251 DOI: 10.1111/cch.12947] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 12/02/2021] [Accepted: 12/05/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND This study aims to translate the caregiver difficulties scale (CDS) into Turkish language and to reveal its reliability and validity in Turkish informal family caregivers of children with cerebral palsy (CP). METHODS This study included 130 participants (39.9 ± 7.8 years; range 24-58 years; 106 females and 24 males). Demographic properties of participants, relationship with the care recipient, income, caregiving time, CP type and diseases of the child (e.g., epilepsy, hydrocephalus and congenital heart disease) and the caregiver were recorded. The CDS, caregiver well-being scale (CWBS), World Health Organization Quality of Life (WHOQOL-BREF) and Beck depression inventory (BDI) were used for data collection. The internal consistency of the CDS was assessed using the calculation of Cronbach's alpha coefficient. A test-retest interval of 2 weeks was used to assess the reliability. The intercorrelation of variables was evaluated using the Spearman correlation coefficient. The receiver operating characteristic (ROC) analysis was performed to find the predictive power of CDS scores for depression. RESULTS A total of 130 family caregivers of children with CP completed the test/retest procedures. The Cronbach alpha coefficients were found as 0.878 for the test and 0.852 for the retest. Intraclass correlation coefficient (ICC) value was found between 0.83 and 0.90 for test-retest reliability of the CDS. In addition, the CDS showed a significantly strong correlation with CWBS-activities of living subscale and WHOQOL-BREF psychological, physical and environment domains, as well as a significantly moderate correlation with CWBS basic needs subscale, BDI and WHOQOL-BREF general health and social domains. CDS scores that are >46 resulted in a sensitivity of 81.48% and a specificity of 73.79% for moderate-severe depression. CONCLUSION The Turkish version of the CDS is a valid and reliable measure for caregiver burden of family caregivers of children with CP.
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Affiliation(s)
- Emel Atar
- Sultan Abdülhamid Han Training and Research Hospital, Department of Physical Medicine and Rehabilitation, University of Health Science, Istanbul, Turkey
| | - Erdal Dilekçi
- Department of Physical Medicine and Rehabilitation, Medicana Çamlıca Hospital, Istanbul, Turkey
| | - Tuğba Özsoy Ünübol
- Sultan Abdülhamid Han Training and Research Hospital, Department of Physical Medicine and Rehabilitation, University of Health Science, Istanbul, Turkey
| | - Nermin Gündüz
- Department of Psychiatry, Üsküdar University, Istanbul, Turkey
| | - Murat Atar
- Sultan Abdülhamid Han Training and Research Hospital, Department of Physical Medicine and Rehabilitation, University of Health Science, Istanbul, Turkey
| | - Ayhan Aşkın
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Izmir Katip Celebi University, Izmir, Turkey
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Beheshti SZ, Hosseini SS, Maroufizadeh S, Almasi-Hashiani A. Occupational performance of children with autism spectrum disorder and quality of life of their mothers. BMC Res Notes 2022; 15:18. [PMID: 35033183 PMCID: PMC8760686 DOI: 10.1186/s13104-021-05890-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 12/21/2021] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVES Limited studies were found to investigate the occupational performance of autistic children and their parents' quality of life. Therefore, this study aimed to investigate occupational performance of children with Autism Spectrum Disorder (ASD) and QoL of their mothers. RESULTS In this study, 88 participants were selected from autism centers in Arak, Iran, 2020. The Canadian Occupational Performance Measure (COPM) and the parent version of Quality of Life in Autism Questionnaire (QoLA-P) were used to assess the occupational performance of ASD children and their mothers QoL. QoLA-P consists of parts A which is related to the quality of life and part-B related to the problems that these children have and are related to the parents or their caregivers. Regarding occupational performance, the first priority of mothers is self-care with frequency 64.8%. The finding suggested a significant correlation between total function score of COPM and the score of part-A (r = 0.227, p = 0.033) of QoLA-P. Also, the results revealed a significant correlation between the total satisfaction score of COPM and the score of part-A (r = 0.236, p = 0.026) and part-B of QoLA-P questionnaire (r = 0.231, p = 0.030). The mothers' first priority is self-care and, the total satisfaction and function score of COPM showed a significant correlation with mothers' QoL.
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Affiliation(s)
- Seyedeh Zeinab Beheshti
- School of Rehabilitation, Department of Occupational Therapy, Arak University of Medical Sciences, Arak, Iran
| | | | - Saman Maroufizadeh
- School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Amir Almasi-Hashiani
- School of Health, Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran
- Traditional and Complementary Medicine Research Center, Arak University of Medical Sciences, Arak, Iran
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Validity and Reliability of the Caregiving Difficulty Scale in Mothers of Children with Cerebral Palsy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115689. [PMID: 34073272 PMCID: PMC8198070 DOI: 10.3390/ijerph18115689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 05/18/2021] [Accepted: 05/19/2021] [Indexed: 11/16/2022]
Abstract
This study was conducted to determine the construct validity and reliability of the Caregiving Difficulty Scale, a tool developed to measure difficulties experienced by parents of children with cerebral palsy. To this end, a survey was conducted with 215 mothers of children with cerebral palsy, and the resultant data were analyzed. A confirmatory factor analysis was performed to verify the construct validity of this scale, and the intra-item fit value was calculated for reliability analysis. Validity analysis confirmed that a bi-factor model comprising four sub-factors, Concern for the Child, Impact on Self, Support for Caregiving, and Social and Economic Strain, was suitable for the Caregiving Difficulty Scale. In addition, the reliability analysis results showed that the reliability coefficients of three of these areas, excluding Social and Economic Strain, and the reliability of the entire scale were acceptable. Therefore, the Caregiving Difficulty Scale is an appropriate tool to measure the burden of caregiving for children with cerebral palsy, and the findings emphasize the need to improve its reliability by comparing sub-factors’ reliability.
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Farajzadeh A, Dehghanizadeh M, Maroufizadeh S, Amini M, Shamili A. Predictors of mental health among parents of children with cerebral palsy during the COVID-19 pandemic in Iran: A web-based cross-sectional study. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 112:103890. [PMID: 33607484 PMCID: PMC9758061 DOI: 10.1016/j.ridd.2021.103890] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 01/27/2021] [Accepted: 01/28/2021] [Indexed: 05/14/2023]
Abstract
BACKGROUND Caring for children with cerebral palsy (CP) for many aspects of their lives may affect caregiver's psychological health. Emergence of COVID-19 put added pressure on caregivers. AIMS The aim of this study was to investigate the psychological health of Iranian caregivers of children with CP and associated risks during a lockdown period. METHODS Using online snowball sampling, 160 caregivers of children with CP participated in this web-based cross-sectional study. The Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS-4), Caregiver Difficulties Scale (CDS), and a demographic questionnaire were administered. Hierarchical multiple linear regression analysis was applied to identify risk factors related to caregiver psychological health. OUTCOMES AND RESULTS Mental health problems were prevalent; (depression = 45.0% and anxiety = 40.6%). Significant correlations were found between CDS and HADS-Anxiety (r = 0.472, P < 0.001), HADS-depression (r = 0.513, P < 0.001), and perceived stress (PSS) related to COVID-19 (r = 0.425, P < 0.001). After controlling for demographic and clinical variables, burden (CDS) was found to significantly predict caregiver anxiety, depression and stress. Furthermore, several demographic characteristics (being married, low educational level and low income) were significantly related to high HADS Anxiety scores. For depression, only having a physical problem was significantly related to HADS among demographic variables. No significant correlations were found between PSS-4 and demographic variables. CONCLUSIONS AND IMPLICATIONS During COVID-19 outbreak, the mental health of caregivers of children with CP is affected by multiple factors such as burden of care and demographic characteristics. Due to the importance of well-being among caregivers of disabled children, a comprehensive plan including psychological consultation, remote education, or in-person handouts for the self-care or handling of the children and adequate distance support may enable better mental health for these caregivers.
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Affiliation(s)
- Ata Farajzadeh
- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
| | - Moslem Dehghanizadeh
- Department of Physical Medicine and Rehabilitation, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
| | - Saman Maroufizadeh
- Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
| | - Malek Amini
- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
| | - Aryan Shamili
- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
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Farajzadeh A, Maroufizadeh S, Amini M. Factors associated with quality of life among mothers of children with cerebral palsy. Int J Nurs Pract 2020; 26:e12811. [DOI: 10.1111/ijn.12811] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 11/04/2019] [Accepted: 11/18/2019] [Indexed: 11/26/2022]
Affiliation(s)
- Ata Farajzadeh
- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation SciencesIran University of Medical Sciences Tehran Iran
| | - Saman Maroufizadeh
- School of Nursing and MidwiferyGuilan University of Medical Sciences Rasht Iran
| | - Malek Amini
- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation SciencesIran University of Medical Sciences Tehran Iran
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Albayrak I, Biber A, Çalışkan A, Levendoglu F. Assessment of pain, care burden, depression level, sleep quality, fatigue and quality of life in the mothers of children with cerebral palsy. J Child Health Care 2019; 23:483-494. [PMID: 31319696 DOI: 10.1177/1367493519864751] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The aim of this study were to evaluate pain, care burden, depression level, sleep quality, fatigue and quality of life (QoL) among a group of mothers of children with cerebral palsy (CP) and to compare their results with a group of healthy controls. The study involved 101 mothers who had children with CP and 67 mothers who had a healthy child as the control group. Pain, care burden, depression level, sleep quality, fatigue and QoL of all the participants were evaluated by the numerical rating scale, the Zarit care burden scale (ZCBS), the beck depression inventory (BDI), the Pittsburgh sleep quality index (PSQI), the checklist individual strength (CIS) and the short form-36 (SF-36), respectively. Numerical rating scale value was 3.57 ± 2.96 in the patient group. When the two groups were compared, the CP group showed higher scores for ZCBS, BDI, PSQI, total CIS and SF-36 subscales of general health and vitality whereas the scores for role physical, role emotional, mental health and mental component summary were found to be lower in the patients, compared to the control group. Reducing caregiving burden of the mothers' by other family members and increasing psychosocial supports may help improve the mother's health status.
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Affiliation(s)
- Ilknur Albayrak
- 1 Department of Physical Medicine and Rehabilitation, Selcuk University Medical Faculty, Konya, Turkey
| | - Ayten Biber
- 1 Department of Physical Medicine and Rehabilitation, Selcuk University Medical Faculty, Konya, Turkey
| | - Ahmet Çalışkan
- 2 Department of Physical Medicine and Rehabilitation, Erzurum Education and Research Hospital, Erzurum, Turkey
| | - Funda Levendoglu
- 1 Department of Physical Medicine and Rehabilitation, Selcuk University Medical Faculty, Konya, Turkey
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Barros ALO, de Gutierrez GM, Barros AO, Santos MTBR. Quality of life and burden of caregivers of children and adolescents with disabilities. SPECIAL CARE IN DENTISTRY 2019; 39:380-388. [PMID: 31172548 DOI: 10.1111/scd.12400] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 05/27/2019] [Accepted: 05/28/2019] [Indexed: 11/29/2022]
Abstract
AIMS To evaluate the quality of life (QoL) and burden of primary caregivers of children and young adults (PCCYAs) with and without disabilities. METHODS A cross-sectional study was carried out with sample composed of 336 PCCYAs with cerebral palsy (CP; n = 84), Down syndrome (DS; n = 84), autism spectrum disorder (ASD; n = 84), and without disabilities (control group: CG n = 84), matched by gender and age. The burden of caregivers was assessed with the Zarit Burden Interview (ZBI), whereas QoL was assessed using the WHOQOL-BREF instrument. RESULTS QoL and burden of CG presented better results compared to groups with disabilities, with the lowest environmental domain of all study groups (P <.001). The prevalence of burden was moderate for PCCAs of groups with disabilities. There was association between all WHOQOL-BREF and ZBI domains and variables age, schooling, occupation and per capita income (Spearman's correlation coefficient, P <.05). There is a negative impact on WHOQOL-BREF, with an increase in the level of burden of PCCAs with disabilities. CONCLUSION The majority of PCCYAs were unemployed married mothers, with low schooling and health problems. Older caregivers experience even higher burden and greater impact on QoL.
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