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Chen PY, Jia F, Wu W, Wang MH, Chao TY. Dealing with missing data in multi-informant studies: A comparison of approaches. Behav Res Methods 2024:10.3758/s13428-024-02367-7. [PMID: 38418689 DOI: 10.3758/s13428-024-02367-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2024] [Indexed: 03/02/2024]
Abstract
Multi-informant studies are popular in social and behavioral science. However, their data analyses are challenging because data from different informants carry both shared and unique information and are often incomplete. Using Monte Carlo Simulation, the current study compares three approaches that can be used to analyze incomplete multi-informant data when there is a distinction between reference and nonreference informants. These approaches include a two-method measurement model for planned missing data (2MM-PMD), treating nonreference informants' reports as auxiliary variables with the full-information maximum likelihood method or multiple imputation, and listwise deletion. The result suggests that 2MM-PMD, when correctly specified and data are missing at random, has the best overall performance among the examined approaches regarding point estimates, type I error rates, and statistical power. In addition, it is also more robust to data that are not missing at random.
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Affiliation(s)
- Po-Yi Chen
- Department of Educational Psychology and Counseling, National Taiwan Normal University, Taipei, Taiwan, 106308.
| | - Fan Jia
- Department of Psychological Sciences, University of California Merced, Merced, CA, USA
| | - Wei Wu
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA
| | | | - Tzi-Yang Chao
- Department of Educational Psychology and Counseling, National Taiwan Normal University, Taipei, Taiwan, 106308
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2
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Bates CR, Staggs VS, Dean KM, August KJ, Befort CA, Covitz LM, Dreyer Gillette ML. Family Rules and Routines During the Early Phases of Pediatric Cancer Treatment: Associations With Child Emotional and Behavioral Health. J Pediatr Psychol 2024; 49:66-76. [PMID: 37990581 DOI: 10.1093/jpepsy/jsad079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 10/19/2023] [Accepted: 10/19/2023] [Indexed: 11/23/2023] Open
Abstract
OBJECTIVE Consistent family rules and routines promote positive adaptation to stress and may be protective to child emotional and behavioral functioning. Few studies have quantified family engagement in these behaviors during pediatric cancer treatment or examined associations with child emotional and behavioral health. METHODS In this cross-sectional observational study, 86 primary caregivers of youth ages 2-14 years (M = 7.9) with an initial diagnosis of cancer within 16 weeks reported on their frequency of engagement in family rules and routines (e.g., sleep, schoolwork, and meal routines) before their child's cancer diagnosis and their current frequency of engagement in the same routines. Caregivers also reported demographics, psychosocial distress, and child emotional and behavioral health outcomes. Analyses examined demographic and psychosocial factors associated with engagement in rules and routines during cancer treatment, and associations with child emotional and behavioral health. RESULTS Families reported a lower frequency of engagement in rules and routines during cancer treatment, compared to before treatment (mean difference 0.8 SDs [95% confidence interval 0.7-1.1 SDs]). Caregiver factors associated with lower engagement in rules and routines during treatment included being married, having lower educational attainment, and higher levels of psychosocial distress. Families who engaged in higher levels of rules and routines during treatment reported fewer child externalizing and behavioral challenges. There was limited evidence of association between family rules and routines and child internalizing outcomes. CONCLUSIONS Results found that engaging in family rules and routines during cancer treatment was associated with fewer child behavioral challenges during treatment. Future directions include longitudinal examinations of family rules, routines, and child emotional/behavioral outcomes to examine directional impact over time.
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Affiliation(s)
- Carolyn R Bates
- Department of Pediatrics, University of Kansas Medical Center, USA
- University of Kansas Cancer Center, USA
- Center for Children's Healthy Lifestyles & Nutrition, USA
| | - Vincent S Staggs
- Department of Pediatrics, Children's Mercy Kansas City, USA
- University of Missouri Kansas City School of Medicine, USA
| | - Kelsey M Dean
- Center for Children's Healthy Lifestyles & Nutrition, USA
| | - Keith J August
- University of Kansas Cancer Center, USA
- Department of Pediatrics, Children's Mercy Kansas City, USA
- University of Missouri Kansas City School of Medicine, USA
| | - Christie A Befort
- Department of Pediatrics, University of Kansas Medical Center, USA
- Department of Population Health, University of Kansas Medical Center, USA
| | - Lynne M Covitz
- Department of Pediatrics, Children's Mercy Kansas City, USA
- University of Missouri Kansas City School of Medicine, USA
| | - Meredith L Dreyer Gillette
- Center for Children's Healthy Lifestyles & Nutrition, USA
- Department of Pediatrics, Children's Mercy Kansas City, USA
- University of Missouri Kansas City School of Medicine, USA
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3
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Bates CR, Nicholson LM, Rea EM, Hagy HA, Bohnert AM. Life Interrupted: Family Routines Buffer Stress during the COVID-19 Pandemic. JOURNAL OF CHILD AND FAMILY STUDIES 2021; 30:2641-2651. [PMID: 34404970 PMCID: PMC8360776 DOI: 10.1007/s10826-021-02063-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/25/2021] [Indexed: 05/28/2023]
Abstract
Adoption of certain behavioral and social routines that organize and structure the home environment may help families navigate the challenges presented by the COVID-19 pandemic. The current cross-sectional study aimed to assess family routines prior to and during the COVID-19 pandemic and examine associations with individual and family well-being. Using a national sample, 300 caregivers of children ages 6-18 were surveyed using Amazon Mechanical Turk platform during the first three months of COVID-19 pandemic in the United States. Caregivers reported on family demographics, COVID-19-related stress, engagement in family routines (prior to and during the COVID-19 pandemic), stress mindset, self-efficacy, and family resiliency. Overall, families reported engaging in fewer routines during the COVID-19 pandemic compared to prior to the pandemic. COVID-19-related stress was highest in low-income families, families of healthcare workers, and among caregivers who had experienced the COVID-19 virus. Moreover, COVID-19-related stress was negatively related to self-efficacy, positively related to an enhancing stress mindset, and negatively related to family resilience. Engagement in family routines buffered relations between COVID-19-related stress and family resilience, such that COVID-19-related stress was not associated with lower family resilience among families that engaged in high levels of family routines. Results suggest that family routines were challenging to maintain in the context of the COVID-19 pandemic, but were associated with better individual and family well-being during this period of acute health, economic, and social stress.
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Affiliation(s)
- Carolyn R. Bates
- Division of Developmental and Behavioral Health, Department of Pediatrics, Children’s Mercy Kansas City, Kansas City, MO USA
| | | | - Elizabeth M. Rea
- Department of Psychology, Loyola University Chicago, Chicago, IL USA
| | - Hannah A. Hagy
- Department of Psychology, Loyola University Chicago, Chicago, IL USA
| | - Amy M. Bohnert
- Department of Psychology, Loyola University Chicago, Chicago, IL USA
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4
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Bates CR, Pallotto IK, Moore RM, Fornander MJ, Covitz LM, Dreyer Gillette ML. Family rules, routines, and caregiver distress during the first year of pediatric cancer treatment. Psychooncology 2021; 30:1590-1599. [PMID: 34019721 DOI: 10.1002/pon.5736] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 05/07/2021] [Accepted: 05/17/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVE A new diagnosis of pediatric cancer may disrupt family functioning. The current study aimed to describe changes in family rules and routines during the first year of pediatric cancer treatment, and to explore associations with demographics, illness factors, and caregiver distress. METHODS This exploratory mixed-methods, cross-sectional study examined 44 primary caregivers of youth in treatment for a new cancer diagnosis in 2019 and 2020, before the onset of the COVID-19 pandemic. Caregivers completed validated questionnaires assessing demographic and child illness characteristics, psychosocial distress, and cancer-related stressors, and participated in a semi-structured interview about family rules and routines. RESULTS Caregivers reported changes in bedtime, mealtime, and school routines, relaxed behavioral expectations and rules around screen time, and new rules and routines around treatment, medications, and infection control. Caregivers with elevated levels of psychosocial distress reported more changed routines than caregivers with low levels of psychosocial distress. Caregivers who endorsed more cancer-related stressors reported more new rules and routines than those who reported fewer cancer-related stressors. Demographic and illness factors were not significantly associated with the number of changed, new, or stable family rules and routines. CONCLUSIONS Families may relax rules and routines during the first several months of diagnosis, and this may be related to side effects of treatment and limited caregiver capacity. The long-term impact of changes in family rules and routines during cancer treatment warrants further study given that accommodating parenting strategies have been associated with adverse short- and long-term child health and behavior outcomes.
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Affiliation(s)
- Carolyn R Bates
- Division of Developmental and Behavioral Health, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA
| | - Isabella K Pallotto
- Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Rachel M Moore
- Division of Developmental and Behavioral Health, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.,University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA
| | - Mirae J Fornander
- Division of Developmental and Behavioral Health, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.,University of Nevada, Las Vegas, Las Vegas, Nevada, USA
| | - Lynne M Covitz
- Division of Developmental and Behavioral Health, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.,University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA
| | - Meredith L Dreyer Gillette
- Division of Developmental and Behavioral Health, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.,University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA.,Center for Children's Healthy Lifestyles and Nutrition, Kansas City, Missouri, USA
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5
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Fujita A, Hamada Y, Matsuura T. Mothers' Experiences With Pregnancy and Childbirth Following Pediatric Living Liver Transplant Donation: A Qualitative Descriptive Study. Transplant Proc 2020; 53:630-635. [PMID: 33357958 DOI: 10.1016/j.transproceed.2020.10.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 10/30/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Half of pediatric living liver transplantation donors are mothers, including women of reproductive age. Reports on pregnancy and childbirth after living donor liver transplantation are limited to medical aspects, and mothers' experiences remain unclear. We describe the experiences of women who became pregnant and gave birth after living donor liver transplantation. METHODS We used a qualitative descriptive approach. Eleven women who became pregnant and delivered following pediatric living liver transplant donation participated in face-to-face, in-depth interviews. Data collected via semi-structured interviews were assessed using an inductive qualitative analysis. The study was conducted in accordance with the Declaration of Helsinki. RESULTS Women's experiences with pregnancy and childbirth following pediatric living liver transplant donation were categorized as follows: explanation and consultation on pregnancy and childbirth after liver donation; physical and mental burden after liver donation; concern about the effects of donor surgery on pregnancy and childbirth; consideration for own body; concern about the physical condition of my child, who is the recipient; and the presence of health professionals with which to easily consult. CONCLUSION After donation, mothers are physically burdened and experiences anxiety about the physical condition of the recipient as well as about pregnancy and childbirth. Therefore, continuous psychosocial support is necessary.
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Affiliation(s)
- Ayaka Fujita
- Division of Nursing Science Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
| | - Yuko Hamada
- Division of Nursing Science Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Toshiharu Matsuura
- Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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6
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Gavidia‐payne S, Denny B, Davis K, Francis A, Jackson M. Parental resilience: A neglected construct in resilience research. CLIN PSYCHOL-UK 2020. [DOI: 10.1111/cp.12053] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Susana Gavidia‐payne
- Psychology, School of Health Sciences, RMIT University, Melbourne, Victoria, Australia,
| | - Bianca Denny
- Psychology, School of Health Sciences, RMIT University, Melbourne, Victoria, Australia,
| | - Kate Davis
- Psychology, School of Health Sciences, RMIT University, Melbourne, Victoria, Australia,
| | - Andrew Francis
- Psychology, School of Health Sciences, RMIT University, Melbourne, Victoria, Australia,
| | - Merv Jackson
- Psychology, School of Health Sciences, RMIT University, Melbourne, Victoria, Australia,
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7
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Comparison of Quality of Life and Caregiving Burden of 2- to 4-Year-Old Children Post Liver Transplant and Their Parents. Gastroenterol Nurs 2020; 43:310-316. [PMID: 32740021 DOI: 10.1097/sga.0000000000000448] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
A literature search determined there are no studies on children between 2 and 4 years of age who have had a liver transplant and their parents. For this reason, this study aimed to compare the quality of life of children between 2 and 4 years of age who have had a liver transplant, and the caregiving burden of their parents. The study was carried out as a descriptive cross-sectional study on 47 children who visited Inonu University Liver Transplant Institute outpatient clinic between March 2017 and March 2018. This study found that 59.6% of the children with transplants were male and 38.3% had their organ donated by their mother. There was a positive relationship between the quality of life of the parents and the quality of life and subdimensions of the children. There was a negative relationship between parental quality of life and care burden. This study found that the quality of life of children with liver transplants and their parents was low and, as the quality of life of children was impaired, the caregiving burden of parents increased. Healthcare professionals' awareness of the effect of caregivers' care load on quality of life after liver transplantation can positively affect the healing process.
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8
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Butsriphum N, Getsuwan S, Prabpram W, Chuthapisith J, Tanpowpong P, Lertudomphonwanit C, Treepongkaruna S. Family Function in Pediatric Liver Transplant Recipients Residing In a Developing Country. Transplant Proc 2020; 52:920-925. [PMID: 32173590 DOI: 10.1016/j.transproceed.2020.01.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 01/10/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND Pediatric liver transplantation (LT) can affect recipients' family function; however, inconsistent results between studies exist, and data from developing nations are sparse. We aimed to evaluate family function and identify factors associated with suboptimal function in pediatric LT recipients. METHODS A cross-sectional study was performed at a teaching hospital in Bangkok, Thailand between May 2018 and December 2018. We included the families of children aged 2 to 18 years who underwent LT for at least 1 year. Chulalongkorn Family Inventory (CFI) was used to evaluate the family function in these children comparing with families of healthy children. Family function was interpreted from the total CFI score and characterized as dysfunctional, normal-functioned, and well-functioned. RESULTS We enrolled families of 82 LT recipients and 72 healthy children. LT recipients had median age of 7.4 (interquartile range: 4.5-10.3) years. Eighteen children (22%) had a single parent, and at least one unemployed parent was reported in 25%. Most (96%) had well-functioned families, and none had a dysfunctional family. Furthermore, the total score was not significantly different between families of LT and healthy children (P = .95). LT families had a higher score in problem-solving (P < .01) and lower score in the affective involvement and general functioning dimension (P < .01 and .02, respectively). Among the LT children, postoperative bile leakage was associated with lower overall family function score. CONCLUSIONS Even though most recipients had good family function, physicians should pay close attention to specific aspects of family function, especially in children with certain postoperative complications.
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Affiliation(s)
- N Butsriphum
- Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - S Getsuwan
- Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - W Prabpram
- Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - J Chuthapisith
- Division of Child Development, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - P Tanpowpong
- Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - C Lertudomphonwanit
- Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - S Treepongkaruna
- Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
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9
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Killian MO, Triplett KN, Masood SS, Boehler J, Mayersohn GS. Measurement of health-related quality of life in pediatric organ transplantation recipients: a systematic review of the PedsQL transplant module. Qual Life Res 2020; 29:1137-1146. [DOI: 10.1007/s11136-019-02398-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/11/2019] [Indexed: 12/19/2022]
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10
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A Comparison of Caregiving Burden and Social Support Levels of Parents of Children Undergoing Liver Transplant. J Pediatr Nurs 2019; 47:e45-e50. [PMID: 31064678 DOI: 10.1016/j.pedn.2019.04.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 04/20/2019] [Accepted: 04/20/2019] [Indexed: 11/20/2022]
Abstract
PURPOSE This study was conducted to compare caregiving burden and social support levels of parents of children who have undergone a liver transplant. DESIGNS AND METHODS This study utilized a descriptive, cross-sectional research design. Data were collected using a parent information form, the Zarit Burden Interview, and the Multidimensional Scale of Perceived Social Support. Data were collected via face-to-face interview after written consent was obtained from the parents of children who had received a liver transplant. RESULTS Parent participants were found to have a high caregiving burden and low levels of social support from their surroundings. Parents who experienced change in their work life, social and family relationships, and had economic problems post-transplant, had a higher caregiving burden and may have lower social support. Parents whose children had a transplant from a cadaveric donor and continued to attend school were found to have a lower caregiving burden. There was a negative correlation between parent caregiving burden and social support scores; that is, caregiving burden (R2 = 0.57, p < 0.01) was significantly affected by social support (B = -0.682, β = -0.757). CONCLUSIONS This study concluded that parents receiving social support may have a lower caregiving burden, and some of their socio-demographic characteristics may have a positive effect on social support and caregiving burden. PRACTICE IMPLICATIONS Health professionals need to pay special attention to the social support and caregiving burden of parents whose children have had an organ transplant.
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Lerret SM, Johnson NL, Haglund KA. Parents' perspectives on caring for children after solid organ transplant. J SPEC PEDIATR NURS 2017; 22. [PMID: 28371009 DOI: 10.1111/jspn.12178] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Revised: 01/27/2017] [Accepted: 02/24/2017] [Indexed: 11/28/2022]
Abstract
PURPOSE To explore parents' experiences of the transition from hospital to home and complex chronic illness management following their children's solid organ transplant (SOT). DESIGN AND METHODS Qualitative component of a larger mixed methods longitudinal study. Parents of SOT recipients were interviewed three times following hospital discharge from five major pediatric transplant hospitals in the United States. RESULTS Analysis of parent interviews (N = 48) resulted in three themes that characterized the phases of transition to home and complex chronic illness care. Three themes, corresponding to the three time periods of data collection, included "getting back to normal" at 3 weeks, "becoming routine" at 3 months, and "facing a future" at 6 months. Challenges families experienced over the course of their transition are also described. PRACTICE IMPLICATIONS The transition from hospital to home and complex chronic condition care is challenging and changes over time. Nurses are called upon to prepare parents to become knowledgeable and confident to care for the child after hospital discharge. Nurses can best support families in transition after SOT by anticipating and understanding their dynamic challenging complex care needs.
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Affiliation(s)
- Stacee M Lerret
- Department of Pediatric Gastroenterology, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Norah L Johnson
- College of Nursing, Marquette University, Milwaukee, WI, USA
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12
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Cousino MK, Rea KE, Schumacher KR, Magee JC, Fredericks EM. A systematic review of parent and family functioning in pediatric solid organ transplant populations. Pediatr Transplant 2017; 21. [PMID: 28181361 DOI: 10.1111/petr.12900] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/13/2017] [Indexed: 12/23/2022]
Abstract
The process of pediatric solid organ transplantation (SOT) places new and increased stressors on patients and family members. Measures of family functioning may predict psychological and health outcomes for pediatric patients and their families, and provide opportunity for targeted intervention. This systematic review investigated parent and family functioning and factors associated with poorer functioning in the pediatric SOT population. Thirty-seven studies were identified and reviewed. Studies featured a range of organ populations (eg, heart, liver, kidney, lung, intestine) at various stages in the transplant process. Findings highlighted that parents of pediatric SOT populations commonly report increased stress and mental health symptoms, including posttraumatic stress disorder. Pediatric SOT is also associated with increased family stress and burden throughout the transplant process. Measures of parent and family functioning were associated with several important health-related factors, such as medication adherence, readiness for discharge, and number of hospitalizations. Overall, findings suggest that family stress and burden persists post-transplant, and parent and family functioning is associated with health-related factors in SOT, highlighting family-level functioning as an important target for future intervention.
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Affiliation(s)
- Melissa K Cousino
- Department of Pediatrics, University of Michigan Health System, Ann Arbor, MI, USA.,University of Michigan Transplant Center, Ann Arbor, MI, USA
| | - Kelly E Rea
- University of Michigan Transplant Center, Ann Arbor, MI, USA
| | - Kurt R Schumacher
- Department of Pediatrics, University of Michigan Health System, Ann Arbor, MI, USA.,University of Michigan Transplant Center, Ann Arbor, MI, USA
| | - John C Magee
- University of Michigan Transplant Center, Ann Arbor, MI, USA.,Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA
| | - Emily M Fredericks
- Department of Pediatrics, University of Michigan Health System, Ann Arbor, MI, USA.,University of Michigan Transplant Center, Ann Arbor, MI, USA.,Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI, USA
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13
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Family Impact and Infant Emotional Outcomes Following Diagnosis of Serious Liver Disease or Transplantation in Infancy. J Pediatr Gastroenterol Nutr 2017; 64:528-532. [PMID: 27673709 DOI: 10.1097/mpg.0000000000001404] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
OBJECTIVES Research is lacking into the emotional effects on families of serious chronic illness in infants. We examined the effect of the diagnosis of serious liver disease in infants upon parent psychological symptoms and family functioning. We hypothesized that parent psychological symptoms, family functioning, and father engagement will predict infant emotional outcomes. METHODS Parents of infants recently diagnosed with serious liver disease completed validated questionnaires about parent stress, family function, impact of the illness on the family, and father engagement. The measures were repeated after 1 year, with the addition of the Child Behavior Checklist (CBCL). RESULTS Parents of 37 infants participated. Parent stress and family functioning scores were not elevated. Parent psychological symptoms, family function, and father engagement did not predict infant outcome. For mothers, infant diagnosis other than biliary atresia, number of outpatient visits, and impact of the illness on the family explained 32% of the variation in CBCL (P = 0.001). For fathers, socioeconomic status, infant diagnosis other than biliary atresia, whether the infant had had a transplant, and impact of the illness on the family explained 44% of the variation in CBCL (P < 0.001). CONCLUSIONS Parents and families appear to be resilient in coping with serious infant illness. Infant diagnosis other than biliary atresia and parental perceptions of high impact of the illness on the family are indicators of negative emotional outcomes for infants with serious liver disease. Psychosocial interventions for infants with chronic illness should target reducing the impact of illness on the family.
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Hooper SR. Risk Factors for Neurocognitive Functioning in Children with Autosomal Recessive Polycystic Kidney Disease. Front Pediatr 2017; 5:107. [PMID: 28555180 PMCID: PMC5430025 DOI: 10.3389/fped.2017.00107] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 04/25/2017] [Indexed: 12/27/2022] Open
Abstract
This mini review provides an overview of the issues and challenges inherent in autosomal recessive polycystic kidney disease (ARPKD), with a particular focus on the neurological factors and neurocognitive functioning of this population. ARPKD typically is discovered at the end of pregnancy or during the neonatal developmental period and occurs in approximately 1 in 20,000 live births. During the neonatal period, there is a relatively high risk of death, with many infants dying from respiratory failure. As the child ages, they experience progressive kidney disease and become increasingly vulnerable to liver disease, with many individuals eventually requiring dual organ transplants. This mini review provides a brief description of ARPKD and describes the various factors that place children with ARPKD at risk for neurological and neuropsychological impairment (e.g., a genetic condition leading to chronic kidney disease and eventual transplant; difficult-to-treat hypertension; eventual liver disease; possible dual transplantation of the kidneys and liver; chronic lung disease), including that these factors are present during a critical period of brain development. Further, the mini review discusses the available studies that have addressed the neurocognitive functioning in children with ARPKD. This paper concludes by providing the key clinical and research challenges that face the field of pediatric nephrology with respect to the clinical and scientific study of the neurocognitive functioning of children with ARPKD. Selected directions are offered in both the clinical and research arenas for this multiorgan chronic condition.
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Affiliation(s)
- Stephen R Hooper
- Department of Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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15
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Family adjustment and parenting stress when an infant has serious liver disease: the Australian experience. J Pediatr Gastroenterol Nutr 2015; 60:717-22. [PMID: 25643019 DOI: 10.1097/mpg.0000000000000742] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
OBJECTIVES Parenting stress, problems in family functioning, and lack of fathers' engagement in treatment are associated with poor quality of life in children with chronic illnesses. The aim of the present study was to examine these characteristics in families of infants with serious liver disease in Australia, to inform the provision of mental health care for these families. METHODS From September 2009 to May 2013, 42 parents of infants recently diagnosed as having serious liver disease (defined as liver disease that may require transplantation in the future) completed questionnaires about family function, impact of the infant's illness on the family, parent stress symptoms, and fathers' engagement in the care of the child. Participants were recruited from 4 metropolitan children's hospitals in Australia. RESULTS Parents reported psychological symptoms at similar rates to normative populations. Their reports of family functioning were significantly below mean scores in previously published populations with a medically ill family member (population mean 1.89; mothers mean 1.59; fathers mean 1.61, P < 0.001). Disruption to family roles was significantly correlated with psychological symptoms for mothers (r = 0.48, P < 0.01) and fathers (r = 0.31, P < 0.05). Greater helpfulness of fathers was correlated with lower depression in mothers (r = -0.35, P < 0.05), and fathers' anxiety was correlated with their increased engagement (r = 0.40, P < 0.01). CONCLUSIONS When parents report the presence of psychological symptoms, symptoms are likely to be present in both parents and are associated with difficulties adjusting to disrupted family roles. Father engagement may be protective of mothers' mental health.
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16
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Mavis AM, Ertl A, Chapman S, Cassidy LD, Lerret SM. Vulnerability and Chronic Illness Management in Pediatric Kidney and Liver Transplant Recipients. Prog Transplant 2015; 25:139-46. [DOI: 10.7182/pit2015551] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Context— Solid-organ transplant is the treatment of choice for end-stage organ failure and requires a transition from management of a life-threatening condition to a chronic illness. Despite research focusing on quality of life after transplant, there is a gap addressing the role of managing a chronic illness focusing on vulnerability and impact on family. Objective— Identify patient and family patterns of adaptation among kidney and liver transplant recipients in regard to (1) vulnerability, (2) impact of illness on the family, (3) family functioning, and (4) quality of life (parent and child report). Design— Cross-sectional study enrolling children 5 to 18 years old and their parent at a single time point after kidney or liver transplant. Validated self-report tools were completed. Results— In all, 47 participants (24 kidney and 23 liver) were recruited. Mean age at transplant was 4.0 (kidney) and 2.1 (liver) years. Mean age at report was 12.1 (kidney) and 7.1 (liver) years. Child vulnerability correlated negatively with (1) family impact in the kidney ( P < .05) and liver ( P < .05) transplant groups, (2) PedsQL subscales including Parent Emotional ( P < .05), Parent Social ( P < .01), Parent Psychosocial ( P < .01), Parent Physical ( P < .05), Parent School ( P < .05), and Child Social ( P < .01) in the kidney transplant group, (3) PedsQL Parent Emotional subscale ( P < .01) in the liver transplant group, and (4) Functional status ( P < .01) in the liver transplant group. Conclusions— Child vulnerability provides insight into quality of life and the impact of illness on the family and family functioning.
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Affiliation(s)
- Alisha M. Mavis
- Medical College of Wisconsin (AMM, AE, LDC, SML), Children's Hospital of Wisconsin (SC), Milwaukee, Wisconsin
| | - Allison Ertl
- Medical College of Wisconsin (AMM, AE, LDC, SML), Children's Hospital of Wisconsin (SC), Milwaukee, Wisconsin
| | - Shelley Chapman
- Medical College of Wisconsin (AMM, AE, LDC, SML), Children's Hospital of Wisconsin (SC), Milwaukee, Wisconsin
| | - Laura D. Cassidy
- Medical College of Wisconsin (AMM, AE, LDC, SML), Children's Hospital of Wisconsin (SC), Milwaukee, Wisconsin
| | - Stacee M. Lerret
- Medical College of Wisconsin (AMM, AE, LDC, SML), Children's Hospital of Wisconsin (SC), Milwaukee, Wisconsin
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Andersen MN, Dore-Stites D, Gleit R, Lopez MJ, Fredericks EM. A pilot study of the association between sleep disturbance in children with liver transplants and parent and family health-related quality of life. J Pediatr Psychol 2014; 39:735-42. [PMID: 24947272 DOI: 10.1093/jpepsy/jsu037] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
OBJECTIVE To investigate the relationship between sleep disturbance in children with liver transplants and parent and family health-related quality of life (HRQOL). METHOD 47 parents of children with liver transplants completed measures of child sleep and family HRQOL. Relationships between sleep and HRQOL and differences in HRQOL between groups with scores above and below the cutoff on a pediatric sleep measure were examined. RESULTS Parents endorsed higher rates of sleep-related breathing disorder (SRBD) and restless legs syndrome and periodic limb movements during sleep (RLS/PLMS) and lower HRQOL compared with published data. Significant correlations were found between SRBD and RLS/PLMS and HRQOL, and significant group differences in HRQOL were found between groups above and below the cutoff for behavior problems and RLS/PLMS. CONCLUSION There are significant relationships between symptoms of SRBD and RLS/PLMS in children with liver transplants and family HRQOL. Behavior problems may account for these strong relationships.
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Affiliation(s)
- Melissa N Andersen
- C.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of Michigan
| | - Dawn Dore-Stites
- C.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of Michigan
| | - Rebecca Gleit
- C.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of Michigan
| | - M James Lopez
- C.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of Michigan
| | - Emily M Fredericks
- C.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of MichiganC.S. Mott Children's Hospital, University of Michigan Medical School, Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, Department of Pediatrics and Communicable Diseases, and Division of Child Behavioral Health, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of Michigan
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Vajro P, Ferrante L, Lenta S, Mandato C, Persico M. Management of adults with paediatric-onset chronic liver disease: strategic issues for transition care. Dig Liver Dis 2014; 46:295-301. [PMID: 24321359 DOI: 10.1016/j.dld.2013.10.018] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2013] [Revised: 10/01/2013] [Accepted: 10/27/2013] [Indexed: 02/06/2023]
Abstract
Advances in the management of children with chronic liver disease have enabled many to survive into adulthood with or without their native livers, so that the most common of these conditions are becoming increasingly common in adult hepatology practice. Because the aetiologies of chronic liver disease in children may vary significantly from those in adulthood, adults with paediatric-onset chronic liver disease may often present with clinical manifestations unfamiliar to their adulthood physician. Transition of medical care to adult practice requires that the adulthood medical staff (primary physicians and subspecialists) have a comprehensive knowledge of childhood liver disease and their implications, and of the differences in caring for these patients. Pending still unavailable Scientific Society guidelines, this article examines causes, presentation modes, evaluation, management, and complications of the main paediatric-onset chronic liver diseases, and discusses key issues to aid in planning a program of transition from paediatric to adult patients.
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Affiliation(s)
- Pietro Vajro
- Chair of Paediatrics, Department of Medicine and Surgery, University of Salerno, Baronissi (Salerno), Italy.
| | - Lorenza Ferrante
- Department of Translational Medicine, Paediatrics Section, School of Medicine, University of Naples Federico II, Naples, Italy
| | | | | | - Marcello Persico
- Chair of Internal Medicine, Department of Medicine and Surgery, University of Salerno, Baronissi (Salerno), Italy
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Crespo C, Santos S, Canavarro MC, Kielpikowski M, Pryor J, Féres-Carneiro T. Family routines and rituals in the context of chronic conditions: A review. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2013; 48:729-46. [DOI: 10.1080/00207594.2013.806811] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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20
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Haavisto A, Korkman M, Sintonen H, Holmberg C, Jalanko H, Lipsanen J, Qvist E. Risk factors for impaired quality of life and psychosocial adjustment after pediatric heart, kidney, and liver transplantation. Pediatr Transplant 2013; 17:256-65. [PMID: 23442166 DOI: 10.1111/petr.12054] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/19/2012] [Indexed: 12/12/2022]
Abstract
Few studies compare HRQOL and PSA in children who have undergone different types of solid organ Tx. In this cross-sectional study, HRQOL and PSA were assessed in 74 Tx patients (16 heart, 44 kidney, 14 liver) at a mean age of 11.5 (range 6.3-16.7), 7.2 yr post-Tx (range 1.0-15.0). HRQOL was self-assessed using standardized health utility questionnaires (15D-17D). The patients' PSA was evaluated using the Child Behavior Checklist for parents, Youth Self-Report for patients aged 11-16 yr, and Teacher Report Form. Outcomes did not differ significantly between Tx groups. Preadolescents (8-11 yr) reported poorer HRQOL compared with same-age peers (p = 0.020). In contrast, adolescents reported similar HRQOL and PSA compared to the general population. Proxy-reports revealed more PSA problems compared with age expectations (p < 0.01), mainly in internalizing behavior (p < 0.01). Lower HRQOL was associated with shorter follow-up time since Tx, congenital disease, and a psychiatric or neurological diagnosis. PSA problems were associated with family-related variables, neurological diagnosis, shorter follow-up time, and in teacher-reports longer disease duration before Tx. Different pediatric Tx groups have similar outcome. Neurological comorbidity and shorter follow-up time are important risk factors, but the impact of family-related variables on PSA indicate the need of family interventions.
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Affiliation(s)
- Anu Haavisto
- Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland.
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21
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Fredericks EM. Family roles and routines after pediatric liver transplantation: implications for quality of life and beyond. Pediatr Transplant 2012; 16:688-91. [PMID: 22905950 PMCID: PMC3458131 DOI: 10.1111/j.1399-3046.2012.01775.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Emily M. Fredericks
- Department of Pediatrics and Communicable Diseases, University of Michigan Health System
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