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Bulduk M, Can V. Stigma perception and health fatalism in parents of children with epilepsy: A cross-sectional study. Heliyon 2024; 10:e35525. [PMID: 39170317 PMCID: PMC11336770 DOI: 10.1016/j.heliyon.2024.e35525] [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: 06/30/2024] [Revised: 07/28/2024] [Accepted: 07/30/2024] [Indexed: 08/23/2024] Open
Abstract
Aim The aim of this study was to examine the factors that affect stigma perceptions and health fatalism of parents of children with epilepsy in eastern Turkey, the relationship between these and the impact of these on their social lives. Method This descriptive and cross-sectional study was conducted between August 2022 and January 2023 with the parents of children under the age of 18 who had been diagnosed with epilepsy for at least 1 year and who were followed up in the only hospital with a paediatric neurology outpatient clinic in Van province of Turkey. No sample selection was made in the study. Healthy parents (n = 123) who presented to the outpatient clinic within the specified time period and who agreed to participate in the study after being explained the purpose of the study participated in the study. Results In this study, parental age was found to have a statistically weak positive correlation with Health Fatalism Scale (HFS) (r = 0.251; p = 0.005). A weak positive correlation was also found between the years patients had epilepsy and Parent Stigma Scale (PSS) (r = 0.275; p = 0.002). In addition, a statistically positive and weak relationship was found between Parent Stigma Scale scores and Health Fatalism Scale scores (r = 0.212; p = 0.018). This study found significant relationships between stigma perception and health fatalism in parents of epileptic children. Stigma perception increased with disease duration and lower parental education levels. Conclusion While providing an important basis for understanding the difficulties experienced by parents and developing support mechanisms, the present study can contribute to more informed support for parents of patients with epilepsy in the community. Nurses can contribute to ending stigma and discrimination by identifying patients' and parents' perceptions of epilepsy, focusing on addressing gaps in knowledge and raising awareness in the community.
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Affiliation(s)
- Mehmet Bulduk
- Van Yuzuncu Yil University, Faculty of Health Sciences, Department of Pediatric Nursing, 65000, Van, Turkey
| | - Veysel Can
- Van Yuzuncu Yil University, Faculty of Health Sciences, Department of Pediatric Nursing, 65000, Van, Turkey
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Biresaw MS, Vitrai J, Halász P, Correa V, Szűcs A. Changes in public attitude toward epilepsy in Hungary since 1994. A multicriteria weighting analysis. Epilepsia Open 2024; 9:1042-1050. [PMID: 38546973 PMCID: PMC11145619 DOI: 10.1002/epi4.12935] [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: 02/14/2024] [Revised: 03/13/2024] [Accepted: 03/19/2024] [Indexed: 06/04/2024] Open
Abstract
OBJECTIVE To assess the adult Hungarian population's knowledge about and attitude toward epilepsy and compare the present findings with previous ones in 1994 and 2000. METHODS We performed a cross-sectional survey of the Hungarian adult population from 28th February to 8th March 2023. A non-probability quota sampling with a random walk method was used. We applied the computer-assisted personal interviewing (CAPI) method and used a multicriteria weighting procedure to correct for bias along the main sociodemographic variables. To detect changes over time, we used chi-squared tests, and to analyze the effect of sociodemographic characteristics, we applied multivariate logistic regression. RESULTS One thousand participants (53.1% women, mean age 48.1 ± 16.75 years) representing Hungary's population were interviewed yielding a response rate of 80.3%. 26.3% knew someone with epilepsy (55.9% in 1994 and 51.9% in 2000), and 30.8% saw an epileptic seizure (58% in 1994 and 55.3% in 2000). Compared to the young, fewer adults and elderly people knew someone with epilepsy or had seen a seizure. Like in 1994 and 2000, 16.6% reported objection to their children's interaction with people with epilepsy; however, in the present study, significantly fewer people opposed their children marrying or working together with epileptic people, indicating a change in attitude (p < 0.0001). Rural residents had less objection to their children's interaction with people with epilepsy (p < 0.05). People with secondary education objected significantly more often than those with primary education to their children's interaction (p = 0.037), marriage to people with epilepsy (p = 0.043), or their having equal employment (p = 0.008). Higher education people were as "permissive" as those with primary education. SIGNIFICANCE Certain parameters of familiarity and attitude markers of the Hungarian population toward epilepsy have improved. These tendencies are promising, but work is still needed; our results will hopefully evoke educational programs and campaigns against negative attitudes. PLAIN LANGUAGE SUMMARY The knowledge of the Hungarian population about epilepsy and their attitude toward people with epilepsy has been improved since 1994. People from rural areas have shown more acceptance for people with epilepsy. Those people who completed secondary education were significantly more prone to stigmatization than those with primary education.
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Affiliation(s)
- Mengesha Srahbzu Biresaw
- Department of Behavioral SciencesDoctoral School of Mental Health SciencesSemmelweis UniversityBudapestHungary
| | - József Vitrai
- Department of Preventive Health Sciences, Faculty of Health and Sport SciencesSzéchenyi István UniversityGyőrHungary
| | - Péter Halász
- Department of Preventive Health SciencesSzentágothai Doctoral SchoolSemmelweis UniversityBudapestHungary
| | - Vivian Correa
- Department of Behavioral SciencesDoctoral School of Mental Health SciencesSemmelweis UniversityBudapestHungary
| | - Anna Szűcs
- Department of Behavioral SciencesSemmelweis UniversityBudapestHungary
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Wu Z, Li X, Huang Y, Huang K, Xiao B, Chi Y, Feng L, Yang H. Effects of a Nurse-Led Cognitive Behavioral Intervention for Parents of Children With Epilepsy. Pediatr Neurol 2024; 154:70-78. [PMID: 38552337 DOI: 10.1016/j.pediatrneurol.2024.03.003] [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] [Received: 12/20/2022] [Revised: 02/18/2024] [Accepted: 03/03/2024] [Indexed: 04/15/2024]
Abstract
BACKGROUND This study aimed to evaluate the effects of a nurse-led cognitive behavioral intervention for parents of children with epilepsy (CWE). METHODS The study recruited 238 CWE from the neurology ward of Xiangya Hospital from March 2019 to August 2022. According to the interventions after discharge, the children and their parents were randomly divided into 117 parent-child dyads in the intervention group and 121 parent-child dyads in the control group. The seizure severity and treatment compliance in CWE as well as the parents' psychological states and satisfaction with the care provided by nurses were compared before and after intervention. RESULTS The follow-up six months after discharge showed that the seizure frequency among CWE in the intervention group was significantly less than the controls (P = 0.048). Compared with the controls, the intervention group also reported fewer symptoms of anxiety and depression, better sleep quality, and more positive attitudes toward epilepsy, as well as higher nursing satisfaction (P < 0.001). The correlation analysis indicated the correlation of CWE's seizure severity was correlated with the compliance, parents' psychological states, and parents' satisfaction with the care provided by nurses. CONCLUSIONS The adoption of the nurse-led cognitive behavioral intervention on parents of CWE can improve the parents' mental health status and their satisfaction with the nurses, which can have a positive association with the seizure severity of CWE. In light of this information, this nursing intervention may be a new method for the long-term disease management of CWE.
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Affiliation(s)
- Zhongling Wu
- Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Clinical Nursing Teaching and Research Section, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Xiaolei Li
- Department of Cardiology, Laizhou People's Hospital, Yantai, Shandong, China
| | - Yuanxin Huang
- Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Clinical Nursing Teaching and Research Section, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Kailing Huang
- Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Neurology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Bo Xiao
- Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Neurology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Yunfang Chi
- Department of Cardiology, Laizhou People's Hospital, Yantai, Shandong, China
| | - Li Feng
- Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Neurology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Department of Neurology, Xiangya Hospital, Central South University (Jiangxi Branch), Nanchang, Jiangxi, China.
| | - Haojun Yang
- Department of Anesthesiology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
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Zapf H, Boettcher J, Haukeland Y, Orm S, Coslar S, Wiegand-Grefe S, Fjermestad K. A Systematic Review of Parent-Child Communication Measures: Instruments and Their Psychometric Properties. Clin Child Fam Psychol Rev 2023; 26:121-142. [PMID: 36166179 PMCID: PMC9879831 DOI: 10.1007/s10567-022-00414-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2022] [Indexed: 02/02/2023]
Abstract
Parent-child communication represents an important variable in clinical child and family psychology due to its association with a variety of psychosocial outcomes. To give an overview of instruments designed to measure the quality of parent-child communication from the child's (8-21 years) perspective and to assess the psychometric quality of these instruments, we performed a systematic literature search in Medline and PsycInfo (last: February 25, 2022). Peer-reviewed journal articles published in English with a child-rated instrument measuring the quality of parent-child communication were included. Initial screening for eligibility and inclusion, subsequent data extraction, and quality assessment were conducted by couples of review team members. Based on the screening of 5115 articles, 106 studies reported in 126 papers were included. We identified 12 parent-child communication instruments across the studies. The Parent-Adolescent Communication Scale (PACS) was used in 75% of the studies. On average, the evidence for psychometric quality of the instruments was low. Few instruments were used in clinical and at-risk samples. Several instruments are available to rate parent-child communication from the child's perspective. However, their psychometric evidence is limited and the theoretical foundation is largely undocumented. This review has limitations with regard to selection criteria and language bias.Registration PROSPERO: CRD42021255264.
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Affiliation(s)
- Holger Zapf
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
| | - Johannes Boettcher
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany
| | | | - Stian Orm
- Division Mental Health Care, Innlandet Hospital Trust, Brumunddal, Norway
| | - Sarah Coslar
- Faculty of Behavioral and Social Sciences, University of Groningen, Groningen, The Netherlands
| | - Silke Wiegand-Grefe
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany
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Dolev-Cohen M, Ricon T. Dysfunctional Parent-Child Communication About Sexting During Adolescence. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1689-1702. [PMID: 35112270 DOI: 10.1007/s10508-022-02286-8] [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: 03/14/2021] [Revised: 01/04/2022] [Accepted: 01/05/2022] [Indexed: 06/14/2023]
Abstract
Sexting (sending, receiving, and forwarding nude, semi-nude, or sexually explicit content) entails risks for adolescents; therefore, it is important for parents to be able to communicate with their children about its implications. The goal of the present study was to identify parental characteristics that lead to dysfunctional communication (lower quality of communication) about sexting, on a sample of 427 parents (336 mothers and 91 fathers) of Israeli adolescents aged 10-18 years and to determine whether parents' perceived severity of sexting and the degree to which they perceive their adolescent to be susceptible to sexting function as mediating factors. Parents completed a set of questionnaires online. Findings indicated that authoritarian and permissive parenting styles were positively associated with dysfunctional parent-child communication about sexting. Authoritative style was inversely related to dysfunctional communication and was mediated by positive attitudes toward sex education. Additionally, authoritative parents were capable of assessing the severity of their children's sexting activities, and the degree to which their children were susceptible to engage in sexting. The quality of the discussion initiated by authoritative parents appears to have enabled them to be aware of adolescent behaviors and to adjust their communication about the inherent risks. Findings suggest that the perception of sexting as too risky diminishes parents' ability to conduct a high-quality discussion about it. In conclusion, research findings emphasize parents' role in mediation of the online experiences of their children and conducting a constructive discussions with them about sexting.
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Affiliation(s)
- Michal Dolev-Cohen
- Educational Counseling Program, Faculty of Graduate Studies, Oranim Academic College of Education, 36006, Tivon, Israel.
| | - Tsameret Ricon
- Educational Counseling Program, Faculty of Graduate Studies, Oranim Academic College of Education, 36006, Tivon, Israel
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Feragen KJB, Myhre A, Stock NM. "Will You Still Feel Beautiful When You Find Out You Are Different?": Parents' Experiences, Reflections, and Appearance-Focused Conversations About Their Child's Visible Difference. QUALITATIVE HEALTH RESEARCH 2022; 32:3-15. [PMID: 34596475 PMCID: PMC8739583 DOI: 10.1177/10497323211039205] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
To investigate parents' reflections and experiences of having a child born with an appearance-altering condition, interviews with 33 parents of children born with rare craniofacial conditions were analyzed using inductive thematic analysis. Three themes emerged: "Managing emotions: A dynamic process," "Through another lens: External reminders of difference," and "Awareness of difference: Approaching the child." Findings suggest that although parents learned to accept and love their child's visible difference, external factors such as appearance-altering surgery and other people's reactions activated difficult emotions in parents. Parents struggled to decipher whether and when to raise appearance-related issues with their child, and how this could be done without distressing the child. Anticipatory guidance that facilitates positive appearance-focused conversations both within and outside the home seems to be needed. Parenting skills could also be strengthened by preparing parents for social reactions to the child's visible difference, and their child's changed appearance following surgery.
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Dolev-Cohen M, Ricon T. Talking About Sexting: Association Between Parental Factors and Quality of Communication About Sexting With Adolescent Children in Jewish and Arab Society in Israel. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:429-443. [PMID: 34772317 DOI: 10.1080/0092623x.2021.2002489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Sexting (sending and receiving sexual messages online), a legitimate means of communication if there is mutual consent, may put adolescent users at risk. Hence, parents must be able to address their children's sexuality and be capable of mediating the implications of sexting for them. Cultural differences may play a role in this important discourse. The current study sought to identify parental factors that lead to low-quality communication about adolescent sexting in Jewish and Arab societies in Israel. Participants included 427 Israeli parents (Jewish N = 242, 56.7%, Arab N = 185, 43.3%) who answered seven online questionnaires. Results revealed ethnic differences between Arab and Jewish parents with regard to the quality of parent-child communication about sexting. Arab parents tended more toward low-quality communication about sexting than did Jewish parents. Perceived severity of sexting and perceived susceptibility to sexting led to more low-quality communication by Arab than by Jewish parents. Mothers in both societies were better able to mediate sexting and displayed higher parental efficacy than did the fathers. These findings provide useful insights for therapists and parents into the link between parental factors and the quality of communication about sexting with adolescent children.
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Affiliation(s)
- Michal Dolev-Cohen
- Educational Counseling Program, Faculty of Graduate Studies, Oranim Academic College of Education, Tivon, Israel
| | - Tsameret Ricon
- Educational Counseling Program, Faculty of Graduate Studies, Oranim Academic College of Education, Tivon, Israel
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Jeschke S, Woltermann S, Neininger MP, Pauschek J, Kiess W, Bertsche T, Bertsche A. Why do children and adolescents with epilepsy disclose or not disclose their condition to their friends? Eur J Pediatr 2020; 179:1627-1633. [PMID: 32372187 PMCID: PMC7479002 DOI: 10.1007/s00431-020-03661-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 04/15/2020] [Accepted: 04/22/2020] [Indexed: 02/07/2023]
Abstract
A diagnosis of epilepsy substantially influences the lives of affected children and adolescents, and concealing the diagnosis can generate additional stress. However, little is known about whether children and adolescents communicate their diagnosis to their friends. We performed a survey at two German university hospitals. Epilepsy patients aged 6-18 years were asked why they did or did not disclose their condition to their friends. A total of 101 patients (44 female, 57 male) were interviewed. Twenty-one (21%) informed all their friends about their epilepsy, 63 (62%) informed only certain friends, and 3 (3%) did not specify. Fourteen (14%) did not inform any friends. Their reasons for informing their friends were trust in friends (47/87; 54%); questions from friends, e.g., about missed school days (29/87; 33%); a wish for friends to be informed in case of an emergency (15/87; 17%); and a desire to live openly with the condition (8/87; 9%). The reasons for not informing friends were fear of stigmatization/shame (4/14; 29%), discouragement from parents (3/14; 21%), and a wish for confidentiality (3/14; 21%).Conclusion: Most children and adolescents inform their friends about their epilepsy. Fear of stigmatization is the main reason for not informing friends about this condition. What is Known • An epilepsy diagnosis is a life-changing event for affected children and adolescents. • Having to conceal the diagnosis can be very stressful. What is New • Most pediatric epilepsy patients informed at least some close friends about their diagnosis motivated by trust in friends; questions from friends, e.g., about missed school days; and a wish for friends to be informed in case of an emergency. • Fear of stigmatization/shame, discouragement from parents, and a wish for confidentiality were the motivations for concealing the disease.
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Affiliation(s)
- Sarah Jeschke
- Neuropaediatrics, University Hospital for Children and Adolescents, Ernst-Heydemann-Str. 8, 18057 Rostock, Germany
| | - Sarah Woltermann
- Center for Pediatric Research, University Hospital for Children and Adolescents, Liebigstraße 20a, 04103 Leipzig, Germany
- Drug Safety Center and Clinical Pharmacy, Institute of Pharmacy, Medical Faculty, Leipzig University, Bruederstraße 32, 04103 Leipzig, Germany
| | - Martina Patrizia Neininger
- Drug Safety Center and Clinical Pharmacy, Institute of Pharmacy, Medical Faculty, Leipzig University, Bruederstraße 32, 04103 Leipzig, Germany
| | - Josefine Pauschek
- Neuropaediatrics, University Hospital for Children and Adolescents, Ernst-Heydemann-Str. 8, 18057 Rostock, Germany
| | - Wieland Kiess
- Center for Pediatric Research, University Hospital for Children and Adolescents, Liebigstraße 20a, 04103 Leipzig, Germany
| | - Thilo Bertsche
- Drug Safety Center and Clinical Pharmacy, Institute of Pharmacy, Medical Faculty, Leipzig University, Bruederstraße 32, 04103 Leipzig, Germany
| | - Astrid Bertsche
- Neuropaediatrics, University Hospital for Children and Adolescents, Ernst-Heydemann-Str. 8, 18057 Rostock, Germany
- Center for Pediatric Research, University Hospital for Children and Adolescents, Liebigstraße 20a, 04103 Leipzig, Germany
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