The Psychosocial Impact of Parental Multiple Sclerosis on Children and Adolescents: A Systematic Review

Parental Experiences in Pediatric Multiple Sclerosis: Insights from Quantitative Research

Multiple sclerosis (MS) is a chronic and unpredictable inflammatory disease impacting the central nervous system. The disabling nature of this disease is not limited to only physical symptoms. MS, even at a pediatric age, often includes cognitive impairment, fatigue, and psychological issues, affecting education and social life, causing emotional distress, and reducing quality of life. Despite the paucity of quantitative data in the existing literature, our review demonstrates that the impact of pediatric MS extends beyond the patients themselves, affecting their parents as well. There is evidence suggesting that having a child with MS may be associated with a reduction in the parental quality of life, even in families of MS patients with low or no disability and without clinical relapses. Moreover, an increased risk of parents' mental illness has been described, particularly in mothers, leading to a heightened utilization of mental health services. Research data show that inadequate information about MS may impact parents' anxiety and their sense of competence. Since parents' involvement has been found to also play a role in their child's adherence to treatment, special attention should be paid to parental psychological health. Additional research exploring family adaptation to their children's illness is required.

Peer Victimization and Psychosocial Adjustment among Children of Parents with Physical Disabilities in China: A Comparative Study

This study investigated whether the children of parents with physical disabilities endured higher levels of peer victimization. Particularly, this study focused on the mediating effects of peer victimization in the relationships between parental disability and both the emotional symptoms and prosocial behaviors exhibited by their children. Data were obtained from a survey on health and mental health among children and adolescents from disadvantaged families. The survey was conducted by Renmin University of China from August to September 2018 using multistage probability sampling method. The sample in this study included 716 adolescents, of whom 390 had at least one parent with physical disabilities and reported more severe peer victimization. In contrast to respondents who did not have parents with physical disabilities, these adolescents experienced more emotional symptoms and engaged in fewer prosocial behaviors. Furthermore, the analysis showed that 15.16% of the total effect of parental disability on emotional symptoms was mediated by peer victimization, which had a nonsignificant mediating effect in the relationship between parental disability and prosocial behaviors. These findings can inform practitioners who aim to help children of parents with physical disabilities improve their coping strategies and social skills to manage peer relationships. Moreover, these results highlight the importance of establishing an inclusive school and community environment to reduce social stigma and peer victimization toward children from disadvantaged families.