Children with neurodevelopmental disorders: The burden and psychological effects on caregivers in Lagos, Nigeria

Olagunju, Andrew T; Oshodi, Yewande; Umeh, Charles S.; Aina, Olatunji F.; Oyibo, Wellington; Lamikanra, Anna; Lesi, F. E. A.; Adeyemi, Joseph D.

doi:10.4103/2468-6859.199162

Cited by 10 publications

(14 citation statements)

References 3 publications

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“…Importantly, the rates of significant burden and distress in this study are similar to findings among caregivers of children with autism spectrum disorder in a similar setting. 30 However, the proportion of caregivers with psychological distress (17%) in this study is many folds the rate reported in mothers of normal full-term infants (3.7%) in a comparable context. 32 The onset of a chronic illness in a child imposes an unexpected additional stressor on the caregiving role of parents; it perturbs the balance between the usual demands of parenting, which is stressful in itself, and the intrinsic and extrinsic resources of the family.…”

Section: Discussioncontrasting

confidence: 58%

Section: Discussioncontrasting

confidence: 58%

“…Both GHQ and ZBI have been validated and used widely in research among caregivers of people with chronic illnesses in Nigeria. 29,30…”

Section: Data Collectionmentioning

confidence: 99%

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Significant Burden and Psychological Distress Among Caregivers of Children With Nephrotic Syndrome: A Cross-Sectional Study

Esezobor

Solarin

Olagunju

2020

Can J Kidney Health Dis

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Background: Childhood nephrotic syndrome (NS) follows a chronic course in most children. However, little is known about the psychosocial burden of NS on the caregivers despite evidence that caregiver burden or impairment in their well-being may alter the outcome of chronic childhood illnesses. Objectives: To determine the frequency and predictors of significant caregiver burden and psychological distress among caregivers of children with NS. Design: A cross-sectional study. Setting: Two pediatric nephrology clinics in Lagos, Nigeria. Patients: We included primary caregivers of children with idiopathic NS for at least 6 months. Measurements: The primary outcomes were psychological distress and significant caregiver burden among caregivers. Methods: We interviewed caregivers using the 12-item General Health Questionnaire (GHQ-12) and the 6-item Zarit Burden Interview (ZBI-6). The GHQ-12 scores ≥ 3 and ZBI-6 scores ≥ 6 indicated psychological distress and significant caregiver burden, respectively. Results: The caregivers were mostly mothers (77.9%) and married (92.4%), whereas the children (n = 172) were mainly male (65.1%). Most of the children (n = 152; 88.4%) had steroid-sensitive NS including 24 (14%) children with frequent relapses or steroid dependence and 20 (11.6%) with steroid-resistant NS. Of the 172 caregivers, 53 (30.8%) and 30 (17.4%) reported psychological distress and significant burden, respectively. Caregivers of children in relapse had adjusted an odds ratio (aOR) with 95% confidence interval (CI) of 2.45 (1.05-5.67) and 3.30 (1.22-8.92) of psychological distress and significant caregiver burden, respectively. Furthermore, caregivers of male children and those who needed help paying for health care had an aOR of 4.61 (1.34-15.68) and 3.06 (1.06-8.87) of significant caregiver burden, respectively. Limitations: The study was limited by its cross-sectional design and the use of generic rather than disease-specific instruments. Conclusion: One in every 6 caregivers of children with idiopathic NS reported significant caregiver burden, and it was associated with psychological distress. Our findings underscore the need for psychosocial support for caregivers of children with NS, especially those with identifiable vulnerability.

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Section: Discussioncontrasting

confidence: 58%

Section: Discussioncontrasting

confidence: 58%

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Significant Burden and Psychological Distress Among Caregivers of Children With Nephrotic Syndrome: A Cross-Sectional Study

Esezobor

Solarin

Olagunju

2020

Can J Kidney Health Dis

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“…The overall prevalence of mental distress among caregivers of patients with epilepsy in the current study was 27.1% with 95% CI [22.6-31.1]. The prevalence of this study is slightly lower than studies done in Katsina (65.7%), Kaduna (52%), Lagos (39.6%), Pakistan (49%), Western Ontario (50%), and India (52%)[ 1 , 3 , 10 , 23 , 24 ].…”

Section: Discussioncontrasting

confidence: 54%

Prevalence and Associated Factors of Mental Distress among Caregivers of Patients with Epilepsy in Ethiopia: A Cross-Sectional Study Design

Seid¹,

Demilew

Yimer

et al. 2018

Psychiatry Journal

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Background Caregiving to individuals with mental illness is a broad responsibility, including not only practical help and care but also emotional support. Cross-sectional studies in different localities suggested a significant burden of mental distress among caregivers of patients with epilepsy, but we are not aware about the condition in Ethiopia. Therefore, the aim of the current study is to assess the prevalence and associated factors of mental distress among caregivers of patients with epilepsy in Ethiopia. Methods An institutional based cross-sectional study was conducted in Neuropsychiatric Department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Using systematic random sampling technique, 409 caregivers participated in the study. Data was collected by face to face interview using standardized and validated Kessler Psychological Distress Scale (K-10) to assess mental distress. Descriptive, bivariate, and multivariate logistic regression models were used for analysis. Adjusted Odd Ratio (AOR) with 95% Confidence Interval (CI) was used to show the odds, and P-value < 0.05 was considered as statistically significant. Results The mean age of respondents was 43.3 years with standard deviation of ±11.4 years. Two hundred eighteen (53.3%) of the respondents were male. The prevalence of mental distress was found to be 27.1% with 95% CI [22.6-31.1]. Relationship with patient of being mother [AOR: 5.67, 95% CI: (1.68-13.70)], father [AOR: 4.42, 95% CI: (1.25-12.58)], wife/husband [AOR: 10.59, 95% CI: (2.43-14.19)], and child [AOR: 5.37, 95% CI: (1.27-12.69)]; caring for young person below 20 years of age [AOR: 4.00, 95% CI: (1.43-11.21)]; poor social support [AOR: 7.26, 95% CI: (3.60-14.65)]); and experienced stigma [AOR: 3.03, 95% CI: (1.63-5.66)] were statistically and significantly associated factors of mental distress among caregivers of patients with epilepsy. Conclusion and Recommendation We found a lower prevalence of mental distress among caregivers of patients with epilepsy compared to other low- and middle-income settings. Being caring for young patients, being parents to the patient, poor social support, and stigma were statistically significant associated factors of mental distress among caregivers. Therefore, appropriate psychosocial interventions are warranted to be designed and implemented emphasizing the aforementioned associated factors.

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“…This result is agree with (17) the study assures that (57.7%) of caregivers have psychological distress. (20) who found that (39.6%) of caregivers had GHQ score suggesting severe level of psychological distress. Additionally supporting was done by (21) who reported that (60.5 %) of caregivers experience elevated level of psychological distress .…”

Section: Discussionmentioning

confidence: 98%

Psychological Distress among Caregivers of Children with Down Syndrome at Al Najaf Province

Ahmed Burhan Abdulameer,

Arafat Hussein Al-Dujaili

2021

Indian Journal of Forensic Medicine & Toxicology

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Psychological Distress has recently been shown to have a negative impact on caregivers, but there has been little longitudinal research on this subject. A sample (61) caregivers of children with Down Syndrome have been selected Al-Najaf Province centers. The researcher adapts and modifies the questionnaire to fulfill the study's objectives .The results of the study revealed that caregivers of children with DS have severe level of psychological distress(38.7%). There is a significant relationship (P < 0.05) between Psychological Distress and some of the socio-demographic characteristics (child age , family member and trainings about down syndrome). The present study recommends providing families with Educational programs to increase parents knowledge about etiology, signs and symptom and treatment of stress and Providing scientific booklet, publication and journal about stress. In addition to increasing schools and institutes specialized in educating children with Down syndrome, as they are few in the province of Najaf, and some of them are far from their places of residence.

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Children with neurodevelopmental disorders: The burden and psychological effects on caregivers in Lagos, Nigeria

Cited by 10 publications

References 3 publications

Significant Burden and Psychological Distress Among Caregivers of Children With Nephrotic Syndrome: A Cross-Sectional Study

Significant Burden and Psychological Distress Among Caregivers of Children With Nephrotic Syndrome: A Cross-Sectional Study

Prevalence and Associated Factors of Mental Distress among Caregivers of Patients with Epilepsy in Ethiopia: A Cross-Sectional Study Design

Psychological Distress among Caregivers of Children with Down Syndrome at Al Najaf Province

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