Factors Impacting the Mental Health of the Caregivers of Children with Asthma in China: Effects of Family Socioeconomic Status, Symptoms Control, Proneness to Shame, and Family Functioning

Zhou, Ting; Cui, Yi; Zhang, Xuxia; Wang, Yuyin

doi:10.1111/famp.12099

Cited by 21 publications

(27 citation statements)

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“…Furthermore, the mental HRQoL of caregivers of children with Autism Spectrum Disorder was lower than that of the general population, their physical HRQoL was however comparable [ 15 ]. Similarly, caregivers of children with asthma showed higher levels of anxiety when compared with the norm [ 16 ]. This may be attributed to the nature of the disease with frequent symptomatic episodes as well as the substantial caregiver responsibility in ensuring a clean and safe environment and regular medication use [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, caregivers of children with asthma showed higher levels of anxiety when compared with the norm [ 16 ]. This may be attributed to the nature of the disease with frequent symptomatic episodes as well as the substantial caregiver responsibility in ensuring a clean and safe environment and regular medication use [ 16 ]. Accounting for these spill-over effects in health economic evaluations has proven challenging.…”

Section: Introductionmentioning

confidence: 99%

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Influence of the child’s perceived general health on the primary caregiver’s health status

Verstraete

Ramma²,

Jelsma³

2018

Health Qual Life Outcomes

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BackgroundIn estimating the impact of an intervention, ignoring the effect of improving the health of one member of the caregiver/child dyad on the Health Related Quality of Life (HRQoL) of the other member may lead to an underestimation of the utility gained. This may be particularly true for infants/young children and their caregivers. The aim of this study was to quantify the interaction between the child’s perceived general health as assessed by the newly developed Toddler and Infant Questionnaire (TANDI) on the reporting of the caregiver’s own HRQoL as assessed by the EQ-5D-3 L.MethodsA sample of 187 caregivers participated. A total of 60 caregivers of acutely-ill (AI) and 60 caregivers of chronically-ill (CI) children were recruited from a children’s hospital. The 67 caregivers of general population (GP) children were recruited at a pre-school. Each caregiver completed the proxy rating of their child’s HRQoL on the TANDI (The TANDI is an experimental HRQoL instrument, modelled on the EQ-5D-Y proxy, for children aged 1-36 months), which comprises of six dimensions of health and a rating of general health on a Visual Analogue Scale (VAS). The caregiver completed the EQ-5D-3 L, a self-report measure of their own HRQoL. Forward stepwise regression models were developed with 1) the VAS score of the caregiver and 2) the VAS score of the child as dependent variables. The independent variables for the caregiver included dummy variables for the presence or absence of problems on the EQ-5D-3 L and the VAS score of the child. The independent variables for the child included dummy variables for each TANDI dimension and the VAS of the caregiver.ResultsThe TANDI results indicated that in five of the six dimensions AI children had more problems than the other two groups and the GP children were reported to have a significantly higher VAS than the other two groups. The child’s VAS was significantly correlated with the caregiver’s VAS in all groups, but most strongly in the AI group. The preference based scores (using the UK TTO tariff) were only correlated in the AI group. The inclusion of the child’s VAS increased the variance accounted for 11% of the VAS score of the caregiver. Anxiety and depression was the only dimension which accounted for more variance (18%). Similarly the perceived health state, VAS of the caregiver accounted for 14% of the variance in the child’s VAS, second only to problems with play (25%).ConclusionThere does indeed appear to be a strong relationship between the VAS scores of the children and their caregivers. The perceived general health of the child influences the caregivers reporting of their general health, more than their own report of experiencing pain or discomfort or problems with mobility. Thus, improving the HRQoL of the very young child may improve the caregiver’s HRQoL as well. Conversely, if the caregiver has a lower perceived HRQoL this may result in a decrement in the reported VAS of the child, independent of the presence or absence of problems in the different dimensions. This imp...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influence of the child’s perceived general health on the primary caregiver’s health status

Verstraete

Ramma²,

Jelsma³

2018

Health Qual Life Outcomes

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“…Furthermore, over half of the sample had completed university education, the majority were white, and 69% of the families reported incomes of £26,000 or more, which is above the median income in the UK (Office for National Statistics, 2016). Given that asthma can pose significant financial burdens in the family unit (Zhou et al, 2014) and that socioeconomic status has been shown to predict worse anxiety, depression or quality of life outcomes in asthma caregivers (Annett, Bender, DuHamel, & Lapidus, 2003;Celano et al, 2008;Erickson et al, 2003;Zhou et al, 2014), future studies should attempt to include a more diverse sample.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Examining the association between mentalizing and parental mental health in a sample of caregivers of children with asthma.

Castillo¹,

Browne

Algorta

2020

Couple and Family Psychology: Research and Practice

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Background: Caregivers of children with asthma are at higher risk of experiencing mental health difficulties and lower quality of life than caregivers of healthy children. Mentalizing is a psychological construct that defines the ability of understanding one's own and others' states of mind. Poor levels of mentalizing are strongly associated with a wide range of mental health difficulties such as depression, anxiety or emotional dysregulation. This crosssectional study is the first to examine the associations between mentalizing and mental health in a sample of caregivers of children with asthma. Method: Caregivers of children (mean age=6.53, SD=3.72, ages 1 to 17) with asthma were recruited from social media support groups and the Asthma UK charity research bulletin. Participants completed self report measures of mentalizing, family functioning, mood and anxiety difficulties. Results: A total of 88 caregivers completed the full survey. Results indicated that poorer mentalizing capacity was significantly associated with poorer family functioning and increased mood and anxiety symptomatology. Poor mentalizing was significantly associated with increased levels of depression, hypomania and anxiety, explaining 16% of variance in depression and 10% of variance in anxiety. Family functioning was not a significant predictor after controlling for the effect of mentalizing. Conclusions: These findings suggest that mentalizing capacity might be a valued new treatment target to improve the mental health of caregivers of children with asthma. The results suggest that mentalizing could complement previously identified factors such as family functioning or asthma symptom severity in understanding caregivers' mental health. Further investigation into the role of mentalizing in the mental health of this population is warranted.

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“…Low-income family in Malaysia refer to household that had income of less than RM3, 860 a month and also known as the B40 family [1]. Previous studies showed that family with low monthly income had low family functioning [2][3][4] and children with high socioemotional behaviour problems [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2018

JSSH

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This study examines the effects of family functioning on socioemotional behavior of children in low income family. Participants comprised of 518 parents of children aged four to six years old of low income family. Data were collected using structured questionnaires. Family functioning was measured using Malaysian Family Strengths Scale, while socioemotional behavior of children was measured using Strengths and Difficulties Questionnaire (SDQ). The findings of the study revealed that high level of family functioning contributed to low level of socioemotional behavior problems of children. Mothers and fathers of low income family had similar perception in family functioning and children socioemotional behavior. This study highlights the importance of enhancing family functioning in order to reduce emotional problems, conduct problems and peer problems and also incerasing prosocial behavior of children in low income family.

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Factors Impacting the Mental Health of the Caregivers of Children with Asthma in China: Effects of Family Socioeconomic Status, Symptoms Control, Proneness to Shame, and Family Functioning

Cited by 21 publications

References 50 publications

Influence of the child’s perceived general health on the primary caregiver’s health status

Influence of the child’s perceived general health on the primary caregiver’s health status

Examining the association between mentalizing and parental mental health in a sample of caregivers of children with asthma.

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