Maternal mental health in families of children with spina bifida

Ong, Lai Choo; Norshireen, Nazli Ar; Chandran, Vijay

doi:10.1007/s12519-011-0246-z

Cited by 11 publications

(11 citation statements)

References 16 publications

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“…21 In the USA, Vachha and Adams 13 found that caregiver perceptions of having a difficult-to-manage child were significantly correlated with negative mood, more intensity of response and less adaptability. Recent studies from Malaysia and Canada 25,26 found that a large proportion of mothers of children with spina bifida had higher mean total PSI-SF and subscale scores and experienced clinically significant levels of stress compared with those of the controls. Wiegner and Donders 23 found that parents of children with congenital disabilities have adaptive distributions of responsibilities for dealing with domestic tasks.…”

Section: Discussionmentioning

confidence: 99%

“…Kazak and Clark 24 found that families of children with myelomeningocele were found to have higher levels of stress than the comparison families. Recent studies from Malaysia and Canada 25,26 found that a large proportion of mothers of children with spina bifida had higher mean total PSI-SF and subscale scores and experienced clinically significant levels of stress compared with those of the controls.…”

Section: Discussionmentioning

confidence: 99%

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Stress among parents of infants with neural tube defect and its associated factors

Al-Akour

Khader

Hamlan

2013

Int J of Nursing Practice

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The purpose of this study was to assess the stress among parents (either the mother or the father) of infants with neural tube defects (NTDs) and its associated factors. Using Parenting Stress Index-Short Form (PSI-SF), 100 parents of infants with NTDs were compared with 100 parents as a normative group. The total mean score for parents of infants with NTDs was 104.0 (standard deviation (SD) = 22.9) compared with 84.3 (SD = 18.9) for parents of infants without NTDs. Fifty-three (53.5%) parents of infants with NTDs and 15% of the control group had clinically significant high total stress score. Parents of infants with NTDs had a significantly higher score of distress in all scales of PSI-SF compared with those of infants without NTDs. Multivariate analysis found that mothers of infants with NTDs had a significantly higher average score for parental distress, parent-child dysfunctional interaction and total stress than fathers. Parents' lower education, unemployed parents and lower family income per month were significantly associated with increased parent-child dysfunctional interaction and parental distress. Parents with lower education and lower family income are in need for psychological and emotional support from health-care professionals.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Stress among parents of infants with neural tube defect and its associated factors

Al-Akour

Khader

Hamlan

2013

Int J of Nursing Practice

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“…A proper system should be in place for urological management because it is integral in ensuring that spina bi da patients have a better quality of life and improved health continuity 4 . Despite that, Malaysia has yet to set up a proper standard operating procedure for spina bi da individuals from birth as well as their support system towards building a better quality of life 5,6 . Furthermore, kidney health accounts for approximately 70% survivability of these children 7 .…”

Section: Introductionmentioning

confidence: 99%

Impact of untethering of the spinal cord on urological management and antibiotic stewardship among spina bifida patients in Malaysia

Nisheljeet

Azizi

Palaniandy

et al. 2022

Preprint

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BackgroundThe incidence and severity of urinary tract infections (UTIs) due to spina bifida is poorly understood in Malaysia. Tethering of the spinal cord is a pathological fixation of the cord in the vertebral column that can result in neurogenic bladder dysfunction and other neurological problems. It occurs in patients with spina bifida and the authors of this study sought to determine the effects of untethering on the urological outcome of children with a tethered cord and thus identifying proper urological management for individuals with spina bifida. MethodsDemographic and clinical data were collected via an online questionnaire and convenient sampling technique were used. 49 spina bifida individuals participated in this study. ResultsThe diagnosis of UTIs is dependent on patients reporting cloudy and smelly urine (67%) and urine validation (60%). 18% of the respondents claimed to have been prescribed antibiotics even though they had no history of UTI. Indiscriminate prescription of antibiotics by healthcare workers further compounds the severity of UTI. Employing CISC (73%) including stringent usage of sterile catheters (71%) did not prevent patients from getting UTI. Overall, 33% of our respondents reported manageable control of UTI (0 – 35 years of age). All individuals below the age of 5 (n=14) had improved urological outcome due to the untethering surgery under the guidance of the Malaysia NTD support group. ConclusionSpina biﬁda individuals may procure healthy bladder and bowel continence for the rest of their lives provided that neurosurgical and urological treatment being instigated soon after birth and continuing into adulthood.

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“…For instance, Vermaes and colleagues (2008) found that parent personality traits including extraversion (mothers only), emotional stability, and agreeableness (fathers only) related to lower parent stress in parents of children with SB. Additional factors that have been shown to be associated with greater stress and poorer psychological adjustment for parents of children with SB include single parenthood (Kanaheswari, Razak, Chandran, & Ong, 2011; Ong, Norshireen, & Chandran, 2011), avoidant coping style (Barakat & Linney, 1995), lower socioeconomic status (Holmbeck et al, 2002; Malm-Buatsi et al, 2015), older child age (Driscoll et al, 2018; Macias et al, 2007), and higher rates of internalizing (Friedman, Holmbeck, Jandasek, Zukerman, & Abad, 2004; Lemanek, Jones, & Lieberman, 2000) and externalizing (Ridosh, Sawin, Klein-Tasman, & Holmbeck, 2017) symptoms in children.…”

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confidence: 99%

“…The PSS has demonstrated a moderate to strong relationship with the Parenting Stress Index (PSI; Abidin, 1995), a well-known instrument used to measure stress in a parent–child system. Research studies that have used the PSI to measure parent stress have found parental stress to be elevated in parents of children with neural tube defects compared to parents of children without chronic health conditions (Ong et al, 2011; Vermaes et al, 2008). In addition, the PSS and the PSI have shown similar findings of increased stress in mothers of children with developmental disabilities and behavioral problems compared to mothers of typically developing children (Beckman, 1991; Berry & Jones, 1995).…”

mentioning

confidence: 99%

Parent stress for patients followed in a multidisciplinary spinal defects clinic.

Simpson¹,

Kenny²,

Wilson³

et al. 2020

Clinical Practice in Pediatric Psychology

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Objective:The primary aim of this study was to characterize parent-reported stress for parents of children being followed in a multidisciplinary spinal defects clinic. Method: Participants were drawn from clinical cases seen through a multidisciplinary outpatient spinal defects clinic between 2014 and 2017. Participants included 223 youth under 21 years old, diagnosed with spina bifida (SB) or a related neural tube defect, and their parents. Parent stress ratings were obtained for all participants as part of the standard care within the clinic using the Parental Stress Scale. Self-reported internalizing symptoms were measured for patients aged 12 and older (n ϭ 44) with the 9-item Pediatric Health Questionnaire and the 7-item Generalized Anxiety Disorder scale. Results: Contrary to our prediction, we found low levels of parent and adolescent distress in this population. An important finding was that adolescent internalizing symptoms showed a moderate to large association with parent-reported stress and in fact, predicted parent stress better than did any demographic or health-related variable. Child age was also found to correlate with parent-reported stress, and parents of older children reported on average more stress than did parents of younger children. Conclusions: The current findings mainly highlight resilience in this population but do indicate that parent stress and child internalizing symptoms for children with SB are linked and are likely to be a target for clinical management, similar to the case for children without chronic health conditions. Implications for Impact StatementThe current study highlights resilience in parents of children with a neural tube defect but does indicate that parent stress and child internalizing symptoms for children with a neural tube defect are linked and are likely to be a target of clinical management in a subset of this population. Additionally, it contributes to research investigating the efficacy of psychosocial screening tools in medical clinics and the benefits of multidisciplinary care for youth with neural tube defect.

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Maternal mental health in families of children with spina bifida

Abstract: spina bifida, recent stressful life change events and maternal perception of a child as 'difficult' are associated with poor maternal psychological health.

Cited by 11 publications

References 16 publications

Stress among parents of infants with neural tube defect and its associated factors

Stress among parents of infants with neural tube defect and its associated factors

Impact of untethering of the spinal cord on urological management and antibiotic stewardship among spina bifida patients in Malaysia

Parent stress for patients followed in a multidisciplinary spinal defects clinic.

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