Salivary cortisol, stress, and health in primary caregivers (mothers) of children with cerebral palsy

Bella, Geruza Perlato; Garcia, Márcia Teixeira; Spadari-Bratfisch, Regina Célia

doi:10.1016/j.psyneuen.2010.11.005

Cited by 71 publications

(61 citation statements)

References 45 publications

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“…The stress of caring for a child with a DD has also been linked with alterations in a variety of health relevant, physiological parameters. For example, perturbations in cardiovascular (Gallagher & Whiteley, 2012), neuroendocrine (Bella, Garcia, & Spadari-Bratfisch, 2011;Ruiz-Robledillo & Moya-Albiol, 2013;Seltzer et al, 2009) and immune (Gallagher, Phillips, Drayson, & Carroll, 2009;Lovell, Moss, & Wetherell, 2012) functioning have been widely implicated as plausible physiological pathways linking chronic caregiving stress with downstream disease.…”

Section: Introductionmentioning

confidence: 99%

“…However, if overused by chronic (i.e., repeated) stress, the normal operating levels of physiological, stress responsive systems such as the HPA axis have been shown to shift. For example, atypical patterns of cortisol secretion characterised by flatter cortisol slopes (Seltzer et al, 2009), greater CAR magnitude (Ruiz-Robledillo & Moya-Albiol, 2013) and hypo-secretion of cortisol across the day (Bella et al, 2011;Seltzer et al, 2010) have been observed in parental caregivers of children with a 5 DD. Moreover, alterations in basal HPA activity have been implicated as one physiological indicator for downstream disease outcomes such as infectious disease (Edwards, Hucklebridge, Clow, & Evans, 2003), cardiovascular pathologies (Seldenrijk, Hamer, Lahiri, Penninx, & Steptoe, 2012) and sleep problems (Lasikiewicz, Hendrickx, Talbot, & Dye, 2008).…”

Section: Introductionmentioning

confidence: 99%

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The psychophysiological impact of childhood autism spectrum disorder on siblings

Lovell

Wetherell

2016

Research in Developmental Disabilities

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Objective: The negative impact of caring for a child with autism spectrum disorder (ASD) on parents' psychophysiological functioning has been widely evidenced. However, siblings, who also face emotional, social and physical challenges associated with having a brother/sister with ASD, have been less widely studied. This study examined the psychophysiological impact of childhood ASD on Siblings of children with ASD experience greater emotional problems and overall depressive symptoms compared with a control group. Interventions that enhance social support, as well as helping siblings better understand the behaviour problems of their brother/sister with ASD, might be effective for alleviating depressive symptoms.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The psychophysiological impact of childhood autism spectrum disorder on siblings

Lovell

Wetherell

2016

Research in Developmental Disabilities

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“…Así mismo, los trabajos respecto a la carga de cuidadores de niños con enfermedades crónicas son escasos, en comparación con la cantidad de estudios centrados en los cuidadores de adultos. La literatura científica muestra que hay evidencia de que para evaluar la carga de los cuidadores de niños con enfermedades crónicas, usualmente se emplea la escala original de Zarit desarrollada para adultos mayores dependientes (18)(19)(20) , la validación realizada para cuidadores de adultos con enfermedades crónicas (21)(22)(23)(24)(25) u otros instrumentos elaborados para estudios específicos (26) . Es decir, no se ha realizado una validación de la escala específica para cuidadores de niños con enfermedades crónicas a pesar de que la estructura factorial de la misma puede variar al ser aplicada a una muestra, donde a pesar de que vive una situación similar a la de los cuidadores de adultos respecto a la presencia de una enfermedad crónica, los antecedentes del cuidado (27) ; es decir, la historia de la relación establecida previa a la aparición de la enfermedad entre el cuidador y la persona a la que cuida.…”

Section: Introductionunclassified

Escala de carga del cuidador de Zarit: evidencia de validez en México

et al. 2014

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ResumenEl propósito fue obtener evidencia de validez de la escala de carga del cuidador de Zarit en cuidadores primarios informales de niños con alguna enfermedad crónico degenerativa, en un hospital de la ciudad de México. La muestra constó de 252 participantes. Se utilizó la escala de carga del cuidador de Zarit (CBI), el cuestionario general de salud (GHQ-28) y el cuestionario de estrés percibido (PSS). El análi-sis factorial exploratorio y confirmatorio de la escala mostró que está conformada por tres factores que explican el 50% de la varianza. Tuvo un alfa de Cronbach de 0,84. y el modelo tuvo un buen ajuste con valores iguales o superiores a 0,90. La validez de criterio entre el GHQ-28 y el CBI arrojó un valor r=0,46. La validez de constructo se confirmó correlacionando el PSS y la CBI obteniendo un valor r=0,36.Palabras clave: Impacto del cuidado, calidad de vida, propiedades psicométricas, análi-sis factorial confirmatorio. Correspondencia: Xolyanetzin Montero Pardo Calle Baleares #20. Club Residencial Mediterráneo E-mail: xolyanetzin_m@hotmail.com AbstractThe purpose was to obtain evidence of the validity of the Zarit Burden Scale in informal primary caregivers of children with chronic illness, in a hospital in Mexico City. The sample consisted of 252 participants. The instruments used were Zarit Burden Interview (CBI), General Health Questionnaire (GHQ-28) and the Perceived Stress Scale (PSS). The exploratory and confirmatory factor analysis of the scale resulted in three factors which explain 50% of the variance. Cronbach's alpha was .84 and the model fit well with values equal to or above 0.90. The criterion validity obtained between the GHQ-28 and the CBI, showed a value r=0.46. The construct validity was estimated correlating the PSS and the CBI, obtaining a value r=0.36.

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“…Previous studies report a diminished HRQoL in parents of children 0-18 years old, with different chronic conditions, compared to parents of healthy children (Aras et al, 2014, Bella et al, 2011, Reilly et al, 2015, Meltzer et al, 2015. Furthermore, mothers caring for children with cerebral palsy have reported low HRQoL, especially in the domain of vitality, along with low CAR (Bella et al, 2011).…”

Section: Health-related Quality Of Lifementioning

confidence: 96%

“…Furthermore, mothers caring for children with cerebral palsy have reported low HRQoL, especially in the domain of vitality, along with low CAR (Bella et al, 2011). The dimension of vitality is based on four questions asking for subjective well-being ratings in terms of energy and fatigue (Sullivan et al, 2002).…”

Section: Health-related Quality Of Lifementioning

confidence: 99%

What about the parents? : Sleep quality, mood, saliva cortisol response and sense of coherence in parents with a child admitted to pediatric care

Angelhoff¹

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Parents experience many stressful situations when their child is ill and needs medical care, irrespective of the child’s age, diagnosis or the severity of the illness. Poor sleep quality and negative mood decrease the parents’ ability to sustain attention and focus, to care for their ill child, and to cope with the challenges they face. The overall aim of this thesis was to evaluate sleep, mood, cortisol response, and sense of coherence (SOC) in parents caring for children in need of medical care, and to identify factors that may influence parents’ sleep. This thesis includes four original studies; two of these are quantitative, prospective, descriptive and comparative studies including parents (n=82) accommodated in six pediatric wards with their ill child, using questionnaires and sleep logs to measure sleep, mood and SOC, and saliva cortisol to measure cortisol response. A follow-up was performed four weeks later at home, after hospital discharge. The other two studies are qualitative, inductive and explorative interview studies, including parents (n=12) staying overnight with their preterm and/or ill infant in three neonatal intensive care units, and parents (n=15) with a child receiving hospital-based home care in two pediatric outpatient clinics. The interviews were analyzed with a phenomenographic method. Being together with one’s family seems beneficial for sleep and may decrease stress. The ability to stay with the child, in the hospital or at home, was highly appreciated by the parents. When caring for a child with illness, parents’ sleep quality was sufficient in the hospital; however, sleep quality improved further (p<0.05) at home after discharge. The parents reported frequent nocturnal awakenings in the hospital caused by the child, medical treatment and hospital staff. Concern and anxiety about the child’s health, and uncertainty about the future were stressors affecting the parents’ sleep and mood negatively. The parents had lower (p=0.01) morning awakening cortisol levels in the pediatric ward compared to at home, and parents accommodated for more than one night had lower (p<0.05) post-awakening cortisol levels compared to parents staying their first night. The findings of this thesis conclude that being together as a family is important for the parents’ sleep. The ability to be accommodated in the hospital and gather the family around the child may have given the parents time for relaxation and recovery, that in turn may lead to a less stressful hospital stay. When it is beneficial for the child, the whole family should be included in the pediatric care. Moreover, pediatric nurses must acknowledge parents’ sleep, in hospital and at home. Medical treatment and care at night should be scheduled and sleep promoted for the parents in order to maintain health and well-being in the family.

The electronic version of the thesis is a corrected version of the printed thesis.

This thesis has also been funded by Barnklinikens 60-årsfond, Filip SchelinsStiftelse, Riksföreningen för barnsjuk...

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Salivary cortisol, stress, and health in primary caregivers (mothers) of children with cerebral palsy

Cited by 71 publications

References 45 publications

The psychophysiological impact of childhood autism spectrum disorder on siblings

The psychophysiological impact of childhood autism spectrum disorder on siblings

Escala de carga del cuidador de Zarit: evidencia de validez en México

What about the parents? : Sleep quality, mood, saliva cortisol response and sense of coherence in parents with a child admitted to pediatric care

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