Health and Quality of Life Outcomes | |
Quality of life among parents of children with phenylketonuria (PKU) | |
Lutz Goldbeck2  Christel Salewski1  Astrid Fidika2  | |
[1] Department of Psychology, University of Hagen, Hagen 58097, Germany;Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Ulm 89075, Germany | |
关键词: Social support; Metabolic disorder; PKU; Quality of life; Parents; | |
Others : 823840 DOI : 10.1186/1477-7525-11-54 |
|
received in 2012-07-16, accepted in 2013-03-22, 发布年份 2013 | |
【 摘 要 】
Background
Parents of children with chronic conditions are known to be at risk of impairment in their quality of life (QoL). Studies considering other chronic conditions proposed diverse factors to have an impact on the parent’s QoL. So far, there has been little research on parents who have a child with phenylketonuria (PKU). This study was designed to evaluate the parental quality of life (PQoL) of parents of children and adolescents who have PKU and identify possible predictors of PQoL.
Methods
In this cross-sectional study 89 parents completed self-report measures of PQoL, family stress, social support, and parental coping. To determine the impact of these potential predictors on PQoL, regression and mediation analyses were performed.
Results
Most parents coped well with their children’s metabolic disorder. Family stress (β = −0.42; p < 0.001) and perceived social support (β = 0.33; p = 0.001) were proven to be the most powerful predictors, accounting together for 45% of the variance of PQoL. Social support mediated the association between family stress and PQoL.
Conclusions
The current study indicates that parents of younger children are an especially vulnerable group. Members of health-care teams should be able to identify and empower vulnerable parents to seek and maintain social support.
【 授权许可】
2013 Fidika et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140713014531954.pdf | 282KB | download | |
Figure 1. | 12KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Hardelid P, Cortina-Borja M, Munro A, Jones H, Cleary M, Champion MD, Foo Y, Scriver CR, Dezateux C: The birth prevalence of PKU in populations of European, South Asian and sub-Saharan African ancestry living in South East England. Ann Hum Genet 2008, 72:65-71.
- [2]National Institutes of Health Consensus Development Panel: National institutes of health consensus development conference statement: phenylketonuria: screening and management, October 16–18, 2000. Pediatrics 2001, 108:972-982.
- [3]Burgard P, Bremer HJ, Bührdel P, Clemens PC, Mönch E, Przyrembel H, Trefz FK, Ullrich K: Rationale for the German recommendations for phenylalanine level control in phenylketonuria 1997. Eur J Pediatr 1999, 158:46-54.
- [4]Moyle JJ, Fox AM, Bynevelt M, Burnett JR: Metaanalysis of neuropsychological symptoms of adolescents and adults with PKU. Neuropsychol Rev 2007, 17:91-101.
- [5]Streisand R, Tercyak KP: Parenting chronically ill children - the scope and impact of pediatric parenting stress. In Handbook of parenting. Edited by Hoghughi MS, Long N. London: London; 2004:181-197.
- [6]Lord B, Wastell C, Ungerer J: Parents reactions to childhood phenylketonuria. Fam Syst Health 2005, 23:204-219.
- [7]Cohen MS: Families coping with childhood chronic illness: a research review. Fam Syst Health 1999, 17(2):149-164.
- [8]Goldbeck L, Storck M: Das Ulmer Lebensqualitäts-Inventar für Eltern chronisch kranker Kinder (ULQIE): Entwicklung und psychometrische Eigenschaften. [ULQIE: A quality-of-life inventory for parents of chronically ill children.]. Z Klin Psychol Psychother 2002, 31:31-39.
- [9]Goldbeck L: The impact of newly diagnosed chronic paediatric conditions on parental quality of life. Qual Life Res 2006, 15:1121-1131.
- [10]Hatzmann J, Heymans HSA, Ferrer-i-Carbonell A, van Praag BMS, Grootenhuis MA: Hidden consequences of success in pediatrics: parental health-related quality of life-results from the Care Project. Pediatrics 2008, 122:e1030-e1038.
- [11]Lawoko S, Soares JJF: Quality of life among parents of children with congenital heart disease, parents of children with other diseases and parents of healthy children. Qual Life Res 2003, 12:655-666.
- [12]Arafa M, Zaher S, El-Dowaty A, Moneeb D: Quality of life among parents of children with heart disease. Health Qual Life Outcomes 2008, 6:91. BioMed Central Full Text
- [13]Greenley RN, Cunningham C: Parent quality of life in the context of pediatric inflammatory bowel disease. J Pediatr Psychol 2009, 34:129-136.
- [14]Meads DM, McKenna SP, Kahler K: The Quality of Life of Parents of Children with Atopic Dermatitis: Interpretation of PIQoL-AD Scores. Qual Life Res 2005, 14:2235-2245.
- [15]ten Hoedt A, Maurice-Stam H, Boelen C, Rubio-Gozalbo M, van Spronsen F, Wijburg F, Bosch A, Grootenhuis M: Parenting a child with phenylketonuria or galactosemia: implications for health-related quality of life. J Inherit Metab Dis 2011, 34:391-398.
- [16]Streisand R, Branieckie S, Tercyak KP, Kazak A: E: Childhood illness-related parenting stress: the pediatric inventory for parents. Journa of Pediatric Psychology 2001, 26:155-162.
- [17]Wallander JL, Varni JW: Effects of pediatric chronic physical disorders on child and family adjustment. J Child Psychol Psychiatry 1998, 39:29-46.
- [18]Staab D, Wenninger K, Gebert N, Rupprath K, Bisson S, Trettin M, Paul KD, Keller KM, Wahn U: Quality of life in patients with cystic fibrosis and their parents: what is important besides disease severity? Thorax 1998, 53:727-731.
- [19]Garwick AW, Patterson JM, Bennett FC, Blum RW: Parents’s perceptions of helpful vs unhelpful types of support in managing the care of preadolescents with chronic conditions. Arch Pediatr Adolesc Med 1998, 152:665-671.
- [20]Horton TV, Wallander JL: Hope and social support as resilience factors against psychological distress of mothers Who care for children with chronic physical conditions. Rehabil Psychol 2001, 46:382-399.
- [21]Hatzmann J, Maurice-Stam H, Heymans H, Grootenhuis M: A predictive model of health related quality of life of parents of chronically ill children: the importance of care-dependency of their child and their support system. Health Qual Life Outcomes 2009, 7:72. BioMed Central Full Text
- [22]Bilginsoy C, Waitzman N, Leonard C, Ernst S: Living with phenylketonuria: perspectives of patients and their families. J Inherit Metab Dis 2005, 28:639-649.
- [23]Quittner AL, Glueckauf RL, Jackson DN: Chronic parenting stress: moderating versus mediating effects of social support. J Pers Soc Psychol 1990, 59:1266-1278.
- [24]Ravens-Sieberer U, Morfeld M, Stein REK, Jessop DJ, Bullinger M, Thyen U: Der familien-belastungs-fragebogen (FaBel-fragebogen). testung und validierung der deutschen version der “impact on family scale” bei familien mit behinderten kindern. [Testing and validation of the German version of the impact on family scale in families with children with disabilities]. Psychother Psychosom Med Psychol 2001, 51:384-393.
- [25]Stein REK, Riessman CK: The development of an impact-on-family-scale: preliminary findings. Medical Care 1980, 18(4):465-472.
- [26]McCubbin HI, McCubbin MH, Patterson JM, Cauble AE, Wilson LR, Warwick W: CHIP - coping health inventory for parents - an assessment for parental coping patterns in the care of a chronically ill child. Journal of Marriage and the Family 1983, 45:359-370.
- [27]McCubbin HI, McCubbin MA, Cauble E, Goldbeck L: Fragebogen zur elterlichen krankheitsbewältigung: coping health inventory for parents (CHIP) - deutsche version. Kindheit und Entwicklung 2001, 10(1):28-35.
- [28]Fydrich T, Sommer G, Brähler E: F-SozU. Fragebogen zur Sozialen Unterstützung. [F-SozU. Questionnaire assessing social support]. Göttingen: Hogrefe; 2007.
- [29]Chuong B: Do, Serafim Batzoglou: What is the expectation maximization algorithm? Nat Biotechnol 2008, 26:897-899.
- [30]Besier T, Born A, Henrich G, Hinz A, Quittner AL, Goldbeck L, TIDES Study Group: Anxiety, depression, and life satisfaction in parents caring for children with cystic fibrosis. Pediatr Pulmonol 2011, 46:672-82.
- [31]Besier T, Goldbeck L: Anxiety and depression in adolescents with CF and their caregivers. J Cyst Fibros 2011, 10:435-42.
- [32]Preacher KJ, Hayes AF: SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 2004, 36:717-731.
- [33]Baron RM, Kenny DA: The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986, 51:1173-1182.
- [34]West CA, Besier T, Borth-Bruhns T, Goldbeck L: Effectiveness of a family-oriented rehabilitation program on the quality of life of parents of chronically ill children. Klin Padiatr 2009, 221:241-246.
- [35]Skok A, Harvey D, Reddihough D: Perceived stress, perceived social support, and wellbeing among mothers of school-aged children with cerebral palsy. J Intellect Dev Disabil 2006, 31:53-57.
- [36]Goldbeck L, Melches J: Quality of life in families of children with congenital heart disease. Qual Life Res 2005, 14:1915-1924.