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Journal of Child and Family Studies

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Gepubliceerd in: Journal of Child and Family Studies 5/2019

21-02-2019 | Original Paper

Anxiety and Depression in Parent Caregivers of Children with Cystic Fibrosis

Auteurs: Jennifer Cronly, Aine M. Horgan, Elaine Lehane, Barbara Howe, Alistair J. Duff, Kristin A. Riekert, Ivan J. Perry, Anthony P. Fitzgerald, Muireann Ni Chroinin, Eileen Savage

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 5/2019

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Abstract

Objectives

Parents of children with cystic fibrosis (CF) are at risk of depression and anxiety symptoms, yet, they are an under-researched group. This national cross-sectional study investigated the prevalence of anxiety and depression in parents of children with CF, and examined the associations between these symptoms and their child’s physical health and quality of life.

Methods

A total of 203 parents of children attending nine paediatric CF clinics across Ireland filled out a questionnaire pack containing: a background information questionnaire; the Hospital Anxiety and Depression Scale (HADS); the Centre for Epidemiological Studies Depression Scale (CES-D); and, the Cystic Fibrosis Quality of Life Scale—Revised Edition (CFQ-R).

Results

According to the HADS, 38% of parents had elevated anxiety and 12% had elevated depression symptoms. Just over a fifth (20.7%) had elevated depression symptoms on the CES-D. Mothers had significantly higher levels of anxiety than fathers. There were statistically significant negative linear correlations between parents’ HADS anxiety and depression scores and their child’s pulmonary function, and between parents’ HADS anxiety and depression scores and their child’s quality of life.

Conclusions

These results indicate that parents are at risk of depression and anxiety symptoms, and that these are associated with the physical health and quality of life of their child with CF. The findings support the need for parents to have mental health screening annually in CF services, as recommended in international guidelines. There is also a need to integrate a family-centred approach into CF services with appropriate supports and mental health referral pathways for parents.
vorige artikel Group PCIT for Preschoolers with Autism Spectrum Disorder and Externalizing Behavior Problems
volgende artikel The Extent and Correlates of Stressors Experienced by At-risk Youths in a Military-style Residential Program
Literatuur
Abbott, J., Elborn, J. S., Georgiopoulos, A., Goldbeck, L., Marshall, B., & Sabadosa, K., et al. (2015). Cystic Fibrosis Foundation and European Cystic Fibrosis Society Survey of cystic fibrosis mental health care delivery. Journal of Cystic Fibrosis, 14, 533–539. CrossRefPubMed
Anderson, D., Flume, P., & Hardy, K. (2001). Psychological functioning of adults with cystic fibrosis. Chest, 119, 1079–1084. CrossRefPubMed
Backstrom-Eriksson, L., Sorjonen, K., Bergsten-Brucefors, A., Hjelte, L., & Melin, B. (2015). Anxiety and depression in adults with cystic fibrosis: a comparison between patients and the general population in Sweden and three other European countries. BMC Pulmonary Medicine, 15, 121. CrossRefPubMedPubMedCentral
Barker, D. H., & Quittner, A. L. (2016). Parental depression and pancreatic enzymes adherence in children with cystic fibrosis. Pediatrics, 137, e20152296 CrossRefPubMedPubMedCentral
Bergsten Brucefors, A., Hochwalder, J., Sjovall, S., & Hjelte, L. (2015). Depression and anxiety among parents of children with cystic fibrosis related to the children’s health related quality of life. Open Journal of Nursing, 5, 482–489. CrossRef
Besier, T., Born, A., Henrich, G., Hinz, A., & Quittner, A. (2011). Anxiety, depression, and life satisfaction in parents caring for children with cystic fibrosis. Pediatric Pulmonology, 46, 672–682. CrossRefPubMed
Besier, T., & Goldbeck, L. (2011). Anxiety and depression in adolescents with CF and their caregivers. Journal of Cystic Fibrosis, 10, 435–442. CrossRefPubMed
Bjelland, I., Dahl, A., Haug, T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale: an updated literature review. Journal of Psychosomatic Research, 52, 69–77. CrossRefPubMed
Catastini, P., Di Marco, S., Furriolo, M., Genovese, C., Grande, A., & Lactini, E., et al. (2016). The prevalence of anxiety and depression in Italian patients with cystic fibrosis and their caregivers. Pediatric Pulmonology, 51, 1311–1319. CrossRefPubMed
Committee on Hospital Care. (2012). Patient- and family-centred care and the pediatrician’s role. Pediatrics, 129, 394–404. CrossRef
Driscoll, K., Montag-Leifling, K., Acton, J., & Modi, A. (2009). Relations between depressive and anxious symptoms and quality of life in caregivers of children with cystic fibrosis. Pediatric Pulmonology, 44, 784–792. CrossRefPubMedPubMedCentral
Duff, A., Abbott, J., Cowperthwaite, C., Sumner, C., Hurley, M., & Quittner, A. (2014). Depression and anxiety in adolescents and adults with cystic fibrosis in the UK: A cross-sectional study. Journal of Cystic Fibrosis, 13, 745–753. CrossRefPubMed
Easter, G., Sharpe, L., & Hunt, C. (2015). Systematic review and meta-analysis of anxious and depressive symptoms in caregivers of children with asthma. Journal of Pediatric Psychology, 40, 623–632. CrossRefPubMed
Ehre, C., Ridley, C., & Thornton, D. (2014). Cystic fibrosis: An inherited disease affecting mucin-producing organs. The International Journal of Biochemistry and Cell Biology, 52, 136–145. CrossRefPubMed
Grossoehme, D., Spear Filigno, S., & Bishop, M. (2014). Parent routines for managing cystic fibrosis in children. Journal of Clinical Psychology in Medical Settings, 21, 125–135. CrossRefPubMedPubMedCentral
Haringsma, R., Engels, G., Beekman, A., & Spinhoven, P. (2004). The criterion validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a sample of self-referred elders with depressive symptomatology. International Journal of Geriatric Psychiatry, 19, 558–563. CrossRefPubMed
Hayes, C., & Savage, E. (2008). Fathers’ perspectives on the emotional impact of managing the care of their children with cystic fibrosis. Journal of Pediatric Nursing, 23, 250–256. CrossRefPubMed
Hunt, M., Auriemma, J., & Cashaw, A. (2003). Self-report bias and underreporting of depression on the BDI-II. Journal of Personality Assessment, 80, 26–30. CrossRefPubMed
Keogh, R. H., Szczesniak, R., Taylor-Robinson, D., & Bilton, D. (2018). Up-to-date and projected estimates of survival for people with cystic fibrosis using baseline characteristics: A longitudinal study using UK patient registry data. Journal of Cystic Fibrosis, 17, 218–227. CrossRefPubMedPubMedCentral
Modi, A., & Quittner, A. (2003). Validation of a disease-specific measure of health-related quality of life for children with cystic fibrosis. Journal of Pediatric Psychology, 28, 535–545. CrossRefPubMed
Pollock, R. M. (2005). The Treatment of Cystic Fibrosis in Ireland: Problems and Solutions. Dublin, Ireland: Health Services Executive.
Quittner, A., Abbott, J., Georgiopoulos, A., Goldbeck, L., Smith, B., & Hempstead, S., et al. (2016). International Committee on Mental Health in Cystic Fibrosis: Cystic Fibrosis Foundation and European Cystic Fibrosos Society consensus statements for screening and treating depression and anxiety. Thorax, 71, 26–34. CrossRefPubMed
Quittner, A., Barker, D., Geller, D., Butt, S., & Gondor, M. (2007). Effects of maternal depression on electronically monitored enzyme adherence and changes in weight for children with CF. Journal of Cystic Fibrosis, 6, S77. CrossRef
Quittner, A., Buu, A., Messer, M., Modi, A., & Watrous, M. (2005). Development and validation of the cystic fibrosis questionnaire in the United States: a health-related quality of life measure for cystic fibrosis. Chest, 198, 2347–2354. CrossRef
Quittner, A., Goldbeck, L., Abbott, J., Duff, A., Lambrecht, P., & Sole, A., et al. (2014). Prevalence of depression and anxiety in patients with cystic fibrosis and parent caregivers: results of the international depression epidemiological study across nine countries. Thorax, 69, 1090–1097. CrossRefPubMed
Radloff, L. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. CrossRef
Savage, E., & Callery, P. (2005). Weight and energy: parents’ and children’s perspectives on managing cystic fibrosis diet. Archives of Disease in Childhood, 90, 249–252. CrossRefPubMedPubMedCentral
Savage, E., & Callery, P. (2007). Clinic consultations with children and parents on the dietary management of cystic fibrosis. Social Science and Medicine, 64, 363–374. CrossRefPubMed
Savage, E., O’Riordan, A., & Hughes, M. (2009). Quality of life in children with acute lymphoblastic leukaemia. European Journal of Oncology Nursing, 13, 36–48. CrossRefPubMed
Seed, L., Wilson, D., & Coates, A. (2012). Children should not be treated like little adults in the PFT lab. Respiratory Care, 57, 61–74. CrossRefPubMed
Shields, L., Pratt, J., & Hunter, J. (2006). Family centred care: a review of qualitative studies. Journal of Clinical Nursing, 15, 1317–1323. CrossRefPubMed
Simmonds, N. J. (2013). Ageing in cystic fibrosis and long-term survival. Paediatric Respiratory Reviews, 14, S6–S9. CrossRef
Smarr, K., & Keefer, A. (2011). Measures of depression and depressive symptoms: Beck Depression Invetory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Arthritis Care and Research, 63, S454–S466. CrossRefPubMed
Smyth, A., Bell, S., Bojcin, S., Bryon, M., Duff, A., & Flume, P., et al. (2014). European Cystic Fibrosis Society Standards of Care: best practice guidelines. Journal of Cystic Fibrosis, 13, S23–S42. CrossRefPubMed
Tuchman, L., Schwartz, L., Sawicki, G., & Britto, M. (2010). Cystic fibrosis and transition to adult medical care. Pediatrics, 125, 566–573. CrossRefPubMed
Webb, K., & Bryon, M. (2014). The International Depression Epidemiological Study (TIDES): unfinished business? Thorax, 69, 1067–1068. CrossRefPubMed
Whittemore, R., Jaser, S., Chao, A., Jang, M., & Grey, M. (2012). Psychological experience of parents of children with type 1 diabetes: a systematic mixed-studies review. Diabetes Educator, 38, 562–579. CrossRefPubMed
Wong, M. G., & Heriot, S. A. (2008). Parents of children with cystic fibrosis: how they hope, cope and despair. Child: Care, Health and Development, 34, 344–354.
Zigmond, A., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370. CrossRefPubMed
Metagegevens
Titel
Anxiety and Depression in Parent Caregivers of Children with Cystic Fibrosis
Auteurs
Jennifer Cronly
Aine M. Horgan
Elaine Lehane
Barbara Howe
Alistair J. Duff
Kristin A. Riekert
Ivan J. Perry
Anthony P. Fitzgerald
Muireann Ni Chroinin
Eileen Savage
Publicatiedatum
21-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 5/2019
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-019-01349-0

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