Swipe om te navigeren naar een ander artikel
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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.
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).
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.
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.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
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
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
Committee on Hospital Care. (2012). Patient- and family-centred care and the pediatrician’s role. Pediatrics, 129, 394–404. CrossRef
Cronly, J., Duff, A., Riekert, K., Perry, I., Fitzgerald, A., & Horgan, A., et al. (2018). Online versus paper-based screening for depression and anxiety in adults with cystic fibrosis in Ireland: a cross-sectional exploratory study. British Medical Journal Open, 8, e019305 https://doi.org/10.1136/bmjopen-2017-019305. CrossRef
Fidika, A., Herle, M., Lehmann, C., Weiss, C., Knaevelsrud, C., & Goldbeck, L. (2015). A web-based psychological support program for caregivers of children with cystic fibrosis: a pilot study. Health and Quality of Life Outcomes, 13, 11 https://doi.org/10.1186/s12955-015-0211-y. CrossRefPubMedPubMedCentral
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
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
Shields, L., Pratt, J., Davis, L., & Hunter, J. (2007). Family-centred care for children in hospital. The Cochrane Database of Systematic Reviews, 1, CD004811 https://doi.org/10.1002/14651858.CD004811.pub2. CrossRef
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
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.
- Anxiety and Depression in Parent Caregivers of Children with Cystic Fibrosis
Aine M. Horgan
Alistair J. Duff
Kristin A. Riekert
Ivan J. Perry
Anthony P. Fitzgerald
Muireann Ni Chroinin
- Springer US