Abstract
Objectives
Raising a child with cerebral palsy (CP) has been shown to strongly affect parents’ well-being and is often described as challenging or complex. Although quantitative studies have shown that these parents are at risk for increased levels of stress, a more comprehensive and in-depth insight into their experiences is needed in order to better understand these parents and to effectively support them. By relying on a self-determination theory perspective, this qualitative study puts the basic psychological needs for autonomy, relatedness, and competence forward as a structuring framework to explore both possibilities for need-satisfying experiences as well as risks for need-frustrating experiences when raising an adolescent with CP.
Methods
Nine parents of adolescents with CP, aged 10 to 18 years, participated in an in-depth interview concerning their need-related experiences in raising their son or daughter with CP. The data were analyzed with deductive thematic analysis.
Results
Parents’ experiences were classified into five themes and nine subthemes. Next to the need-related themes, the themes “accepting the diagnosis” and “uncertainty about the future” were also identified as essential to capture parents’ experiences.
Conclusions
Although raising an adolescent with CP entails threats for parents’ need for autonomy, relatedness, and competence, it can also offer opportunities to feel closely connected with others and to feel effective when achieving unexpected goals. In order to fully capture parents’ experiences, we also need to take into account their acceptance of the diagnosis and their worries about the future.
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Acknowledgments
The authors wish to thank all the participating families for sharing their experiences.
Funding
This research was funded by grants from the Marguerite-Marie Delacroix Support Fund (GV/B-202) and the Fund for Scientific Research Flanders (FWO) (11X6516N).
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LD conceived of the study, participated in the design of the study, assisted with the analyses, and drafted the manuscript. RVV participated in the design of the study, collected the data, conducted the analyses, and collaborated in drafting the manuscript. PP collaborated in the editing of the manuscript. SDP participated in the design of the study, assisted with the analyses, and collaborated in writing and editing the manuscript.
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The study received ethical approval from the Institutional Review Board of Ghent University, the Ethical commission of the Faculty of Psychology and Educational Sciences.
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Dieleman, L.M., Van Vlaenderen, R., Prinzie, P. et al. Parents’ Need-Related Experiences When Raising an Adolescent with Cerebral Palsy. Adv Neurodev Disord 3, 204–219 (2019). https://doi.org/10.1007/s41252-019-00111-3
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DOI: https://doi.org/10.1007/s41252-019-00111-3