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Gepubliceerd in: Quality of Life Research 12/2017

01-08-2017

Quality of life among German parents of children with cystic fibrosis: the effects of being a single caregiver

Auteurs: Astrid Wallenwein, Mona Schwarz, Lutz Goldbeck

Gepubliceerd in: Quality of Life Research | Uitgave 12/2017

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Abstract

Purpose

Quality of life (QoL) has not been studied up to now in single parents of children with cystic fibrosis (CF). We hypothesized lower QoL compared to parents living together with a partner. We explored whether single parents benefit in a comparable manner from a family-oriented inpatient rehabilitation (FOR) program provided in Germany.

Methods

260 parents of a child with CF (0–17 years), 40 of them single parents, were included. Their QoL was compared to partnered parents using Student’s t test for independent samples. The positive impact of the FOR program on parents’ QoL was examined in a subgroup of n = 56 parents using a 2 × 2 analysis of variance with repeated measures on discharge and 6 months later.

Results

Single parents reported significantly lower QoL (M = 54.89; SD = 12.44) than partnered parents (M = 61.55; SD = 15.43; t(258) = −2.581; p = .010). Age of the child or employment status did not impact that difference. In the short term they benefit less from a FOR program than partnered parents (group × time effect: F(1) = 4.832; p = .032), but this was no longer the case at the 6-month follow-up (group × time effect: F(1) = 1.443; p = .235).

Conclusions

Single parents are at risk of lower QoL. CF care teams should help these parents in particular when it comes to accessing social support.
Literatuur
1.
go back to reference O’Sullivan, B. P., & Freedman, S. D. (2009). Cystic fibrosis. The Lancet, 373(9678), 1891–1904.CrossRef O’Sullivan, B. P., & Freedman, S. D. (2009). Cystic fibrosis. The Lancet, 373(9678), 1891–1904.CrossRef
2.
go back to reference Sawicki, G. S., Ren, C. L., Konstan, M. W., Millar, S. J., Pasta, D. J., & Quittner, A. L. (2013). Treatment complexity in cystic fibrosis: Trends over time and associations with site-specific outcomes. Journal of Cystic Fibrosis, 12(5), 461–467.CrossRefPubMedPubMedCentral Sawicki, G. S., Ren, C. L., Konstan, M. W., Millar, S. J., Pasta, D. J., & Quittner, A. L. (2013). Treatment complexity in cystic fibrosis: Trends over time and associations with site-specific outcomes. Journal of Cystic Fibrosis, 12(5), 461–467.CrossRefPubMedPubMedCentral
3.
go back to reference Fidika, A., Herle, M., Herschbach, P., & Goldbeck, L. (2015). Fear of disease progression questionnaire for parents: Psychometric properties based on a sample of caregivers of children and adolescents with cystic fibrosis. Journal of Psychosomatic Research, 79(1), 49–54.CrossRefPubMed Fidika, A., Herle, M., Herschbach, P., & Goldbeck, L. (2015). Fear of disease progression questionnaire for parents: Psychometric properties based on a sample of caregivers of children and adolescents with cystic fibrosis. Journal of Psychosomatic Research, 79(1), 49–54.CrossRefPubMed
4.
go back to reference Quittner, A. L., Goldbeck, L., Abbott, J., Duff, A., Lambrecht, P., Solé, 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(12), 1090–1097.CrossRefPubMed Quittner, A. L., Goldbeck, L., Abbott, J., Duff, A., Lambrecht, P., Solé, 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(12), 1090–1097.CrossRefPubMed
5.
go back to reference Besier, T., Born, A., Henrich, G., Hinz, A., Quittner, A. L., Goldbeck, L., et al. (2011). Anxiety, depression, and life satisfaction in parents caring for children with cystic fibrosis. Pediatric Pulmonology, 46(7), 672–682.CrossRefPubMed Besier, T., Born, A., Henrich, G., Hinz, A., Quittner, A. L., Goldbeck, L., et al. (2011). Anxiety, depression, and life satisfaction in parents caring for children with cystic fibrosis. Pediatric Pulmonology, 46(7), 672–682.CrossRefPubMed
6.
go back to reference Fidika, A., Salewski, C., & Goldbeck, L. (2013). Quality of life among parents of children with phenylketonuria (PKU). Health and Quality of Life Outcomes, 11, 1477–7525.CrossRef Fidika, A., Salewski, C., & Goldbeck, L. (2013). Quality of life among parents of children with phenylketonuria (PKU). Health and Quality of Life Outcomes, 11, 1477–7525.CrossRef
7.
go back to reference Hatzmann, J., Maurice-Stam, H., Heymans, H., & Grootenhuis, M. (2009). 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 and Quality of Life Outcomes, 7, 72.CrossRefPubMedPubMedCentral Hatzmann, J., Maurice-Stam, H., Heymans, H., & Grootenhuis, M. (2009). 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 and Quality of Life Outcomes, 7, 72.CrossRefPubMedPubMedCentral
8.
go back to reference Skok, A., Harvey, D., & Reddihough, D. (2006). Perceived stress, perceived social support, and wellbeing among mothers of school-aged children with cerebral palsy. Journal of Intellectual & Developmental Disability, 31(1), 53–57.CrossRef Skok, A., Harvey, D., & Reddihough, D. (2006). Perceived stress, perceived social support, and wellbeing among mothers of school-aged children with cerebral palsy. Journal of Intellectual & Developmental Disability, 31(1), 53–57.CrossRef
9.
go back to reference Manne, S., Duhamel, K., & Redd, W. H. (2000). Association of psychological vulnerability factors to post-traumatic stress symptomatology in mothers of pediatric cancer survivors. Psycho-Oncology, 9(5), 372–384.CrossRefPubMed Manne, S., Duhamel, K., & Redd, W. H. (2000). Association of psychological vulnerability factors to post-traumatic stress symptomatology in mothers of pediatric cancer survivors. Psycho-Oncology, 9(5), 372–384.CrossRefPubMed
10.
go back to reference Avison, W. R., Ali, J., & Walters, D. (2007). Family structure, stress, and psychological distress: A demonstration of the impact of differential exposure. Journal of Health and Social Behavior, 48(3), 301–317.CrossRefPubMed Avison, W. R., Ali, J., & Walters, D. (2007). Family structure, stress, and psychological distress: A demonstration of the impact of differential exposure. Journal of Health and Social Behavior, 48(3), 301–317.CrossRefPubMed
11.
go back to reference Helfferich, C., Hendel-Kramer, A., & Klindworth, H. (2003). Gesundheit alleinerziehender Mutter und Vater. Gesundheitsberichterstattung des Bundes. Robert Koch-Institut, Berlin Helfferich, C., Hendel-Kramer, A., & Klindworth, H. (2003). Gesundheit alleinerziehender Mutter und Vater. Gesundheitsberichterstattung des Bundes. Robert Koch-Institut, Berlin
12.
go back to reference Janzen, B. L., Green, K., & Muhajarine, N. (2006). The health of single fathers: Demographic, economic and social correlates. Canadian Journal of Public Health, 97(6), 440–444.PubMed Janzen, B. L., Green, K., & Muhajarine, N. (2006). The health of single fathers: Demographic, economic and social correlates. Canadian Journal of Public Health, 97(6), 440–444.PubMed
13.
go back to reference Sperlich, S., Arnhold-Kerri, S., & Geyer, S. (2011). Soziale Lebenssituation und Gesundheit von Müttern in Deutschland. Bundesgesundheitsblatt, 54, 735–744. Sperlich, S., Arnhold-Kerri, S., & Geyer, S. (2011). Soziale Lebenssituation und Gesundheit von Müttern in Deutschland. Bundesgesundheitsblatt, 54, 735–744.
14.
go back to reference Brown, R. T., Wiener, L., Kupst, M. J., Brennan, T., Behrman, R., Compas, B. E., et al. (2008). Single parents of children with chronic illness: An understudied phenomenon. Journal of Pediatric Psychology, 33(4), 408–421.CrossRefPubMed Brown, R. T., Wiener, L., Kupst, M. J., Brennan, T., Behrman, R., Compas, B. E., et al. (2008). Single parents of children with chronic illness: An understudied phenomenon. Journal of Pediatric Psychology, 33(4), 408–421.CrossRefPubMed
15.
go back to reference Mullins, L. L., Wolfe-Christensen, C., Chaney, J. M., Elkin, T. D., Wiener, L., Hullmann, S. E., et al. (2011). The relationship between single-parent status and parenting capacities in mothers of youth with chronic health conditions: The mediating role of income. Journal of Pediatric Psychology, 36(3), 249–257.CrossRefPubMed Mullins, L. L., Wolfe-Christensen, C., Chaney, J. M., Elkin, T. D., Wiener, L., Hullmann, S. E., et al. (2011). The relationship between single-parent status and parenting capacities in mothers of youth with chronic health conditions: The mediating role of income. Journal of Pediatric Psychology, 36(3), 249–257.CrossRefPubMed
16.
go back to reference Rosenberg-Yunger, Z. R. S., Granek, L., Sung, L., Klaassen, R., Dix, D., Cairney, J., et al. (2013). Single-parent caregivers of children with cancer: Factors assisting with caregiving strains. Journal of Pediatric Oncology Nursing, 30(1), 45–55.CrossRefPubMed Rosenberg-Yunger, Z. R. S., Granek, L., Sung, L., Klaassen, R., Dix, D., Cairney, J., et al. (2013). Single-parent caregivers of children with cancer: Factors assisting with caregiving strains. Journal of Pediatric Oncology Nursing, 30(1), 45–55.CrossRefPubMed
17.
go back to reference Lord, J. H., Young, M. T., Gruhn, M. A., Grey, M., Delamater, A. M., & Jaser, S. S. (2015). Effect of race and marital status on mothers’ observed parenting and adolescent adjustment in youth with type 1 diabetes. Journal of Pediatric Psychology, 40(1), 132–143.CrossRefPubMed Lord, J. H., Young, M. T., Gruhn, M. A., Grey, M., Delamater, A. M., & Jaser, S. S. (2015). Effect of race and marital status on mothers’ observed parenting and adolescent adjustment in youth with type 1 diabetes. Journal of Pediatric Psychology, 40(1), 132–143.CrossRefPubMed
18.
go back to reference Iobst, E. A., Alderfer, M. A., Sahler, O. J., Askins, M. A., Fairclough, D. L., Katz, E. R., et al. (2009). Brief Report: Problem solving and maternal distress at the time of a child’s diagnosis of cancer in two-parent versus lone-parent households. Journal of Pediatric Psychology, 34(8), 817–821.CrossRefPubMedPubMedCentral Iobst, E. A., Alderfer, M. A., Sahler, O. J., Askins, M. A., Fairclough, D. L., Katz, E. R., et al. (2009). Brief Report: Problem solving and maternal distress at the time of a child’s diagnosis of cancer in two-parent versus lone-parent households. Journal of Pediatric Psychology, 34(8), 817–821.CrossRefPubMedPubMedCentral
19.
go back to reference Teubert, D. & Pinquart, M. (2013). Belastungen der Eltern chronisch körperlich kranker Kinder. In M. Pinquart (Ed.), Wenn Kinder und Jugendliche körperlich chronisch krank sind: Psychische und soziale Entwicklung, Prävention, Intervention (pp. 83). Berlin, Heidelberg: Springer. Teubert, D. & Pinquart, M. (2013). Belastungen der Eltern chronisch körperlich kranker Kinder. In M. Pinquart (Ed.), Wenn Kinder und Jugendliche körperlich chronisch krank sind: Psychische und soziale Entwicklung, Prävention, Intervention (pp. 83). Berlin, Heidelberg: Springer.
20.
go back to reference Eccleston, C., Fisher, E., Law, E., & Palermo, T. M. (2015). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 4, CD009660.PubMedCentral Eccleston, C., Fisher, E., Law, E., & Palermo, T. M. (2015). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 4, CD009660.PubMedCentral
21.
go back to reference Goldbeck, L., Fidika, A., Herle, M., & Quittner, A. L. (2014). Psychological interventions for individuals with cystic fibrosis and their families. Cochrane Database of Systematic Reviews, 6, CD003148. Goldbeck, L., Fidika, A., Herle, M., & Quittner, A. L. (2014). Psychological interventions for individuals with cystic fibrosis and their families. Cochrane Database of Systematic Reviews, 6, CD003148.
22.
go back to reference West, C. A., Besier, T., Borth-Bruhns, T., & Goldbeck, L. (2009). Effectiveness of a family-oriented rehabilitation program on the quality of life of parents of chronically ill children. Klinische Pädiatrie, 221(4), 241–246.CrossRefPubMed West, C. A., Besier, T., Borth-Bruhns, T., & Goldbeck, L. (2009). Effectiveness of a family-oriented rehabilitation program on the quality of life of parents of chronically ill children. Klinische Pädiatrie, 221(4), 241–246.CrossRefPubMed
23.
go back to reference World Health Organization. (2011). Chapter 4: Rehabilitation. In World Health Organization (Ed.), World report on disability (pp. 93-133). World Health Organization. World Health Organization. (2011). Chapter 4: Rehabilitation. In World Health Organization (Ed.), World report on disability (pp. 93-133). World Health Organization.
24.
go back to reference Goldbeck, L., Fidika, A., Reiman, A., Hebestreit, H., Heuer, H.-E., Junge, S., et al. (2014). VEMSE-CF: psychosocial characteristics of patients participating in a prospective controlled care research study [abstract]. Journal of Cystic Fibrosis, 13(Suppl 2), S119.CrossRef Goldbeck, L., Fidika, A., Reiman, A., Hebestreit, H., Heuer, H.-E., Junge, S., et al. (2014). VEMSE-CF: psychosocial characteristics of patients participating in a prospective controlled care research study [abstract]. Journal of Cystic Fibrosis, 13(Suppl 2), S119.CrossRef
25.
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
26.
go back to reference Goldbeck, L. & Storck, M. (2002). 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.]. Zeitschrift für Klinische Psychologie und Psychotherapie, 31, 31–39. Goldbeck, L. & Storck, M. (2002). 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.]. Zeitschrift für Klinische Psychologie und Psychotherapie, 31, 31–39.
27.
go back to reference Drotar, D., & Ievers, C. (1994). Age differences in parent and child responsibilities for management of cystic fibrosis and insulin-dependent diabetes mellitus. Journal of Developmental and Behavioral Pediatrics, 15, 265–272.CrossRefPubMed Drotar, D., & Ievers, C. (1994). Age differences in parent and child responsibilities for management of cystic fibrosis and insulin-dependent diabetes mellitus. Journal of Developmental and Behavioral Pediatrics, 15, 265–272.CrossRefPubMed
28.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates Inc. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates Inc.
29.
go back to reference Bemis, H., Yarboi, J., Gerhardt, C. A., Vannatta, K., Desjardins, L., Murphy, L. K., et al. (2015). Childhood cancer in context: Sociodemographic factors, stress, and psychological distress among mothers and children. Journal of Pediatric Psychology, 40(8), 733–743.CrossRefPubMedPubMedCentral Bemis, H., Yarboi, J., Gerhardt, C. A., Vannatta, K., Desjardins, L., Murphy, L. K., et al. (2015). Childhood cancer in context: Sociodemographic factors, stress, and psychological distress among mothers and children. Journal of Pediatric Psychology, 40(8), 733–743.CrossRefPubMedPubMedCentral
30.
go back to reference Crosier, T., Butterworth, P., & Rodgers, B. (2007). Mental health problems among single and partnered mothers. Social Psychiatry and Psychiatric Epidemiology, 42, 6.CrossRefPubMed Crosier, T., Butterworth, P., & Rodgers, B. (2007). Mental health problems among single and partnered mothers. Social Psychiatry and Psychiatric Epidemiology, 42, 6.CrossRefPubMed
Metagegevens
Titel
Quality of life among German parents of children with cystic fibrosis: the effects of being a single caregiver
Auteurs
Astrid Wallenwein
Mona Schwarz
Lutz Goldbeck
Publicatiedatum
01-08-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1662-x

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