Parental stress in pediatric epilepsy after therapy withdrawal

被引:8
|
作者
Operto, Francesca Felicia [1 ,2 ]
Mazza, Roberta [1 ]
Pastorino, Grazia Maria Giovanna [2 ,3 ]
Campanozzi, Stella [1 ]
Margari, Lucia [1 ]
Coppola, Giangennaro [2 ]
机构
[1] Univ Bari Aldo Moro, Dept Basic Med Sci Neurosci & Sense Organs, Child Neuropsychiat Unit, Piazza Giulio Cesare 11, Bari, Italy
[2] Univ Salerno, Med Sch, Child & Adolescent Neuropsychiat, Via Giovanni Paolo II,132, Fisciano, SA, Italy
[3] Univ Campania, Dept Mental & Phys Hlth & Prevent Med, Naples, Italy
关键词
Parental stress; Pediatric epilepsy; Therapy withdrawal; Antiepileptic drug (AED); VAGUS NERVE-STIMULATION; REFRACTORY EPILEPSY; YOUNG-CHILDREN; IMPACT;
D O I
10.1016/j.yebeh.2019.03.029
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Objective: The objective of the study was to explore stress levels in the parents of children with idiopathic epilepsy at different time points of the disease, specifically, at the time of diagnosis, during follow-up, and 1 and 2 years after discontinuation of antiepileptic drugs. Methods: Our study included 50 patients between 5 and 14 years of age, who were diagnosed with childhood absence epilepsy or idiopathic focal epilepsy with Rolandic paroxysms. Parents of the participants independently completed the Parenting Stress Index-Short Form at the time of initial diagnosis, and when the children started antiepileptic drugs (Time 0), and at 1 year (Time 1) and 2 years (lime 2) after discontinuation of therapy. Results: At Time 0, parental stress levels were increased, both in mothers and fathers, with average scores in the "clinical range" of the parental distress (PD), dysfunctional parent-child interaction (P-CDI), and total stress (TS) scales. At Time 1, the scores on these scales remained high. At Time 2, a mild reduction in the stress scores was observed in both parents, despite values remaining in the "clinical range" for all the scales. Conclusions: Results suggested that parents of children with epilepsy were not reassured about the child's condition, even after clinical improvement. Parental stress levels remained higher than expected, even 2 years after the discontinuation of therapy and freedom from seizures. This was probably due to concerns with the reappearance of new seizures or a more severe type of epilepsy with the discontinuation of drug(s), and feelings of inadequacy with their parental role(s). (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:239 / 242
页数:4
相关论文
共 50 条
  • [41] Parental adjustment after pediatric burn injury
    Mobayen, Mohammadreza
    Ghazanfari, Mohammad Javad
    Feizkhah, Alireza
    Ezzati, Kamran
    Mehrabian, Fardin
    Aboutaleb, Ehsan
    Toolaroud, Parissa Bagheri
    Karkhah, Samad
    BURNS, 2022, 48 (06) : 1520 - +
  • [42] RESUSCITATION AND WITHDRAWAL OF THERAPY IN PEDIATRIC INTENSIVE-CARE
    MINK, RB
    POLLACK, MM
    PEDIATRICS, 1992, 89 (05) : 961 - 963
  • [43] Parental stress in a pediatric gastroenterologist's practice.
    Nelson, SP
    Berry, CA
    Mattson, CL
    Rubba, CR
    GASTROENTEROLOGY, 2000, 118 (04) : A214 - A215
  • [44] Assessment of parental psychological stress in pediatric cancer: A review
    Vrijmoet-Wiersma, C. M. Jantien
    van Klink, Jeanine M. M.
    Kolk, Annemarie M.
    Koopman, Hendrik M.
    Ball, Lynne M.
    Egeler, R. Maarten
    JOURNAL OF PEDIATRIC PSYCHOLOGY, 2008, 33 (07) : 694 - 706
  • [45] Updates on the ketogenic diet therapy for pediatric epilepsy
    Ko, Ara
    Kwon, Hye Eun
    Kim, Heung Dong
    BIOMEDICAL JOURNAL, 2022, 45 (01) : 19 - 26
  • [46] Pregabalin therapy in pediatric patients with intractable epilepsy
    Wilfong, Angus A.
    Duggan, Deanna T.
    Bradshaw, Tina J.
    EPILEPSIA, 2006, 47 : 179 - 179
  • [47] Ketogenic diet therapy for the treatment of pediatric epilepsy
    Haridas, Babitha
    Testino, Alexander
    Kossoff, Eric H.
    EPILEPTIC DISORDERS, 2024,
  • [48] Effects of a Pediatric Weight Management Intervention on Parental Stress
    Velez, Desiree Sierra
    Simione, Meg
    Castro, Ines
    Perkins, Meghan
    Luo, Man
    Taveras, Elsie M.
    Fiechtner, Lauren
    CHILDHOOD OBESITY, 2022, 18 (03) : 160 - 167
  • [49] Pediatric neurofibromatosis I and parental stress: a multicenter study
    Esposito, Maria
    Marotta, Rosa
    Roccella, Michele
    Gallai, Beatrice
    Parisi, Lucia
    Lavano, Serena Marianna
    Carotenuto, Marco
    NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2014, 10 : 141 - 146
  • [50] Prognostic Tests and Antiepileptic Drug Withdrawal After Epilepsy Surgery
    Harroud, Adil
    Weil, Alexander G.
    Bouthillier, Alain
    Dang Khoa Nguyen
    CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2014, 41 (04) : 409 - 412