Maternal, paternal, and family health-related quality of life in the context of pediatric inflammatory bowel disease

被引:33
作者
Kunz, Jennifer Hauser [1 ]
Greenley, Rachel Neff [1 ]
Howard, Megan [2 ]
机构
[1] Rosalind Franklin Univ Med & Sci, Dept Psychol, N Chicago, IL 60064 USA
[2] Med Coll Wisconsin, Dept Pediat, Milwaukee, WI 53226 USA
关键词
Pediatric chronic illness; Inflammatory bowel disease; Parent quality of life; Family functioning; CROHNS-DISEASE; CHILDREN; PARENTS; ADJUSTMENT; ADOLESCENTS; POPULATION; PSYCHOLOGY; DIAGNOSIS; ASTHMA; YOUTH;
D O I
10.1007/s11136-011-9853-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The primary aim of this study was to examine the associations of disease activity and adolescent adjustment with parent and family health-related quality of life (HRQoL) among families of youths with inflammatory bowel disease (IBD). A secondary aim was to compare maternal and paternal perceptions of parent and family functioning. Ninety-five primarily Caucasian families (92 mothers and 43 fathers) of youths with IBD ranging in age from 11 to 18 participated. Most adolescents were diagnosed with Crohn's disease and had been diagnosed with IBD for several years at the time of the study. Parents completed the PedsQL Family Impact Module, while youths completed the Pediatric Symptoms Checklist. Disease activity ratings were obtained from medical records. Multiple regression analyses suggested that disease activity was consistently associated with all father-reported outcomes and explained twice as much of the variance in father-reported parent and family HRQoL outcomes compared to mother-reported outcomes. In contrast, youth adjustment was consistently associated with all maternal outcomes but only one paternal outcome, and explained nearly twice as much variance in maternal-reported outcomes compared to paternal-reported outcomes. No significant differences between maternal and paternal reports of parent or family HRQoL were identified using independent samples t tests. Although mothers and fathers report similar individual and family HRQoL, the strength of associations between disease and youth adjustment factors with these outcomes differs somewhat by parent gender. Findings underscore the importance of examining maternal and paternal functioning separately and incorporating routine family assessment into the course of treatment.
引用
收藏
页码:1197 / 1204
页数:8
相关论文
共 29 条
[1]   Quality of life of parents and siblings of children with inflammatory bowel disease [J].
Akobeng, AK ;
Miller, V ;
Firth, D ;
Suresh-Babu, MV ;
Mir, P ;
Thomas, AG .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1999, 28 (04) :S40-S42
[2]   ASSESSING FAMILY SHARING OF DIABETES RESPONSIBILITIES [J].
ANDERSON, BJ ;
AUSLANDER, WF ;
JUNG, KC ;
MILLER, JP ;
SANTIAGO, JV .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1990, 15 (04) :477-492
[3]  
Banez G.A., 2003, HDB PEDIAT PSYCHOL, P462
[4]   CHILDRENS AND PARENTS DAILY STRESSFUL EVENTS AND PSYCHOLOGICAL SYMPTOMS [J].
BANEZ, GA ;
COMPAS, BE .
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 1990, 18 (06) :591-605
[5]   CORRELATES OF DEPRESSION IN NEW-ONSET PEDIATRIC INFLAMMATORY BOWEL-DISEASE [J].
BURKE, PM ;
NEIGUT, D ;
KOCOSHIS, S ;
CHANDRA, R ;
SAUER, J .
CHILD PSYCHIATRY & HUMAN DEVELOPMENT, 1994, 24 (04) :275-283
[6]  
Cunningham C.L., 2006, Pediatric Gastrointestinal Disorders: Biopsychosical Assessment and Treatment, P31
[7]   PARENTAL DISTRESS AND SOCIAL-INTERACTION IN FAMILIES WITH CHILDREN WITH INFLAMMATORY BOWEL-DISEASE [J].
ENGSTROM, I .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1991, 30 (06) :904-912
[8]  
Faulkner MS, 1998, DIABETES EDUCATOR, V24, P721
[9]   Parental coping with the diagnosis of childhood cancer: Gender effects, dissimilarity within couples, and quality of life [J].
Goldbeck, L .
PSYCHO-ONCOLOGY, 2001, 10 (04) :325-335
[10]   Perceived involvement in condition management among inner-city youth with asthma and their primary caregivers [J].
Greenley, Rachel Neff ;
Josie, Katherine Leigh ;
Drotar, Dennis .
JOURNAL OF ASTHMA, 2006, 43 (09) :687-693