Causal Attributions in Parents of Babies With a Cleft Lip and/or Palate and Their Association With Psychological Well-Being

被引:22
作者
Nelson, Jonathan [1 ,2 ,3 ]
O'Leary, Catherine [4 ]
Weinman, John [5 ]
机构
[1] Kings Coll London, Inst Psychiat, Hlth Psychol Sect, London SE1 9RT, England
[2] St James Univ Hosp, Leeds LS9 7TF, W Yorkshire, England
[3] Kings Coll London, Inst Psychol, London WC2R 2LS, England
[4] Guys & St Thomas NHS Fdn Trust, London, England
[5] Hlth Psychol Sect, Psychol Dept Guys, London, England
关键词
causal attributions; causal beliefs; cleft lip and/or palate; parents; psychological well-being; ADJUSTMENT; CHILD; STRESS;
D O I
10.1597/07-194.1
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective: This study aimed to assess causal attributions of parents of babies with a cleft lip and/or palate. Evidence from causal attribution theory and attribution studies in other medical conditions led to the hypothesis that parents who make internal attributions (self-blame) will have poorer psychological wellbeing. Design: A cross-sectional survey. Setting: Postal questionnaires were sent to parents of children under the care of the South Thames Cleft Service at Guy's Hospital. Participants: Participants were recruited if they had a baby between 12 and 24 months old with a cleft lip and/or palate. Of 204 parents, 42 responded. Main Outcome Measures: A semistructured questionnaire about causal beliefs was completed alongside validated questionnaires measuring anxiety, depression (Hospital Anxiety and Depression Scale), and perceived stress (Perceived Stress Scale). Results: Causal attributions were grouped according to type (environmental, chance, self-blame, and no belief) and loci (external or internal). The most common attribution made was to external factors (54.4%), followed by no causal attribution (38.1%). Parents making an internal (self-blaming) attribution (16.7%) had significantly (p < .05) higher scores on the Hospital Anxiety and Depression Scale anxiety measure (r = .32) and Perceived Stress Scale (r = .33), but not on the Hospital Anxiety and Depression Scale depression measure (p = .283). Conclusions: The high number of parents making an external attribution can be explained by causal attribution theory. However, the percentage of parents making no causal attribution was higher than seen in previous research. Surprisingly, no parents blamed others. The main hypothesis was tentatively accepted because there were significantly higher anxiety and stress scores in parents who self-blamed; although, depression scores were not significantly higher.
引用
收藏
页码:425 / 434
页数:10
相关论文
共 28 条
[11]   FACTORS AFFECTING PSYCHOLOGICAL ADJUSTMENT TO A FETAL DEATH [J].
GRAHAM, MA ;
THOMPSON, SC ;
ESTRADA, M ;
YONEKURA, ML .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1987, 157 (02) :254-257
[12]   Causal attributions following serious unexpected negative events: A systematic review [J].
Hall, S ;
French, DP ;
Marteau, TM .
JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY, 2003, 22 (05) :515-536
[13]   Parents' experiences of having a child with cleft lip and palate [J].
Johansson, B ;
Ringsberg, KC .
JOURNAL OF ADVANCED NURSING, 2004, 47 (02) :165-173
[14]   Mothers' reflections on raising a child with a craniofacial anomaly [J].
Klein, Tovah ;
Pope, Alice W. ;
Getahun, Eskedar ;
Thompson, Jill .
CLEFT PALATE-CRANIOFACIAL JOURNAL, 2006, 43 (05) :590-597
[15]  
Leventhal Howard., 1980, Contributions to Medical Psychology, V2nd, P7, DOI DOI 10.1007/BF02090456
[16]   Perceived stress, stress attributions and psychological distress in psoriasis [J].
O'Leary, CJ ;
Creamer, D ;
Higgins, E ;
Weinman, J .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2004, 57 (05) :465-471
[17]   Parenting stress in infancy and psychosocial adjustment in toddlerhood: A longitudinal study of children with craniofacial anomalies [J].
Pope, AW ;
Tillman, K ;
Snyder, HT .
CLEFT PALATE-CRANIOFACIAL JOURNAL, 2005, 42 (05) :556-559
[18]  
Rey-Bellet C, 2004, SWISS MED WKLY, V134, P640
[19]  
Ritchie J, 1994, Analyzing qualitative data
[20]   The many faces and factors of orofacial clefts [J].
Schutte, BC ;
Murray, JC .
HUMAN MOLECULAR GENETICS, 1999, 8 (10) :1853-1859