The impact of severe rare chronic neurological disease in childhood on the quality of life of families-a study on MLD and PCH2

被引:32
作者
Ammann-Schnell, Louisa [1 ]
Groeschel, Samuel [1 ]
Kehrer, Christiane [1 ]
Froelich, Saskia [1 ]
Kraegeloh-Mann, Ingeborg [1 ]
机构
[1] Univ Tubingen, Childrens Hosp, Dept Child Neurol, Hoppe Seyler Str 1, D-72072 Tubingen, Germany
关键词
Disease burden; Metachromatic leukodystrophy; Pontocerebellar hypoplasia type 2; Parents; Quality of life; METACHROMATIC LEUKODYSTROPHY; NATURAL COURSE; LIMITING CONDITIONS; CHILDREN; CLASSIFICATION; PEDSQL(TM);
D O I
10.1186/s13023-021-01828-y
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
BackgroundRare and severe neurological disorders in childhood not only heavily affect the life perspective of the patients, but also their caregivers and families. The aim of this study was to investigate the impact of such diseases on the family, especially on the quality of life and life perspectives of parents, but also on the families' everyday life, based on the model of two diseases which have been well described in recent years with respect to symptoms and course: metachromatic leukodystrophy (MLD) and pontocerebellar hypoplasia type 2 (PCH2). PCH2 is a primary severe developmental disorder, while children with MLD initially develop normally and then progressively deteriorate.MethodsUsing a semi-standardized questionnaire, 43 families with children suffering from MLD (n=30) or PCH2 (n=19) reported data on the severity of the illness/symptoms, on family support and the care situation, as well as on the circumstances of non-affected siblings and the parents' work situation. In addition, the quality of life of parents and general family functioning was assessed using the PedsQL (TM) Family Impact Module [23]. Results for the latter were compared to published data from families with children without any chronic condition using student's t-tests for independent samples. Potential factors influencing the PedsQL (TM) scores were analyzed using Spearman's rank correlation.ResultsParents of children with MLD and PCH2 reported significantly lower health-related quality of life (HRQOL) compared to parents of healthy children (P<0.001). Mothers showed significantly poorer HRQOL (P<0.05) and were significantly more dissatisfied with their professional development (P<0.05) than fathers, and this was seen in relation to their child's disease. Neither the form of disease ('primary' symptomatic PCH2 or 'secondary' symptomatic MLD), nor the severity of the child's illness (in terms of gross motor and speech function) had a specific impact on HRQOL in families. However, the time from diagnosis and advanced symptoms in the terminal disease stage were experienced as especially distressing.ConclusionsThis study illustrates that MLD and PCH2 affect mothers in particular, but also the entire family. This underlines the need for personalized care and counselling of parents and families, especially following diagnosis and during the end stage in a child with a severe, rare chronic neurological disorder.
引用
收藏
页数:16
相关论文
共 33 条
[1]   Clinical and biochemical study of 29 Brazilian patients with metachromatic leukodystrophy [J].
Artigalas, Osvaldo ;
Lagranha, Valeska Lizzi ;
Saraiva-Pereira, Maria Luiza ;
Burin, Maira Graeff ;
Lourenco, Charles Marques ;
Van der Linden, Helio, Jr. ;
Santos, Mara Lucia Ferreira ;
Rosemberg, Sergio ;
Steiner, Carlos Eduardo ;
Kok, Fernando ;
De Souza, Carolina F. Moura ;
Jardim, Laura B. ;
Giugliani, Roberto ;
Schwartz, Ida Vanessa .
JOURNAL OF INHERITED METABOLIC DISEASE, 2010, 33 :S257-S262
[2]   Pontocerebellar hypoplasia type 2: a neuropathological update [J].
Barth, Peter G. ;
Aronica, Eleonora ;
de Vries, Linda ;
Nikkels, Peter G. J. ;
Scheper, Wiep ;
Hoozemans, Jeroen J. ;
Poll-The, Bwe-Tien ;
Troost, Dirk .
ACTA NEUROPATHOLOGICA, 2007, 114 (04) :373-386
[3]  
Burton L., 1975, FAMILY LIFE SICK CHI
[4]  
Conijn Thirsa, 2019, JIMD Rep, V44, P33, DOI 10.1007/8904_2018_119
[5]   The impact of child, family, and professional support characteristics on the quality of life in families of young children with disabilities [J].
Davis, Kate ;
Gavidia-Payne, Susana .
JOURNAL OF INTELLECTUAL & DEVELOPMENTAL DISABILITY, 2009, 34 (02) :153-162
[6]   Metachromatic Leukodystrophy: An Assessment of Disease Burden [J].
Eichler, Florian S. ;
Cox, Timothy M. ;
Crombez, Eric ;
Christine i Dali ;
Kohlschuetter, Alfried .
JOURNAL OF CHILD NEUROLOGY, 2016, 31 (13) :1457-1463
[7]   Validation of the German version of the Pediatric Quality of Life Inventory™ (PedsQL™) in childhood cancer patients off treatment and children with epilepsy [J].
Felder-Puig, R ;
Frey, E ;
Proksch, K ;
Varni, JW ;
Gadner, H ;
Topf, R .
QUALITY OF LIFE RESEARCH, 2004, 13 (01) :223-234
[8]   The power to choose:: Supports for families caring for individuals with developmental disabilities [J].
Freedman, RI ;
Boyer, NC .
HEALTH & SOCIAL WORK, 2000, 25 (01) :59-68
[9]   Meeting Patients' Right to the Correct Diagnosis: Ongoing International Initiatives on Undiagnosed Rare Diseases and Ethical and Social Issues [J].
Gainotti, Sabina ;
Mascalzoni, Deborah ;
Bros-Facer, Virginie ;
Petrini, Carlo ;
Floridia, Giovanna ;
Roos, Marco ;
Salvatore, Marco ;
Taruscio, Domenica .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (10)
[10]  
Gieselmann V., 2014, ONLINE METABOLIC MOL