Maternal mental health in families of children with spina bifida

Lai Choo Ong, N. A R Norshireen, V. Chandran

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Background: This study aimed to compare mental health of mothers of children with spina bifida with mothers of able-bodied controls. Methods: Eighty-one mothers of children with spina bifida aged 1-18 years completed the General Health Questionnaire-12 (GHQ-12) and Parenting Stress Index Short Form (PSI/SF). The controls were 69 mothers of children with acute, non-disabling illnesses. Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS). Logistic regression analysis was used to determine factors related to a high GHQ score (≥3) in all patients. Results: Compared to the controls, mothers of children with spina bifida had lower educational levels and were more likely to be the main caregivers and not working. Nineteen (23.5%) of them had a high GHQ score compared to 5 (7.2%) of the controls. They also had significantly higher scores for total PSI/SF and the parent domain, difficult child (DC) and parent-child dysfunctional interaction subscales. Children with spina bifida had lower scores for the composite VABS and communication, socialization, daily living skills and motor sub-domain than the controls. Spina bifida (odds ratio [OR] 4.3, 95% confidence interval [CI] 1.30-14.23), higher DC scores (OR 1.1, 95% CI 1.00-1.16), and higher life stress scores (OR 1.1, 95% CI 1.01-1.71) were associated with a high GHQ score. Conclusion: Spina bifida, recent stressful life change events and maternal perception of a child as 'difficult' are associated with poor maternal psychological health.

    Original languageEnglish
    Pages (from-to)54-59
    Number of pages6
    JournalWorld Journal of Pediatrics
    Volume7
    Issue number1
    DOIs
    Publication statusPublished - Feb 2011

    Fingerprint

    Spinal Dysraphism
    Mental Health
    Mothers
    Odds Ratio
    Psychological Adaptation
    Parenting
    Confidence Intervals
    Maternal Health
    Motor Skills
    Socialization
    Life Change Events
    Psychological Stress
    Caregivers
    Logistic Models
    Communication
    Regression Analysis
    Psychology

    Keywords

    • life change events
    • mental health
    • parent-child relations
    • spina bifida

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

    Cite this

    Maternal mental health in families of children with spina bifida. / Ong, Lai Choo; Norshireen, N. A R; Chandran, V.

    In: World Journal of Pediatrics, Vol. 7, No. 1, 02.2011, p. 54-59.

    Research output: Contribution to journalArticle

    Ong, Lai Choo ; Norshireen, N. A R ; Chandran, V. / Maternal mental health in families of children with spina bifida. In: World Journal of Pediatrics. 2011 ; Vol. 7, No. 1. pp. 54-59.
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    abstract = "Background: This study aimed to compare mental health of mothers of children with spina bifida with mothers of able-bodied controls. Methods: Eighty-one mothers of children with spina bifida aged 1-18 years completed the General Health Questionnaire-12 (GHQ-12) and Parenting Stress Index Short Form (PSI/SF). The controls were 69 mothers of children with acute, non-disabling illnesses. Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS). Logistic regression analysis was used to determine factors related to a high GHQ score (≥3) in all patients. Results: Compared to the controls, mothers of children with spina bifida had lower educational levels and were more likely to be the main caregivers and not working. Nineteen (23.5{\%}) of them had a high GHQ score compared to 5 (7.2{\%}) of the controls. They also had significantly higher scores for total PSI/SF and the parent domain, difficult child (DC) and parent-child dysfunctional interaction subscales. Children with spina bifida had lower scores for the composite VABS and communication, socialization, daily living skills and motor sub-domain than the controls. Spina bifida (odds ratio [OR] 4.3, 95{\%} confidence interval [CI] 1.30-14.23), higher DC scores (OR 1.1, 95{\%} CI 1.00-1.16), and higher life stress scores (OR 1.1, 95{\%} CI 1.01-1.71) were associated with a high GHQ score. Conclusion: Spina bifida, recent stressful life change events and maternal perception of a child as 'difficult' are associated with poor maternal psychological health.",
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