Abstract
Study design:Prospective cross-sectional multidimensional study using clinical assessment and standard measures.Objectives:To determine the medical and social factors associated with parenting stress among mothers of children with spina bifida.Setting:Spina bifida clinics of two tertiary hospitals in urban Kuala Lumpur, Malaysia.Methods:A total of 81 mothers of children aged 1-18 years completed the Parenting Stress Index-Short Form (PSI/SF). Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS), Interview Edition. Medical and social data were obtained from direct interviews and case note reviews. Hierarchical multiple regression analysis was used to investigate factors that were determinants for high scores in the parental distress (PD), difficult child (DC) and parent-child dysfunctional interaction (P-CDI) subdomains of the PSI/SF. Results were expressed as beta coefficient (Β) and 95% confidence intervals (95% CIs).Results:Single- parent families (Β 8.6, 95% CI 3.4-13.9) and the need for clean intermittent catheterization of bladder (Β 3.5, 95% CI 0.7-6.2) were associated with high PD scores. Clean intermittent catheterization (Β 3.0, 95% CI 0.5-5.5) was associated with higher DC scores. Lower composite VABS scores (Β 0.08, 95% CI 0.02 to 0.15) and mother as the sole caregiver (Β 2.6, 95% CI 0.15-4.96) was associated with higher P-CDI scores.Conclusion:The need for clean intermittent catheterization was the only medical factor associated with parenting stress in mothers of children with spina bifida. This was mediated by single parenthood, caregiver status and the child's adaptive skills.
| Original language | English |
|---|---|
| Pages (from-to) | 376-380 |
| Number of pages | 5 |
| Journal | Spinal Cord |
| Volume | 49 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2011 |
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Keywords
- adaptive skills
- clean intermittent catheterization
- parenting stress
- single parent
- spina bifida
ASJC Scopus subject areas
- Clinical Neurology
- Neurology
Cite this
Predictors of parenting stress in mothers of children with spina bifida. / P. Yoganathan, Kanaheswari; Razak, N. N A; Chandran, V.; Ong, L. C.
In: Spinal Cord, Vol. 49, No. 3, 03.2011, p. 376-380.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predictors of parenting stress in mothers of children with spina bifida
AU - P. Yoganathan, Kanaheswari
AU - Razak, N. N A
AU - Chandran, V.
AU - Ong, L. C.
PY - 2011/3
Y1 - 2011/3
N2 - Study design:Prospective cross-sectional multidimensional study using clinical assessment and standard measures.Objectives:To determine the medical and social factors associated with parenting stress among mothers of children with spina bifida.Setting:Spina bifida clinics of two tertiary hospitals in urban Kuala Lumpur, Malaysia.Methods:A total of 81 mothers of children aged 1-18 years completed the Parenting Stress Index-Short Form (PSI/SF). Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS), Interview Edition. Medical and social data were obtained from direct interviews and case note reviews. Hierarchical multiple regression analysis was used to investigate factors that were determinants for high scores in the parental distress (PD), difficult child (DC) and parent-child dysfunctional interaction (P-CDI) subdomains of the PSI/SF. Results were expressed as beta coefficient (Β) and 95% confidence intervals (95% CIs).Results:Single- parent families (Β 8.6, 95% CI 3.4-13.9) and the need for clean intermittent catheterization of bladder (Β 3.5, 95% CI 0.7-6.2) were associated with high PD scores. Clean intermittent catheterization (Β 3.0, 95% CI 0.5-5.5) was associated with higher DC scores. Lower composite VABS scores (Β 0.08, 95% CI 0.02 to 0.15) and mother as the sole caregiver (Β 2.6, 95% CI 0.15-4.96) was associated with higher P-CDI scores.Conclusion:The need for clean intermittent catheterization was the only medical factor associated with parenting stress in mothers of children with spina bifida. This was mediated by single parenthood, caregiver status and the child's adaptive skills.
AB - Study design:Prospective cross-sectional multidimensional study using clinical assessment and standard measures.Objectives:To determine the medical and social factors associated with parenting stress among mothers of children with spina bifida.Setting:Spina bifida clinics of two tertiary hospitals in urban Kuala Lumpur, Malaysia.Methods:A total of 81 mothers of children aged 1-18 years completed the Parenting Stress Index-Short Form (PSI/SF). Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS), Interview Edition. Medical and social data were obtained from direct interviews and case note reviews. Hierarchical multiple regression analysis was used to investigate factors that were determinants for high scores in the parental distress (PD), difficult child (DC) and parent-child dysfunctional interaction (P-CDI) subdomains of the PSI/SF. Results were expressed as beta coefficient (Β) and 95% confidence intervals (95% CIs).Results:Single- parent families (Β 8.6, 95% CI 3.4-13.9) and the need for clean intermittent catheterization of bladder (Β 3.5, 95% CI 0.7-6.2) were associated with high PD scores. Clean intermittent catheterization (Β 3.0, 95% CI 0.5-5.5) was associated with higher DC scores. Lower composite VABS scores (Β 0.08, 95% CI 0.02 to 0.15) and mother as the sole caregiver (Β 2.6, 95% CI 0.15-4.96) was associated with higher P-CDI scores.Conclusion:The need for clean intermittent catheterization was the only medical factor associated with parenting stress in mothers of children with spina bifida. This was mediated by single parenthood, caregiver status and the child's adaptive skills.
KW - adaptive skills
KW - clean intermittent catheterization
KW - parenting stress
KW - single parent
KW - spina bifida
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U2 - 10.1038/sc.2010.125
DO - 10.1038/sc.2010.125
M3 - Article
VL - 49
SP - 376
EP - 380
JO - Spinal Cord
JF - Spinal Cord
SN - 1362-4393
IS - 3
ER -