A Longitudinal Assessment of Parenting Stress in Parents of Children with New-Onset Epilepsy

Bakula, Dana M.; Wetter, Sara E.; Peugh, James; Modi, Avani C.

doi:10.1093/jpepsy/jsaa091

Cited by 10 publications

(5 citation statements)

References 42 publications

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“…Prophylactic sedation during fever or regular long-term administration of anti-epileptic drugs can treat the children. Unfortunately, due to the lack of a comprehensive and systematic understanding of FS, most parents display a variety of abnormal psychological behaviors such as fear, dread, frustration and irritability at the early stage of the onset of the child’s illness, which has a certain degree of impact on the parents’ physical and mental health, and even on the outcome and prognosis of the child’s intervention ( Bakula et al, 2021 ; Offringa et al, 2021 ). How to further improve the quality of pediatric nursing services has become a pressing issue in pediatric nursing management.…”

Section: Discussionmentioning

confidence: 99%

Effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures

Zhu

Chen²,

Li³

2023

Front. Psychol.

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PurposeTo analyze the effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures (FS).MethodsA total of 104 children with FS and their corresponding families admitted to our hospital from January 2021 to April 2022 as the research object. All children were divided into 2 groups according to their nursing regimen during treatment. Children who received general nursing interventions were enrolled in the general group (n = 52) and children who received nursing interventions based on the Kano model were enrolled in the Kano group (n = 52). In this study, an investigation was first conducted to analyze the attributes of the caring care service needs of the families of children with FS. Then, we compared 4 aspects of symptom relief during the hospital stay of the 2 groups of children, including FS seizure frequency, time to cessation of convulsions, time to recovery of consciousness and time to fever reduction. The parent symptom questionnaire (PSQ) was used to assess the psychological behavior of the two groups of children during the hospital stay. The Chinese perceived stress scale (CPSS) and the symptom checklist 90 (SCL-90) were used to assess the psychological behavior of the two groups of their families during the children’s hospitalization. Finally, a questionnaire was administered on the satisfaction of this nursing intervention.ResultsIn terms of symptom relief, the children in the Kano group had less frequent of FS seizure than the general group, and the time to cessation of convulsions, time to recovery of consciousness and time to fever reduction were all earlier than in the genera group (p < 0.05). In terms of children’s psychological behavior, the impulsivity-hyperactivity, anxiety, hyperactivity index and learning problems scores in the PSQ of the children in the Kano group were lower than those in the general group after the intervention (p < 0.05). In terms of family psychological behavior, the psychological behavioral problems of the families of the children in both groups improved after the intervention, and the CPSS scores of tension and dis-control, as well as the total SCL-90 score of the families of the children in the Kano group were lower than those of the general group (p < 0.05). In terms of family satisfaction, the Kano group was significantly better than the general group (p < 0.05).ConclusionThe implementation of the nursing interventions based on the Kano model for children with FS was successful in dramatically reducing the clinical signs and symptoms of the children and meeting the psychological and behavioral needs of the children and their families.

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Section: Discussionmentioning

confidence: 99%

Effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures

Zhu

Chen²,

Li³

2023

Front. Psychol.

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Section: Introductionmentioning

confidence: 99%

“…[5] The families of CWE have been found to experience severe stress, more difficulties in family relationships, adaptation and functioning, poor quality of parent-child relationships, and parenting confidence. [6] CWEs have a relatively higher risk for psychopathology and poor QoL. The challenges in epilepsy in the daily life of children are well searchable using the concept of life quality.…”

Section: Introductionmentioning

confidence: 99%

Parent/caregiver reported health-related functioning in Chinese children with epilepsy: A cross-sectional, parents-responded, hospital-based study

Zhu

2023

Medicine

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Due to epilepsy, children have faced several difficulties and challenges. Epilepsy shows an impact on a person quality of life (QoL) which can be associated with psychological, physical, and social aspects and can have a greater impact on the QoL of the person than that do through another chronic disease(s). Health-related quality of life (HRQoL) is a multidimensional concept that includes emotional, mental, physical, behavioral, and social aspects of the well-being and functioning of the patients. The objective of the study was to assess the level of HRQoL for childhood epilepsy in Chinese children under treatment for epilepsy. Also, to identify factors that can affect QoL. A descriptive, cross-sectional, parents-responded questionnaire-based study was performed on 382, 4 to 18 years old hospitalized and outpatient units’ children from various backgrounds, varying socio-economic status, and of varying intellectual capability with the most recent epilepsy. The clinical and socio-demographic parameters were collected from medical records and by an interview with parents of children. The quality of life in the children with epilepsy (QoLCE) questionnaire-91 was used to access HRQoL. The average age of children was 10.4 ± 3.2 years. The duration of epilepsy in children was 3.90 ± 2.80 years. Among the enrolled children, 153 (40%) children were girls, and 229 (60%) individuals were boys. The overall QoLCE questionnaire-91 score was 69.40 ± 16.40 (minimum scores: 27.80, maximum scores: 87.80). A total of 324 (84%), 41 (11%), and 17 (5%) children were from urban, suburban, and rural types, respectively. The generalized seizure (198 (52%)) is the most common type of existing seizure followed by focal seizure (152 (40%)). Male ( P = .015), older children (12–14 years , P = .019), those residing in urban areas ( P = .021), and those with focal seizures ( P = .049) had higher QoL scores. The overall QoL of Chinese CWE is affected by sex, age, urbanization, and seizure type but not with education or economic status of the families. The study provides helpful insight for the clinicians in the management of chronic childhood epileptic conditions (Level of Evidence: II; Technical Efficacy Stage: 5).

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“…Raising a child with a chronic neurological disorder is a very stressful experience for parents [1][2][3][4][5]. There are numerous possible negative consequences of having a child with severe neurological impairment, including psychological problems in parents and adverse social sequelae [6].…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Parents of Children with Rare Neurological Disorders Toward Clinical Genetic Testing

Salayev,

Guliyeva,

Guliyeva

et al. 2023

Preprint

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Purpose: To study attitudes among parents of probands with rare pediatric-onset neurological and neurodevelopmental disorders on Clinical Genetic Testing (CGT). Methods: We administered an 8-item direct structured questionnaire comprising statements regarding attitudes on CGT to 101 consenting parents of probands enrolled in the Central Asia and Transcaucasia Disease Diversity Project. The probands comprised pediatric-onset diseases that included cerebral palsy, epilepsy, severe physical, language, and intellectual developmental delays, and autism spectrum symptoms in children with rare neurological disorders. We studied correlations between parents’ opinions and demographic and clinical characteristics. Results: The majority of parents (82.1%–91.9%) agreed on statements reflecting the positive effects of CGT (causal explanation, research support, treatment relevance, recurrence prevention, and family planning). The opinions on the negative effects (discrimination, parental concern, and family conflicts) were less uniform. The level of education of parents correlated with statements about causal explanation, research support, and family planning (p < 0.05). Individual concurrent symptoms (severe developmental delay, epilepsy, autism, and microcephaly) correlated with several statements (p < 0.05). Conclusion: Parents showed positive attitudes toward clinical genetic testing. Parents’ educational level was the most significant factor influencing their opinions. The spectrum and severity of clinical symptoms may shape the attitudes of the parents toward individual aspects of CGT.

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A Longitudinal Assessment of Parenting Stress in Parents of Children with New-Onset Epilepsy

Cited by 10 publications

References 42 publications

Effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures

Effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures

Parent/caregiver reported health-related functioning in Chinese children with epilepsy: A cross-sectional, parents-responded, hospital-based study

Attitudes of Parents of Children with Rare Neurological Disorders Toward Clinical Genetic Testing

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