The impact of caregiving for children with chronic conditions on the HPA axis: A scoping review

Mountcastle, Lindsey; Zajdel, Melissa; Robinson, Taylor; Keller, Krystyna R.; Gelles, Shani; Livinski, Alicia A.; Kikani, Bijal; Lea, Dawn; Koehly, Laura M.

doi:10.1016/j.yfrne.2023.101062

Cited by 3 publications

(3 citation statements)

References 69 publications

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“…Parents' perceptions of their child's quality of life may signi cantly affect healthcare quality (Ruggiero et al, 2018). Their ability to care for a son with CHD has been proven to be affected by their own QoL on a mutually interconnected basis (Malindi & van der Mheen et al, 2018; Mountcastle et al, 2023). Furthermore, the perception that children have of their HRQoL is affected by the burden of caregivers.…”

Section: Parents' Perceptions Of Chd Qol and Their Caring Experiencementioning

confidence: 99%

“…A recent study (Mountcastle et al, 2023) outlined how caregiver-related behaviors can accumulate, resulting in high stress and burden for caregivers. The stress process model conceptualizes that stressors may impact health and well-being (Pearlin et al, 1990).…”

Section: Parents' Perceptions Of Chd Qol and Their Caring Experiencementioning

confidence: 99%

“…Furthermore, the perception that children have of their HRQoL is affected by the burden of caregivers. For example, maternal mental health and worry have appeared to be the most important predictors of the psychosocial well-being of children with CHD, even more so than the illness severity itself (Malindi & van der Mheen et al, 2018; Mountcastle et al, 2023). Some studies have suggested a higher risk of anxiety, depression, and stress for parents of children diagnosed with CHD compared with the general population (e.g., Wei et al, 2015).…”

Section: Parents' Perceptions Of Chd Qol and Their Caring Experiencementioning

confidence: 99%

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Childhood heart disease and parental emotional wellbeing: a predictive model to explain the perception of quality of life in children and adolescents

Capitello,

Correale,

Amodeo

et al. 2023

Preprint

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Background The number of people living with congenital heart disease (CHD) in 2017 was estimated to be 12 million, which was 19% higher than that in 1990. However, their death rate declined by 35%, emphasizing the importance of monitoring their quality of life due to its impact on several patient outcomes. The main objective of this study is to analyze how parents’ psychosocial factors contribute to children’s and adolescents' perceptions of their QoL, focusing on their medical condition. More specifically, we explore how parental psychological dimensions, such as anxiety and depression, are related to patients’ health-related quality of life (HRQoL). Methods We recruited 447 children aged 5 to 18 years with a CHD diagnosis and their parents (319 mothers and 229 fathers) from January to December 2018. Patients were referred to the Cardiology Department of “Bambino Gesù” Children’s Hospital and participated in multidisciplinary standardized follow-up. Children and adolescents were submitted to a comprehensive evaluation by different physicians, including pediatric cardiologists, surgeons, and psychologists, at preset time frames. A series of standardized questionnaires were administered during psychological assessment. Results The main findings show a negative correlation between mothers’ anxiety and three patients' HRQoL subscales (Treatment II, Treatment anxiety, and Communication). Similarly, mothers’ depression correlates negatively with other patients’ HRQoL subscales (heart problems, symptoms, perceived physical appearance, cognitive problems, and communication). Fathers' anxiety and depression show negative correlations with only the subscale of Treatment II. More generally, the perceived quality of life of children and adolescents with CHD is influenced by their medical conditions as well as the parents’ psychological dimensions. Conclusions Our findings suggest that the caregivers of pediatric patients with CHD are more exposed to psychological problems of anxiety and depression, which affect the perceived quality of life of their children. Longitudinal research with a healthy control group is recommended to further consolidate this evidence.

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Section: Parents' Perceptions Of Chd Qol and Their Caring Experiencementioning

confidence: 99%

Section: Parents' Perceptions Of Chd Qol and Their Caring Experiencementioning

confidence: 99%

Section: Parents' Perceptions Of Chd Qol and Their Caring Experiencementioning

confidence: 99%

See 1 more Smart Citation

Childhood heart disease and parental emotional wellbeing: a predictive model to explain the perception of quality of life in children and adolescents

Capitello,

Correale,

Amodeo

et al. 2023

Preprint

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Family Members’ Reward-Based Activation in Response to an AUD Loved-One

Shumway,

Bradshaw,

Zielinski

et al. 2024

Contemp Fam Ther

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Stress in Family Caregivers of Children with Chronic Health Conditions: A Case–Control Study

Zonta,

Okido,

de Lima

et al. 2024

Children

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Objectives: This study analyzed the stress experienced by family caregivers of children with special healthcare needs and identified associated factors. Methods: A case–control study was conducted with the “cases” being caregivers of children with chronic conditions and the “controls” being caregivers of healthy children. Recruitment was carried out via social media and complemented by snowball sampling. A sociodemographic questionnaire and the Perceived Stress Scale were applied, with four saliva samples collected in one day (at 8:00 am, 30 min later, and 4 and 12 h later). The Area Under the Curve for total daily cortisol production was calculated using the log-trapezoidal method. The Wilcoxon test and repeated-measures ANOVA were used for statistical analysis. Results: In total, 100 caregivers participated, with 50 in the “case” group and 50 in the “control” group. Significant differences in stress scores and salivary cortisol levels were observed between the groups, with the other variables constant. In both groups, cortisol levels followed a typical circadian pattern. Family income was associated with perceived stress. Caregiver age significantly explained perceived stress (p = 0.0098) and total cortisol production. Caregiver occupation also influenced cortisol results. Conclusions: Caregivers of children with chronic conditions showed higher perceived stress and lower cortisol production compared to those of healthy children. Family income, occupation, and caregiver age were associated with stress.

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The impact of caregiving for children with chronic conditions on the HPA axis: A scoping review

Cited by 3 publications

References 69 publications

Childhood heart disease and parental emotional wellbeing: a predictive model to explain the perception of quality of life in children and adolescents

Childhood heart disease and parental emotional wellbeing: a predictive model to explain the perception of quality of life in children and adolescents

Family Members’ Reward-Based Activation in Response to an AUD Loved-One

Stress in Family Caregivers of Children with Chronic Health Conditions: A Case–Control Study

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