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Erschienen in: Maternal and Child Health Journal 1/2010

01.01.2010

Parents of Children with Special Health Care Needs Who have Better Coping Skills have Fewer Depressive Symptoms

verfasst von: Shervin S. Churchill, Nanci L. Villareale, Teresa A. Monaghan, Virginia L. Sharp, Gail M. Kieckhefer

Erschienen in: Maternal and Child Health Journal | Ausgabe 1/2010

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Abstract

Objectives Describe and quantify coping skills and prevalence of depressive symptoms in parents of children with special health care needs (CSHCN). Describe the association of coping skills with parental depressive symptoms, severity of child’s condition and family demographic characteristics. Methods A baseline questionnaire was administered to parents of CSHCN 2–11 years old. Data were analyzed cross-sectionally. Coping skills were assessed using F-COPES, and depressive symptoms were measured using CESD 10, both previously tested tools. Multivariable regression models measured the association of coping skills with depressive symptoms, parents’ rating of severity and demographic characteristics. Results Among 129 parents 54% had depressive symptoms above standard normal threshold. Parents with better coping skills had significantly fewer depressive symptoms. The severity of child’s condition, parental marital status and employment status were significantly related to depressive symptoms; after accounting for these factors, better coping skills were still associated with fewer depressive symptoms (P-value < 0.05). Conclusions Parents of CSHCN are at increased risk for depressive symptoms, especially if single and unemployed. In this study better parental coping skills were associated with fewer depressive symptoms, regardless of the severity of child’s condition; and remained significant after accounting for demographic factors. Educational interventions to improve coping skills for parents of children who have a variety of diagnoses and severity levels may potentially mitigate the manifestation of depressive symptoms and in turn improve parenting.
Fußnoten
1
This description represents the MCHB definition of children with special health care needs.
 
Literatur
1.
Zurück zum Zitat Bethell, C. D., Read, D., Blumberg, S. J., & Newacheck, P. W. (2008). What is the prevalence of children with special health care needs? Toward an understanding of variations in findings and methods across three national surveys. Maternal and Child Health Journal, 12(1), 1–14. doi:10.1007/s10995-007-0220-5.CrossRefPubMed Bethell, C. D., Read, D., Blumberg, S. J., & Newacheck, P. W. (2008). What is the prevalence of children with special health care needs? Toward an understanding of variations in findings and methods across three national surveys. Maternal and Child Health Journal, 12(1), 1–14. doi:10.​1007/​s10995-007-0220-5.CrossRefPubMed
2.
Zurück zum Zitat Labbe, E. E. (1996). Emotional states and perceived family functioning of caregivers of chronically ill children. Psychological Reports, 79(3 Pt 2), 1233–1234.PubMed Labbe, E. E. (1996). Emotional states and perceived family functioning of caregivers of chronically ill children. Psychological Reports, 79(3 Pt 2), 1233–1234.PubMed
7.
10.
Zurück zum Zitat Whittemore, R., Urban, A. D., Tamborlane, W. V., & Grey, M. (2003). Quality of life in school-aged children with type 1 diabetes on intensive treatment and their parents. The Diabetes Educator, 29(5), 847–854. doi:10.1177/014572170302900514.CrossRefPubMed Whittemore, R., Urban, A. D., Tamborlane, W. V., & Grey, M. (2003). Quality of life in school-aged children with type 1 diabetes on intensive treatment and their parents. The Diabetes Educator, 29(5), 847–854. doi:10.​1177/​0145721703029005​14.CrossRefPubMed
15.
Zurück zum Zitat Weissman, M. M., Pilowsky, D. J., Wickramaratne, P. J., Talati, A., Wisniewski, S. R., Fava, M., et al. (2006). Remissions in maternal depression and child psychopathology: A STAR*D-child report. Journal of the American Medical Association, 295(12), 1389–1398. doi:10.1001/jama.295.12.1389.CrossRefPubMed Weissman, M. M., Pilowsky, D. J., Wickramaratne, P. J., Talati, A., Wisniewski, S. R., Fava, M., et al. (2006). Remissions in maternal depression and child psychopathology: A STAR*D-child report. Journal of the American Medical Association, 295(12), 1389–1398. doi:10.​1001/​jama.​295.​12.​1389.CrossRefPubMed
16.
Zurück zum Zitat Schor, E. L. (2003). Family pediatrics: Report of the task force on the family. Pediatrics, 111(6 Pt 2), 1541–1571.PubMed Schor, E. L. (2003). Family pediatrics: Report of the task force on the family. Pediatrics, 111(6 Pt 2), 1541–1571.PubMed
17.
Zurück zum Zitat Najman, J. M., Williams, G. M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., et al. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 592–602. doi:10.1097/00004583-200005000-00013.CrossRefPubMed Najman, J. M., Williams, G. M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., et al. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 592–602. doi:10.​1097/​00004583-200005000-00013.CrossRefPubMed
18.
Zurück zum Zitat Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., et al. (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry, 40(12), 1367–1374. doi:10.1097/00004583-200112000-00006.CrossRefPubMed Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., et al. (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry, 40(12), 1367–1374. doi:10.​1097/​00004583-200112000-00006.CrossRefPubMed
19.
Zurück zum Zitat Moore, K. A., Hair, E., Vandivere, S., McPhee, C., McNamara, M., & Ling, T. (2006). Depression among moms: Prevalence, predictors, and acting out among third grade children. Washington DC: Child Trends. Moore, K. A., Hair, E., Vandivere, S., McPhee, C., McNamara, M., & Ling, T. (2006). Depression among moms: Prevalence, predictors, and acting out among third grade children. Washington DC: Child Trends.
21.
Zurück zum Zitat Rusch, N., Lieb, K., Bohus, M., & Corrigan, P. W. (2006). Self-stigma, empowerment, and perceived legitimacy of discrimination among women with mental illness. Psychiatric Services (Washington, DC), 57(3), 399–402. doi:10.1176/appi.ps.57.3.399. Rusch, N., Lieb, K., Bohus, M., & Corrigan, P. W. (2006). Self-stigma, empowerment, and perceived legitimacy of discrimination among women with mental illness. Psychiatric Services (Washington, DC), 57(3), 399–402. doi:10.​1176/​appi.​ps.​57.​3.​399.
23.
Zurück zum Zitat Singer, G. H., Ethridge, B. L., & Aldana, S. I. (2007). Primary and secondary effects of parenting and stress management interventions for parents of children with developmental disabilities: A meta-analysis. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 357–369. doi:10.1002/mrdd.20175.CrossRefPubMed Singer, G. H., Ethridge, B. L., & Aldana, S. I. (2007). Primary and secondary effects of parenting and stress management interventions for parents of children with developmental disabilities: A meta-analysis. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 357–369. doi:10.​1002/​mrdd.​20175.CrossRefPubMed
28.
Zurück zum Zitat Cleve, L. V. (1989). Parental coping in response to their child’s spina bifida. Journal of Pediatric Nursing, 4(3), 172–176.PubMed Cleve, L. V. (1989). Parental coping in response to their child’s spina bifida. Journal of Pediatric Nursing, 4(3), 172–176.PubMed
29.
Zurück zum Zitat Montagnino, B. A., & Mauricio, R. V. (2004). The child with a tracheostomy and gastrostomy: Parental stress and coping in the home—a pilot study. Pediatr Nurs, 30(5), 373–380, 401.PubMed Montagnino, B. A., & Mauricio, R. V. (2004). The child with a tracheostomy and gastrostomy: Parental stress and coping in the home—a pilot study. Pediatr Nurs, 30(5), 373–380, 401.PubMed
32.
Zurück zum Zitat Stein, R. E., & Jessop, D. J. (2003). The impact on family scale revisited: Further psychometric data. Journal of Developmental and Behavioral Pediatrics, 24(1), 9–16.PubMed Stein, R. E., & Jessop, D. J. (2003). The impact on family scale revisited: Further psychometric data. Journal of Developmental and Behavioral Pediatrics, 24(1), 9–16.PubMed
33.
Zurück zum Zitat Child and Adolescent Health Measurement Initiative. (2003). National Survey of Children’s Health, Data Resource Center on Child and Adolescent Health website. Data Resource Center on Child and Adolescent Health website; 2005 [cited 2006 September 6]; Available from: www.nschdata.org. Child and Adolescent Health Measurement Initiative. (2003). National Survey of Children’s Health, Data Resource Center on Child and Adolescent Health website. Data Resource Center on Child and Adolescent Health website; 2005 [cited 2006 September 6]; Available from: www.​nschdata.​org.
34.
Zurück zum Zitat Child and Adolescent Health Measurement Initiative. (2000–2001). National Survey of Children with Special Health Care Needs, Data Resource Center on Child and Adolescent Health website. Data Resource Center on Child and Adolescent Health website; 2005 [cited 2006 September 6]; Available from: http://cshcndata.org/ViewDocument.aspx?item=67. Child and Adolescent Health Measurement Initiative. (2000–2001). National Survey of Children with Special Health Care Needs, Data Resource Center on Child and Adolescent Health website. Data Resource Center on Child and Adolescent Health website; 2005 [cited 2006 September 6]; Available from: http://​cshcndata.​org/​ViewDocument.​aspx?​item=​67.
35.
Zurück zum Zitat McCubbin, H., & Thompson, A. (1991). Family assessment inventories for research and practice. Madison, WI: University of Wisconsin System. McCubbin, H., & Thompson, A. (1991). Family assessment inventories for research and practice. Madison, WI: University of Wisconsin System.
39.
Zurück zum Zitat Zich, J. M., Attkisson, C. C., & Greenfield, T. K. (1990). Screening for depression in primary care clinics: The CES-D and the BDI. International Journal of Psychiatry in Medicine, 20(3), 259–277.PubMed Zich, J. M., Attkisson, C. C., & Greenfield, T. K. (1990). Screening for depression in primary care clinics: The CES-D and the BDI. International Journal of Psychiatry in Medicine, 20(3), 259–277.PubMed
40.
Zurück zum Zitat Hybels, C. F., Blazer, D. G., & Pieper, C. F. (2001). Toward a threshold for subthreshold depression: An analysis of correlates of depression by severity of symptoms using data from an elderly community sample. The Gerontologist, 41(3), 357–365.PubMed Hybels, C. F., Blazer, D. G., & Pieper, C. F. (2001). Toward a threshold for subthreshold depression: An analysis of correlates of depression by severity of symptoms using data from an elderly community sample. The Gerontologist, 41(3), 357–365.PubMed
41.
Zurück zum Zitat Stata Corp. (2004). Stata Statistical Software. Release 8.2 ed. College Station, TX: StataCorp LP. Stata Corp. (2004). Stata Statistical Software. Release 8.2 ed. College Station, TX: StataCorp LP.
43.
Zurück zum Zitat Lanzi, R. G., Pascoe, J. M., Keltner, B., & Ramey, S. L. (1999). Correlates of maternal depressive symptoms in a national Head Start program sample. Archives of Pediatrics and Adolescent Medicine, 153(8), 801–807.PubMed Lanzi, R. G., Pascoe, J. M., Keltner, B., & Ramey, S. L. (1999). Correlates of maternal depressive symptoms in a national Head Start program sample. Archives of Pediatrics and Adolescent Medicine, 153(8), 801–807.PubMed
44.
Zurück zum Zitat McCubbin, H. I., Thompson, E. A., Thompson, A. I., McCubbin, M. A., & Kaston, A. J. (1993). Culture, ethnicity, and the family: Critical factors in childhood chronic illnesses and disabilities. Pediatrics, 91(5 Pt 2), 1063–1070.PubMed McCubbin, H. I., Thompson, E. A., Thompson, A. I., McCubbin, M. A., & Kaston, A. J. (1993). Culture, ethnicity, and the family: Critical factors in childhood chronic illnesses and disabilities. Pediatrics, 91(5 Pt 2), 1063–1070.PubMed
45.
Zurück zum Zitat Patterson, J. M., & Blum, R. W. (1993). A conference on culture and chronic illness in childhood: Conference summary. Pediatrics, 91(5 Pt 2), 1025–1030.PubMed Patterson, J. M., & Blum, R. W. (1993). A conference on culture and chronic illness in childhood: Conference summary. Pediatrics, 91(5 Pt 2), 1025–1030.PubMed
46.
Zurück zum Zitat Kuhlthau, K. A., & Perrin, J. M. (2001). Child health status and parental employment. Archives of Pediatrics and Adolescent Medicine, 155(12), 1346–1350.PubMed Kuhlthau, K. A., & Perrin, J. M. (2001). Child health status and parental employment. Archives of Pediatrics and Adolescent Medicine, 155(12), 1346–1350.PubMed
47.
Zurück zum Zitat Nelson, A. E., Miles, M. S., Reed, S. B., Davis, C. P., & Cooper, H. (1994). Depressive symptomatology in parents of children with chronic oncologic or hematologic disease. Journal of Psychosocial Oncology, 12(4), 61–75. doi:10.1300/J077V12N04_04.CrossRef Nelson, A. E., Miles, M. S., Reed, S. B., Davis, C. P., & Cooper, H. (1994). Depressive symptomatology in parents of children with chronic oncologic or hematologic disease. Journal of Psychosocial Oncology, 12(4), 61–75. doi:10.​1300/​J077V12N04_​04.CrossRef
48.
Zurück zum Zitat Clements, D. B., Copeland, L. G., & Loftus, M. (1990). Critical times for families with a chronically ill child. Pediatr Nurs, 16(2), 157–161, 224.PubMed Clements, D. B., Copeland, L. G., & Loftus, M. (1990). Critical times for families with a chronically ill child. Pediatr Nurs, 16(2), 157–161, 224.PubMed
51.
Zurück zum Zitat Olson, A. L., Dietrich, A. J., Prazar, G., Hurley, J., Tuddenham, A., Hedberg, V., et al. (2005). Two approaches to maternal depression screening during well child visits. Journal of Developmental and Behavioral Pediatrics, 26(3), 169–176. doi:10.1097/00004703-200506000-00002.CrossRefPubMed Olson, A. L., Dietrich, A. J., Prazar, G., Hurley, J., Tuddenham, A., Hedberg, V., et al. (2005). Two approaches to maternal depression screening during well child visits. Journal of Developmental and Behavioral Pediatrics, 26(3), 169–176. doi:10.​1097/​00004703-200506000-00002.CrossRefPubMed
52.
Metadaten
Titel
Parents of Children with Special Health Care Needs Who have Better Coping Skills have Fewer Depressive Symptoms
verfasst von
Shervin S. Churchill
Nanci L. Villareale
Teresa A. Monaghan
Virginia L. Sharp
Gail M. Kieckhefer
Publikationsdatum
01.01.2010
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 1/2010
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-008-0435-0

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