Distress and post-traumatic stress in parents of patients with congenital gastrointestinal malformations: a cross-sectional cohort study.

Autor: Roorda D; Amsterdam UMC, Emma Children's Hospital, Department of Pediatric Surgery, Amsterdam Gastroenterlogy and Metabolism and Amsterdam Reproduction and Development research institutes, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. d.roorda@amsterdamumc.nl.; Amsterdam UMC, Emma Children's Hospital, Department of Pediatrics, Follow Me program and Emma Neuroscience Group, Amsterdam Reproduction and Development research institutes, University of Amsterdam, Amsterdam, The Netherlands. d.roorda@amsterdamumc.nl., van der Steeg AFW; Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands., van Dijk M; Amsterdam UMC, Emma Children's Hospital, Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam Reproduction and Amsterdam Public Health research institutes, University of Amsterdam, Amsterdam, The Netherlands., Derikx JPM; Amsterdam UMC, Emma Children's Hospital, Department of Pediatric Surgery, Amsterdam Gastroenterlogy and Metabolism and Amsterdam Reproduction and Development research institutes, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands., Gorter RR; Amsterdam UMC, Emma Children's Hospital, Department of Pediatric Surgery, Amsterdam Gastroenterlogy and Metabolism and Amsterdam Reproduction and Development research institutes, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands., Rotteveel J; Amsterdam UMC, Emma Children's Hospital, University of Amsterdam, Amsterdam, The Netherlands., van Goudoever JB; Amsterdam UMC, Emma Children's Hospital, University of Amsterdam, Amsterdam, The Netherlands., van Heurn LWE; Amsterdam UMC, Emma Children's Hospital, Department of Pediatric Surgery, Amsterdam Gastroenterlogy and Metabolism and Amsterdam Reproduction and Development research institutes, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands., Oosterlaan J; Amsterdam UMC, Emma Children's Hospital, Department of Pediatrics, Follow Me program and Emma Neuroscience Group, Amsterdam Reproduction and Development research institutes, University of Amsterdam, Amsterdam, The Netherlands., Haverman L; Amsterdam UMC, Emma Children's Hospital, Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam Reproduction and Amsterdam Public Health research institutes, University of Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Orphanet journal of rare diseases [Orphanet J Rare Dis] 2022 Sep 11; Vol. 17 (1), pp. 353. Date of Electronic Publication: 2022 Sep 11.
DOI: 10.1186/s13023-022-02502-7
Abstrakt: Background: Congenital gastrointestinal malformation (CGIM) require neonatal surgical treatment and may lead to disease-specific sequelae, which have a potential psychological impact on parents. The aim of this study is to assess distress and symptoms of post-traumatic stress disorder (PTSD) in parents of patients with CGIM. In this cross-sectional study, seventy-nine parents (47 mothers and 32 fathers) of 53 patients with CGIM completed the Distress Thermometer for Parents (DT-P) and the Self Rating Scale for Posttraumatic Stress Disorders (SRS-PTSD) as part of the multidisciplinary follow-up of their children (aged 5-35 months). Group differences were tested between parents and representative Dutch reference groups with regard to rates of (clinical) distress and PTSD, and severity of overall distress and PTSD, for mothers and fathers separately. Mixed model regression models were used to study factors associated with the risk of (clinical) distress, PTSD and with severity of symptoms of PTSD (intrusion, avoidance and hyperarousal).
Results: Prevalence of clinical distress was comparable to reference groups for mothers (46%) and fathers (34%). There was no difference in severity of overall distress between both mothers as well as fathers and reference groups. Prevalence of PTSD was significantly higher in mothers (23%) compared to the reference group (5.3%) (OR = 5.51, p < 0.001), not in fathers (6.3% vs 2.2.%). Symptoms of intrusion were commonly reported by all the parents (75%). Longer total length of child's hospital stay was associated with more severe symptoms of intrusion, avoidance and hyperarousal. Child's length of follow-up was negatively associated with severity of intrusion.
Conclusions: Having a child with CGIM has a huge impact on parents, demonstrated by a higher prevalence of PTSD in mothers, but not fathers, compared to parents in the general population. Monitoring of symptoms of PTSD of parents in follow-up is necessary.
(© 2022. The Author(s).)
Databáze: MEDLINE
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