Trajectories of parent well-being in children with drug-resistant epilepsy.

Autor: Smith ML; Department of Psychology, University of Toronto Mississauga, Mississauga, Ontario, Canada.; Neurosciences and Mental Health Program, Hospital for Sick Children, Toronto, Ontario, Canada., Puka K; Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada., Speechley KN; Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.; Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada., Ferro MA; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada., Connolly MB; Division of Neurology, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada., Major P; Division of Neurology, Department of Neurosciences, CHU Sainte-Justine Hospital, University of Montreal, Montreal, Quebec, Canada., Gallagher A; Centre de Recherche, CHU Sainte-Justine Hospital, University of Montreal, Montreal, Quebec, Canada., Almubarak S; Division of Pediatric Neurology, Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.; Qatif Central Hospital, Qatif, Saudi Arabia., Hasal S; Division of Pediatric Neurology, Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan, Canada., Ramachandrannair R; Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada., Andrade A; Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada., Xu Q; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada., Leung E; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada., Snead OC 3rd; Division of Neurology, Hospital for Sick Children, Toronto, Ontario, Canada., Widjaja E; Neurosciences and Mental Health Program, Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Medical Imaging, Lurie Children's Hospital, Chicago, Illinois, USA.
Jazyk: angličtina
Zdroj: Epilepsia [Epilepsia] 2023 Dec; Vol. 64 (12), pp. 3342-3353. Date of Electronic Publication: 2023 Oct 25.
DOI: 10.1111/epi.17797
Abstrakt: Objective: This longitudinal cohort study aimed to identify trajectories of parent well-being over the first 2 years after their child's evaluation for candidacy for epilepsy surgery, and to identify the baseline clinical and demographic characteristics associated with these trajectories. Parent well-being was based on parent depressive and anxiety symptoms and family resources (i.e., family mastery and social support).
Methods: Parents of 259 children with drug-resistant epilepsy (105 of whom eventually had surgery) were recruited from eight epilepsy centers across Canada at the time of their evaluation for epilepsy surgery candidacy. Participants were assessed at baseline and 6-month, 1-year, and 2-year follow-up. The trajectories of parents' depressive symptoms, anxiety symptoms, and family resources were jointly estimated using multigroup latent class growth models.
Results: The analyses identified three trajectories: an optimal-stable group with no/minimal depressive or anxiety symptoms, and high family resources that remained stable over time; a mild-decreasing-plateau group with mild depressive and anxiety symptoms that decreased over time then plateaued, and intermediate family resources that remained stable; and a moderate-decreasing group with moderate depressive and anxiety symptoms that decreased slightly, and low family resources that remained stable over time. Parents of children with higher health-related quality of life, fathers, and parents who had higher household income were more likely to have better trajectories of well-being. Treatment type was not associated with the trajectory groups, but parents whose children were seizure-free at the time of the last follow-up were more likely to have better trajectories (optimal-stable or mild-decreasing-plateau trajectories).
Significance: This study documented distinct trajectories of parent well-being, from the time of the child's evaluation for epilepsy surgery. Parents who present with anxiety and depressive symptoms and low family resources do not do well over time. They should be identified and offered supportive services early in their child's epilepsy treatment history.
(© 2023 International League Against Epilepsy.)
Databáze: MEDLINE
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