The burden of parenting children with frontal lobe epilepsy

Autor: J. J. van der Meere, H.F. Reuvekamp, L. van den Berg, A. W. de Weerd
Přispěvatelé: Clinical Neuropsychology
Rok vydání: 2019
Předmět:
Male
Parents
STRESS
Epilepsy
Frontal Lobe
Frontal lobe epilepsy
Child Behavior
CBCL
Neuropsychological Tests
BEHAVIORAL-PROBLEMS
Proxy (climate)
Proxy validity
Behavioral Neuroscience
Epilepsy
0302 clinical medicine
Cost of Illness
Quality of life
QUALITY-OF-LIFE
Surveys and Questionnaires
Behavior problems
030212 general & internal medicine
Child
Child Behavior Checklist
Parenting
FAMILY FACTORS
Checklist
Neurology
Frontal lobe
Child
Preschool
Scale (social sciences)
Female
Psychology
CHRONIC ILLNESS
Clinical psychology
Adult
CHRONIC SORROW
Parental burden
03 medical and health sciences
medicine
Humans
CHILDHOOD EPILEPSY
Risk factor
Problem Behavior
EXECUTIVE FUNCTION
Reproducibility of Results
PEDIATRIC EPILEPSY
Family stress
medicine.disease
Neurology (clinical)
SEIZURE ONSET
030217 neurology & neurosurgery
Zdroj: Epilepsy & Behavior, 97, 269-274. ACADEMIC PRESS INC ELSEVIER SCIENCE
ISSN: 1525-5050
Popis: Objective: Caring for a child with a chronic illness adds stress to the typical parenting stress in healthy developing children. This stress can place a heavy burden on parents and may increase when a child displays problem behavior. In general, parenting and child's behavior problems are associated. Furthermore, externalizing (more outgoing) behavior is reported frequently in children with frontal lobe epilepsy (FLE). Therefore, in this study, we first investigated the burden of parents of children with FLE, and second, we investigated the relation between the experienced burden and reported behavioral problems. The validity of parents' reports on proxy measures as well as duration of epilepsy is taken into account.Methods: Thirty-one parents of children with FLE completed validated questionnaires about behavioral problems and burden of parenting. To examine if parents tend to be inconsistent or unusually negative, we used the two validity scales of the Behavioral Rating Inventory of Executive Function (BRIEF) (Negativity and Inconsistency).Results: Only parents of children with FLE who have had epilepsy for 5 years or longer report more problems on the Nijmeegse Vragenlijst voor de Opvoedingssituatie (NVOS) subscales 'Able to manage', 'Child is a burden', and 'Good Interaction' compared with the healthy controls. The subscale 'Child is a burden' significantly predicts scores in about 20% to 49% on the main scales of the Child Behavior Checklist (CBCL), the Global Executive Composite (GEC), and Behavioral Regulation Index (BRI) of the BRIEF. Only 6% of parents scored in the dinical range of the negativity scale of the BRIEF. For the inconsistency scale, this was 45%.Conclusion: Parents of children with FLE do not report excessive parental burden. Longer duration of epilepsy might be a risk factor in experiencing burden. The findings suggest a link between parental burden and behavioral problems in children with FLE. Externalizing behavioral problems are the most marked behavioral problems, which relate to the parental burden. Parents tend to be inconsistent in their ratings. (C) 2019 Elsevier Inc. All rights reserved.
Databáze: OpenAIRE
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