Related Experiment Video
Updated: Jul 11, 2026

Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats
Published on: March 28, 2025
Assessment of mother and father concern in childhood hydrocephalus
1Division of Child Health and Evaluative Sciences, Hospital for Sick Children, University of Toronto, Room 1503, 555 University Avenue, M5G 1X8 Toronto, ON, Canada. abhaya.kulkarni@sickkids.ca
Insights
Parental concern in children with hydrocephalus varies widely. Child health factors, including cognitive and social-emotional well-being, significantly influence parental worry levels.
Area of Science:
- Pediatric chronic illness management
- Child neurology
- Parental psychology
Background:
- Parental concern is crucial in managing children with chronic illnesses.
- This study quantitatively assessed parental concerns in pediatric hydrocephalus.
Purpose of the Study:
- To quantitatively assess parental concerns in children with hydrocephalus using the Hydrocephalus Concerns Questionnaire for parents (HCQ-P).
Main Methods:
- Parents of 332 children with hydrocephalus completed the HCQ-P over a 12-month period.
- Data analyzed using multivariable regression models to identify associations with parental concern.
Main Results:
- Maternal and paternal concern scores were widely distributed, with means of 0.53 and 0.51 respectively.
- Worse child cognitive and social-emotional health were associated with greater maternal and paternal concern.
- Paternal concern was also linked to frequent seizures, younger age at first surgery, and endoscopic treatment.
Conclusions:
- Parental concern in pediatric hydrocephalus is highly variable.
- Child health factors significantly explain the variability in parental concern.
Introduction:
Parental concern can play an important role in overall management of children with serious chronic illness. We quantitatively assessed the concerns of parents of children with hydrocephalus, using the Hydrocephalus Concerns Questionnaire for parents (HCQ-P).
Methods:
Over a 12-month study period, parents of 332 children with hydrocephalus (mean age 11.7 years, SD 3.8) attending a routinely scheduled out-patient clinic at the Hospital for Sick Children, Toronto, completed the HCQ-P.
Results:
HCQ-P scores were widely distributed, with mean maternal (N = 283) and paternal (N = 137) scores of 0.53 (SD 0.30) and 0.51 (SD 0.29), respectively (0 = least concerned, 1 = most concerned). Based on a multivariable regression model (adjusted R (2) = 0.49), important associations with greater maternal concern were: Worse child cognitive health (p < 0.001) and worse child social-emotional health (p < 0.001). Identified important associations with greater paternal concern based on a multivariable model (adjusted R (2) = 0.45) were: Worse child cognitive health (p = 0.03), worse child social-emotional health (p = 0.03), frequent child seizures (p < 0.001), younger child age at first surgery (p = 0.03) and having had an endoscopic procedure for the child's hydrocephalus treatment (p = 0.04). Based on the adjusted multivariable models, less than 5% of parents were considered to have extreme levels of concern (either very high or very low).
Conclusion:
This study confirms that parental concern is highly variable in this population. Much of the parental concern can be appropriately explained by child health factors.
Related Concept Videos
Increased Intracranial Pressure l: Introduction
Relationship with Parents: Attachment
Cerebrospinal Fluid
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain.
Increased Intracranial Pressure ll: Pathophysiology
