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Published on: February 22, 2020
Long-term outcome in children of patients after stroke
Ingrid G L van de Port1, Anne M A Visser-Meily, Marcel W M Post
1Centre of Excellence for Rehabilitation Medicine Utrecht, Rehabilitation Centre De Hoogstraat, Utrecht, The Netherlands.
Insights
Most children adapt well three years after a parent
Area of Science:
- Neurology
- Pediatrics
- Psychology
Background:
- Parental stroke significantly impacts family dynamics.
- Children may assume caregiving roles and experience psychological distress.
Purpose of the Study:
- To assess long-term effects of parental stroke on children.
- To examine children's caregiving roles, behavioral issues, and stress levels.
- To identify factors associated with stress in children post-parental stroke.
Main Methods:
- 44 children (aged 10-21) were evaluated 3 years after parental stroke.
- Behavioral problems assessed using Child Behaviour Check List and Youth Self-Report.
- Stress measured with the Dutch Stress Questionnaire for Children.
Main Results:
- 66% of children assisted with parental self-care or mobility.
- 31% of children exhibited behavioral problems; 37.5% of younger children showed externalizing issues.
- Child stress correlated with female gender, and patient depression, functional limitations, and life satisfaction.
Conclusions:
- Most children demonstrate resilience three years after a parental stroke.
- A notable subset of children require clinical attention for behavioral problems.
- Understanding child and patient characteristics is crucial for managing stress.
Objective:
To investigate the long-term effects on children of parental stroke, with respect to care-giving tasks, children's behavioural problems and stress, and to study the relationship between stress and child, patient and partner characteristics.
Subjects:
A total of 44 children (age range 10-21 years) were assessed 3 years after parental stroke.
Main Measures:
Behavioural problems were assessed with the Child Behaviour Check List and the Youth Self-Report. Stress was measured using the Dutch Stress Questionnaire for Children.
Results:
Most children (66%) assisted their parent in self-care or mobility. Some of the children (31%) experienced behavioural problems. The results showed that 37.5% of younger children show externalizing problems on the Child Behaviour Check List. Stress was significantly related to female gender of the child, and to depression, limitations in extended activities of daily living and life satisfaction of the patient.
Conclusion:
Most children do well 3 years after parental stroke. However, some children of patients after stroke have behavioural problems and need attention in clinical practice.
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