Stress among parents of infants with neural tube defect and its associated factors
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Published on: June 13, 2021
Nemeh Ahmad Al-Akour1, Yusef Saleh Khader, Adlah Hamlan
1Maternal and Child Health Department, School of Nursing, Jordan University of Science and Technology (JUST), Irbid, Jordan. alakour@just.edu.jo
Insights
Parents of infants with neural tube defects (NTDs) experience significantly higher stress levels. Factors like lower education and income increase parental distress, highlighting the need for professional support.
Area of Science:
- Pediatric Health
- Psychology
- Public Health
Background:
- Neural tube defects (NTDs) are major congenital anomalies with significant impact on families.
- Parental stress is a critical factor in the well-being of children with chronic conditions.
Purpose of the Study:
- To evaluate stress levels in parents of infants diagnosed with neural tube defects (NTDs).
- To identify factors associated with increased parental stress in this population.
Main Methods:
- Employed the Parenting Stress Index-Short Form (PSI-SF) for stress assessment.
- Compared 100 parents of infants with NTDs against 100 parents in a normative group.
- Utilized multivariate analysis to determine associated factors.
Main Results:
- Parents of infants with NTDs reported significantly higher total stress scores (104.0 vs. 84.3).
- Over 53% of parents with infants with NTDs exhibited clinically significant high stress.
- Mothers reported higher distress than fathers; lower education, unemployment, and income were linked to increased distress.
Conclusions:
- Infants with NTDs place a substantial stress burden on parents, affecting multiple domains of parenting.
- Lower socioeconomic status and maternal gender are significant risk factors for parental stress.
- Healthcare professionals should provide targeted psychological and emotional support to vulnerable families.
Abstract:
The purpose of this study was to assess the stress among parents (either the mother or the father) of infants with neural tube defects (NTDs) and its associated factors. Using Parenting Stress Index-Short Form (PSI-SF), 100 parents of infants with NTDs were compared with 100 parents as a normative group. The total mean score for parents of infants with NTDs was 104.0 (standard deviation (SD) = 22.9) compared with 84.3 (SD = 18.9) for parents of infants without NTDs. Fifty-three (53.5%) parents of infants with NTDs and 15% of the control group had clinically significant high total stress score. Parents of infants with NTDs had a significantly higher score of distress in all scales of PSI-SF compared with those of infants without NTDs. Multivariate analysis found that mothers of infants with NTDs had a significantly higher average score for parental distress, parent-child dysfunctional interaction and total stress than fathers. Parents' lower education, unemployed parents and lower family income per month were significantly associated with increased parent-child dysfunctional interaction and parental distress. Parents with lower education and lower family income are in need for psychological and emotional support from health-care professionals.
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