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Risk and resistance factors associated with paternal adjustment to obstetrical brachial plexus injuries

Louise A McLean1, David Harvey, Keith Mutimer

  • 1Krongold Centre, Faculty of Education, Monash University, Melbourne, VIC, Australia, louise.mclean@monash.edu.

Journal of Clinical Psychology in Medical Settings
|July 21, 2014
PubMed

Insights

Fathers of children with obstetrical brachial plexus injuries (OBPI) experience psychological challenges. Family functioning and injury severity are key factors influencing paternal adjustment, highlighting the need for targeted support.

Area of Science:

  • Pediatric Rehabilitation
  • Psychology
  • Family Studies

Background:

  • Obstetrical brachial plexus injuries (OBPI) significantly impact families.
  • Paternal psychological adjustment is crucial but often understudied.
  • Understanding risk and resilience factors is vital for effective support.

Purpose of the Study:

  • To identify risk and resistance factors for paternal psychological adjustment in fathers of children with OBPI.
  • To examine the influence of OBPI severity and family functioning on fathers' mental well-being.

Main Methods:

  • Cross-sectional study involving 34 fathers of children with OBPI in Australia.
  • Data collected on OBPI severity, disability-related stress, family functioning, and social support.
  • Statistical analysis to determine variance in paternal psychological adjustment.

Main Results:

  • OBPI severity and family functioning together explained 28% of the variance in paternal psychological adjustment.
  • Family functioning uniquely contributed 12% to explaining psychological adjustment beyond injury severity.
  • Disability-related stress and social support were also assessed.

Conclusions:

  • Paternal perceptions of OBPI severity and family functioning are critical factors in psychological adjustment.
  • Healthcare providers should consider these factors when supporting families affected by OBPI.
  • Interventions may benefit from addressing family dynamics and coping with injury impact.

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