The Parent Experience of Caring for a Child with Mitochondrial Disease
Brenda A Senger1, Linda D Ward2, Celestina Barbosa-Leiker2
1Gonzaga University, Department of Nursing, Spokane, WA.
Insights
Caring for a child with mitochondrial disease causes significant parental stress and worry. Parents experience elevated concerns about guilt, sorrow, and long-term uncertainty, impacting their well-being.
Area of Science:
- Genetics
- Metabolic Disorders
- Pediatric Illness
Background:
- Mitochondrial disease encompasses genetic disorders affecting cellular metabolism.
- These progressive conditions significantly impact children's quality of life.
Purpose of the Study:
- To describe the unique experiences of parents caring for children with mitochondrial disease.
- To identify parental concerns and stress levels associated with this condition.
Main Methods:
- Internet surveys were administered to parents of children diagnosed with mitochondrial disease.
- Validated questionnaires, including the Parent Experience of Child Illness (PECI) and Pediatric Inventory for Parents (PIP), were used.
- Descriptive statistics and correlational analyses were performed to examine parent experiences and stress.
Main Results:
- The study included 231 parents, predominantly mothers (95%), of children around 10 years old.
- Parents reported elevated concerns regarding guilt, worry, sorrow, anger, and long-term uncertainty.
- Significant correlations were found between parental illness-related concerns and increased parenting stress.
Conclusions:
- Parents of children with mitochondrial disease often feel an overwhelming burden of responsibility.
- They perceive their child as fragile and harbor significant concerns about the child's future.
- Identifying these parental needs is crucial for healthcare providers, particularly nurses, to offer effective support.
Unlabelled:
Mitochondrial disease is a spectrum of progressive genetic disorders resulting from dysfunctions of cellular metabolism in the mitochondria that greatly compromise the lives of affected individuals, who are often children.
Purpose:
This study described the parent experiences unique to caring for a child with mitochondrial disease.
Methods:
Internet surveys were made available to parents of children with a known mitochondrial disease. Surveys included demographic items and two questionnaires: Parent Experience of Child Illness (PECI) and Pediatric Inventory for Parents (PIP). Descriptive data were collected and correlations calculated to determine relationships between the parent experience and stress.
Results:
The majority of participants (n=231) were mothers (95%) of children with mitochondrial disease around the age of 10 years (M=9.85). Elevated scores were found in parent adjustment illness-related concerns regarding Guilt and Worry (M=2.30, SD=.650), Sorrow and Anger (M=2.09, SD=.730), Long-term Uncertainty (M=2.56, SD=.690), and Emotional Resources (M=2.36, SD=.615). Scores indicated elevated feelings of stress in terms of both difficulty and frequency. Significant correlations (p<0.01) were found between parent illness-related concerns and parenting stress.
Conclusions:
The results of this study suggest that parents of a child with mitochondrial disease feel a burden of responsibility that exceeds the typical caregiver role, see their child as fragile, and have concerns about their child's future. Identification of these concerns can assist nurses to better meet the needs of these parents and families.
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