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Depression and anxiety among parents of phenylketonuria children
Mehmet Gunduz1, Nur Arslan, Ozlem Unal
1Division of Metabolism, Ankara Children`s Education and Research Hospital, Ankara,Turkey.
Insights
Parents of children with phenylketonuria (PKU) experience higher rates of depression and anxiety. Low parental education is a significant risk factor, highlighting the need for targeted support services for these families.
Area of Science:
- Pediatric Metabolism
- Child Psychology
- Clinical Genetics
Background:
- Classical phenylketonuria (PKU) is a rare genetic disorder requiring lifelong dietary management.
- Parental well-being is crucial for managing chronic childhood conditions.
- Limited research exists on the psychological impact of PKU on parents.
Purpose of the Study:
- To assess the prevalence of depression and anxiety in parents of children with PKU.
- To identify risk factors associated with parental depression and anxiety in this population.
Main Methods:
- A cross-sectional study involving 61 parents of children with PKU and 36 healthy controls.
- Utilized the Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI S-T) for data collection.
- Logistic regression analysis was employed to identify independent risk factors.
Main Results:
- Parents of children with PKU exhibited significantly higher depression and anxiety scores compared to controls.
- Mothers reported higher depression and anxiety levels than other parental groups.
- Low parental educational level emerged as the sole independent predictor for depression and state anxiety.
Conclusions:
- A notable proportion of parents caring for children with PKU suffer from anxiety or depressive disorders.
- The findings underscore the necessity of implementing supportive services for parents of children with chronic illnesses like PKU.
- Addressing parental mental health is essential for holistic child care in PKU management.
Objective:
To investigate the existence of depression and/or anxiety with underlying risk factors among parents of children with classical phenylketonuria (PKU).
Methods:
This cross-sectional study was conducted in the Division of Pediatric Metabolism, Ankara Children`s Hospital, Dokuz Eylul University, Kirikkale University, and Erzurum Local Research Hospital, Turkey, between January and July 2014. Parents of 61 patients and 36 healthy controls completed the self-report questionnaires. We used Beck Depression Inventory (BDI) to assess the parental depression and State-Trait Anxiety Inventory S-T (STAI S-T) to assess parental anxiety.
Results:
Depression and anxiety scores were significantly higher in the case group (BDI: 12.3 ± 9.1; STAI-S: 38.2 ± 9.6; STAI-T: 43.2 ± 6.9) than controls (BDI: 5.4 ± 4.1 p=0.000; STAI-S: 31.8 ± 7.6 p=0.001; STAI-T: 37.0 ± 7.2 p=0.000). Mothers of the patients had higher scores than the other parental groups (BDI: p=0.000, STAI-S: p=0.001 and STAI-T: p=0.000). Logistic regression analysis showed that low educational level of the parent was the only independent factor for depression (OR: 9.96, 95% CI: 1.89-52.35, p=0.007) and state anxiety (OR: 6.99, 95% CI: 1.22-40.48, p=0.030) in the case group.
Conclusion:
A subset of parents with PKU patients have an anxiety or depressive disorder. Supportive services dealing with the parents of chronically ill children such as PKU are needed in order to reduce the level of anxiety.
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