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Published on: May 26, 2023
Infant's difficult temperament characteristics predict poor quality of life in parents of infants with complex CHDs
Nadya Golfenshtein1,2, Amy J Lisanti2,3, Barbara Medoff-Cooper2
1University of Haifa, Department of Nursing, 199 Abba Hushi Ave., 3498838,Haifa, Israel.
Insights
Infant temperament significantly impacts parental quality of life in complex congenital heart disease (CHD) survivors. Difficult infant behaviors are linked to lower parental well-being, highlighting the need for targeted support.
Area of Science:
- Pediatric Cardiology
- Developmental Psychology
- Parental Mental Health
Background:
- Infants with complex congenital heart disease (CHD) often exhibit challenging temperaments, increasing parental stress.
- Parental quality of life (QoL) is crucial for family well-being but its relationship with infant temperament post-CHD is understudied.
Purpose of the Study:
- To investigate the association between early infant temperament characteristics and parental QoL in infants with complex CHD.
- To identify specific temperament traits that may negatively affect parental well-being.
Main Methods:
- Utilized data from a multisite randomized clinical trial in the United States.
- Employed descriptive, cross-sectional analysis with multivariable linear regression models.
Main Results:
- Higher infant scores in Activity, Approach, Adaptability, Intensity, Mood, and Distractibility were significantly associated with lower parental QoL.
- These associations remained significant after adjusting for covariates like parental dyadic adjustment and healthcare utilization.
Conclusions:
- Parental perception of difficult infant temperament is linked to reduced QoL in parents of infants with complex CHD.
- Findings can inform screening for at-risk families and guide interventions to support parental mental health in this population.
Background & Aims:
Parents of infants with complex CHDs often describe their infants as especially fussy, irritable, and difficult to sooth, which together with the illness caretaking demands add to their stress. Little is known about how the behavioural style or temperament in the early months after discharge relates to parental quality of life. This study aimed to explore the associations between early infant temperament characteristics and parental quality of life in parents of infants with complex CHD.
Methods:
This descriptive, cross-sectional study, utilised data collected in a previously described multisite randomised clinical trial in the United States. Multivariable linear regression models were used to examine the associations of interest.
Findings:
Results demonstrated negative significant associations between most infant temperament subscales and parental quality of life. Higher scores on the Activity (β = -3.03, p = 0.021), Approach (β = -1.05, p = 0.021), Adaptability (β = -3.47, p = 0.004), Intensity (β = -2.78, p = 0.008), Mood (β = -4.65, p < 0.001), and Distractibility (β = -3.36, p = 0.007 were all significantly associated with lower parental quality of life scores, adjusting for parental dyadic adjustment, insurance type, number of medications, and number of unscheduled cardiologist visits.
Conclusions:
Parental perceptions of infant's difficult behavioural style or temperament characteristics appear to be associated with poorer quality of life in parents of infants with complex CHD post-cardiac surgery. Findings can be used in the screening process of families at potential risk of increased stress and poor illness adaptation and in the design of interventions to target parental mental health in this vulnerable patient population.
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