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  4. Child, Parent, and Family Adjustment for Patients Followed in a Multidisciplinary Spina Bifida Clinic

Child, Parent, and Family Adjustment for Patients Followed in a Multidisciplinary Spina Bifida Clinic

Top Spinal Cord Inj Rehabil, 2022 · DOI: 10.46292/sci21-00074 · Published: July 1, 2022

NeurologyPediatricsSocial Support

Simple Explanation

This study examines the well-being of children with spina bifida, their parents, and their families by looking at factors like quality of life, mental health symptoms, and how well the family functions together. The study found that children with spina bifida may have a lower health-related quality of life, but this isn't always linked to more severe mental health symptoms. Parents, on the other hand, reported good quality of life and family functioning. The research suggests that it's important to find ways to help these children improve their quality of life and to understand what helps families cope well despite the challenges of spina bifida.

Study Duration
2017-2019
Participants
209 youth under 19 years old diagnosed with SB and their parents
Evidence Level
Not specified

Key Findings

  • 1
    Almost half of the children and adolescents with spina bifida reported being at risk for poor psychosocial functioning based on their health-related quality of life.
  • 2
    Parents of children with spina bifida reported higher quality of life and better family functioning compared to parents of children with other chronic health conditions or ADHD, and even compared to healthy control samples.
  • 3
    Lower family functioning was observed in families where the child with spina bifida had a shunt, indicating that this health variable may represent a target for family intervention.

Research Summary

This study investigated child, parent, and family adjustment in a multidisciplinary spina bifida (SB) clinic, utilizing standardized measures to capture a wider age range of participants and additional adjustment domains including child HRQOL and parent-reported family functioning. The findings indicate that children and adolescents with SB are at risk for poor health-related quality of life (HRQOL), but this may not always be associated with more severe psychiatric symptoms. Parents of children with SB in this study showed resilience, reporting better QOL and family functioning compared to parents of children with other chronic conditions, ADHD, and healthy controls.

Practical Implications

Targeted Interventions

Focus interventions on improving HRQOL for children with SB, particularly those with shunts.

Resilience Factors

Identify and promote resilience factors within families to buffer against challenges to HRQOL.

Measure Selection

Utilize broader screening measures like HRQOL to capture a wider range of psychosocial concerns in clinical settings.

Study Limitations

  • 1
    The study utilized a clinically referred sample of convenience.
  • 2
    The study did not include a control group; comparisons were made statistically with previously published results.
  • 3
    Response biases may have influenced the results due to the clinic setting and parental presence during questionnaire completion.

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