Health-Related Quality of Life, Stress, Caregiving Burden and Special Needs of Parents Caring for a Short-Statured Child—Review and Recommendations for Future Research
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Study Characteristics
3.2. Parents’ HRQOL, Stress, Caregiving Burdens, and Special Needs
3.3. Validated Tools to Assess Parents’ HRQOL, Stress, Caregiving Burdens, and Special Needs
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Conflicts of Interest
References
- Ranke, M.B. Towards a consensus on the definition of idiopathic short stature. Horm. Res. 1996, 45 (Suppl. S2), 64–66. [Google Scholar] [CrossRef]
- Barstow, C.; Rerucha, C. Evaluation of Short and Tall Stature in Children. Am. Fam. Physician 2015, 92, 43–50. [Google Scholar] [PubMed]
- Argente, J.; Abusrewil, S.A.; Bona, G.; Chiarelli, F.; Kelnar, C.J.; Skordis, N. Isolated growth hormone deficiency in children and adolescents. J. Pediatr. Endocrinol. Metab. 2001, 14 (Suppl. S2), 1003–1008. [Google Scholar] [CrossRef] [PubMed]
- Cohen, P.; Rogol, A.D.; Deal, C.L.; Saenger, P.; Reiter, E.O.; Ross, J.L.; Chernausek, S.D.; Savage, M.O.; Wit, J.M. Consensus Statement on the Diagnosis and Treatment of Children with Idiopathic Short Stature: A Summary of the Growth Hormone Research Society, the Lawson Wilkins Pediatric Endocrine Society, and the European Society for Paediatric Endocrinology Workshop. J. Clin. Endocrinol. Metab. 2008, 93, 4210–4217. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- United Nations Children’s Fund (UNICEF); World Health Organization; International Bank for Reconstruction and Development/The World Bank. Levels and Trends in Child Malnutrition: Key Findings of the 2020 Edition of the Joint Child Malnutrition Estimates; World Health Organization: Geneva, Switzerland, 2020.
- Ranke, M.B.; Lindberg, A.; Tanaka, T.; Camacho-Hübner, C.; Dunger, D.B.; Geffner, M.E. Baseline Characteristics and Gender Differences in Prepubertal Children Treated with Growth Hormone in Europe, USA, and Japan: 25 Years’ KIGS® Experience (1987–2012) and Review. Horm. Res. Paediatr. 2017, 87, 30–41. [Google Scholar] [CrossRef]
- Fitzgerald, C.; George, S.; Somerville, R.; Linnane, B.; Fitzpatrick, P. Caregiver burden of parents of young children with cystic fibrosis. J. Cyst. Fibros. 2018, 17, 125–131. [Google Scholar] [CrossRef] [Green Version]
- Piran, P.; Khademi, Z.; Tayari, N.; Mansouri, N. Caregiving burden of children with chronic diseases. Electron. Physician 2017, 9, 5380–5387. [Google Scholar] [CrossRef]
- Quitmann, J.; Bloemeke, J.; Silva, N.; Bullinger, M.; Witt, S.; Akkurt, I.; Dunstheimer, D.; Vogel, C.; Böttcher, V.; Kuhnle Krahl, U.; et al. Quality of Life of Short-Statured Children Born Small for Gestational Age or Idiopathic Growth Hormone Deficiency Within 1 Year of Growth Hormone Treatment. Front. Pediatr. 2019, 7, 164. [Google Scholar] [CrossRef]
- Ayadi, H.; Cherif, L.; Hadjkacem, I.; Kammoun, W.; Khemakhem, K.; Khemekhem, S.; Moalla, Y.; Kammoun, T.; Hachicha, M.; Ghribi, F. Self-Esteem in Children and Adolescents with Growth Hormone Deficiency. Iran. J. Pediatr. 2018, 28, e4617. [Google Scholar] [CrossRef] [Green Version]
- Naiki, Y.; Horikawa, R.; Tanaka, T. Assessment of Psychosocial Status among Short-stature Children with and without Growth Hormone Therapy and Their Parents. Clin. Pediatr. Endocrinol. 2013, 22, 25–32. [Google Scholar] [CrossRef]
- Sandberg, D.E.; Voss, L.D. The psychosocial consequences of short stature: A review of the evidence. Best Pract. Res. Clin. Endocrinol. Metab. 2002, 16, 449–463. [Google Scholar] [CrossRef] [PubMed]
- Voss, L.D.; Mulligan, J. Bullying in school: Are short pupils at risk? Questionnaire study in a cohort. BMJ 2000, 320, 612–613. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kazak, A.E.; Kassam-Adams, N.; Schneider, S.; Zelikovsky, N.; Alderfer, M.A.; Rourke, M. An integrative model of pediatric medical traumatic stress. J. Pediatr. Psychol. 2006, 31, 343–355. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Schor, E.L. Family pediatrics: Report of the Task Force on the Family. Pediatrics 2003, 111, 1541–1571. [Google Scholar] [PubMed]
- Rotnem, D.; Cohen, D.J.; Hintz, R.; Genel, M. Psychological Sequelae of Relative “Treatment Failure” for Children Receiving Human Growth Hormone Replacement. J. Am. Acad. Child Psychiatry 1979, 18, 505–520. [Google Scholar] [CrossRef] [PubMed]
- Logan, D.E.; Scharff, L. Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: An investigation of moderating effects on the pathway from pain to disability. J. Pediatr. Psychol. 2005, 30, 698–707. [Google Scholar] [CrossRef] [Green Version]
- Visser-van Balen, H.; Sinnema, G.; Geenen, R. Growing up with idiopathic short stature: Psychosocial development and hormone treatment; a critical review. Arch. Dis. Child. 2006, 91, 433–439. [Google Scholar] [CrossRef]
- Quitmann, J.; Rohenkohl, A.; Sommer, R.; Petzold, S.; Bullinger-Naber, M. How do Affected Children and Adolescents Experience their Short Stature, and what is the Point of View of their Parents? Prax. Kinderpsychol. Kinderpsychiatr. 2014, 63, 635–648. [Google Scholar] [CrossRef]
- Preston, A.; Storch, E.A.; Lewin, A.; Geffken, G.R.; Baumeister, A.L.; Strawser, M.S.; Silverstein, J.H. Parental stress and maladjustment in children with short stature. Clin. Pediatr. 2005, 44, 327–331. [Google Scholar] [CrossRef]
- Witt, S.; Kolb, B.; Bloemeke, J.; Mohnike, K.; Bullinger, M.; Quitmann, J. Quality of life of children with achondroplasia and their parents—A German cross-sectional study. Orphanet J. Rare Dis. 2019, 14, 194. [Google Scholar] [CrossRef] [Green Version]
- Wheeler, P.G.; Bresnahan, K.; Shephard, B.A.; Lau, J.; Balk, E.M. Short stature and functional impairment: A systematic review. Arch. Pediatr. Adolesc. Med. 2004, 158, 236–243. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Grootenhuis, M.A.; Bronner, M.B. Paediatric illness! Family matters. Acta Paediatr. 2009, 98, 940–941. [Google Scholar] [CrossRef] [PubMed]
- Quitmann, J.; Rohenkohl, A.; Bullinger, M.; Chaplin, J.E.; Herdman, M.; Sanz, D.; Mimoun, E.; Feigerlova, E.; DeBusk, K.; Power, M.; et al. Parental perception of health-related quality of life in children and adolescents with short stature: Literature review and introduction of the parent-reported QoLISSY instrument. Pediatr. Endocrinol. Rev. 2013, 11, 147–160. [Google Scholar] [PubMed]
- Silva, N.; Bullinger, M.; Sommer, R.; Rohenkohl, A.; Witt, S.; Quitmann, J. Children’s psychosocial functioning and parents’ quality of life in paediatric short stature: The mediating role of caregiving stress. Clin. Psychol. Psychother. 2018, 25, e107–e118. [Google Scholar] [CrossRef]
- Richmond, E.; Rogol, A.D. Current indications for growth hormone therapy for children and adolescents. Endocr. Dev. 2010, 18, 92–108. [Google Scholar] [CrossRef] [PubMed]
- Bullinger, M. Assessing health related quality of life in medicine. An overview over concepts, methods and applications in international research. Restor. Neurol. Neurosci. 2002, 20, 93–101. [Google Scholar]
- Higginson, I.J.; Carr, A.J. Measuring quality of life: Using quality of life measures in the clinical setting. BMJ 2001, 322, 1297–1300. [Google Scholar] [CrossRef]
- Edlund, B.J.; Lufkin, S.R.; Franklin, B. Long-term care planning for baby boomers: Addressing an uncertain future. Online J. Issues Nurs. 2003, 8, 3. [Google Scholar]
- Liu, Z.; Heffernan, C.; Tan, J. Caregiver burden: A concept analysis. Int. J. Nurs. Sci. 2020, 7, 438–445. [Google Scholar] [CrossRef]
- Arksey, H.; O’Malley, L. Scoping Studies: Towards a Methodological Framework. Int. J. Soc. Res. Methodol. Theory Pract. 2005, 8, 19–32. [Google Scholar] [CrossRef] [Green Version]
- Page, M.J.; McKenzie, J.E.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L.; Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021, 372, n71. [Google Scholar] [CrossRef] [PubMed]
- Haverkamp, F.; Noeker, M. ‘Short stature in children—A questionnaire for parents’: A new instrument for growth disorder-specific psychosocial adaptation in children. Qual. Life Res. 1998, 7, 447–455. [Google Scholar] [CrossRef] [PubMed]
- Quitmann, J.; Giammarco, A.; Maghnie, M.; Napoli, F.; Di Giovanni, I.; Carducci, C.; Mohn, A.; Bullinger, M.; Sommer, R. Validation of the Italian Quality of Life in Short Stature Youth (QoLISSY) questionnaire. J. Endocrinol. Investig. 2017, 40, 1077–1084. [Google Scholar] [CrossRef]
- Brod, M.; Alolga, S.L.; Beck, J.F.; Wilkinson, L.; Højbjerre, L.; Rasmussen, M.H. Understanding burden of illness for child growth hormone deficiency. Qual. Life Res. 2017, 26, 1673–1686. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hitt, T.; Ginsburg, K.R.; Cousounis, P.; Lipman, T.H.; Cucchiara, A.J.; Stallings, V.A.; Grimberg, A. Concerns and Expectations of Parents Seeking Subspecialist Care for Their Child’s Short Stature. Horm. Res. Paediatr. 2019, 92, 311–318. [Google Scholar] [CrossRef]
- Majewska, K.A.; Stanisławska-Kubiak, M.; Wiecheć, K.; Naskręcka, M.; Kędzia, A.; Mojs, E. Maternal anxiety in relation to growth failure and growth hormone treatment in children. Medicine 2020, 99, e22147. [Google Scholar] [CrossRef]
- de Silva, K.S.; de Zoysa, P. Assessment of the psychological status of children with growth hormone deficiency and their parents. Ceylon Med. J. 2011, 56, 59–61. [Google Scholar] [CrossRef]
- Marini, M.G.; Chesi, P.; Mazzanti, L.; Guazzarotti, L.; Toni, T.D.; Salerno, M.C.; Officioso, A.; Parpagnoli, M.; Angeletti, C.; Faienza, M.F.; et al. Stories of experiences of care for growth hormone deficiency: The CRESCERE project. Future Sci. OA 2016, 2, Fso82. [Google Scholar] [CrossRef] [Green Version]
- Brod, M.; Højbjerre, L.; Alolga, S.L.; Beck, J.F.; Wilkinson, L.; Rasmussen, M.H. Understanding Treatment Burden for Children Treated for Growth Hormone Deficiency. Patient 2017, 10, 653–666. [Google Scholar] [CrossRef] [Green Version]
- Visser-van Balen, H.; Geenen, R.; Kamp, G.A.; Huisman, J.; Wit, J.M.; Sinnema, G. Motives for choosing growth-enhancing hormone treatment in adolescents with idiopathic short stature: A questionnaire and structured interview study. BMC Pediatr. 2005, 5, 15. [Google Scholar] [CrossRef] [Green Version]
- Bloemeke, J.; Silva, N.; Bullinger, M.; Witt, S.; Dörr, H.G.; Quitmann, J. Psychometric properties of the quality of life in short statured youth (QoLISSY) questionnaire within the course of growth hormone treatment. Health Qual. Life Outcomes 2019, 17, 49. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Brod, M.; Rasmussen, M.H.; Alolga, S.; Beck, J.F.; Bushnell, D.M.; Lee, K.W.; Maniatis, A. Psychometric Validation of the Growth Hormone Deficiency-Child Treatment Burden Measure (GHD-CTB) and the Growth Hormone Deficiency-Parent Treatment Burden Measure (GHD-PTB). Pharmacoecon Open 2023, 7, 121–138. [Google Scholar] [CrossRef]
- Casana-Granell, S.; Lacomba-Trejo, L.; Montoya-Castilla, I.; Perez-Marin, M. Emotional discomfort and stress in primary caregivers of pediatric patients with low stature. Calid. Vida Salud 2016, 9, 93–103. [Google Scholar]
- Gaite, L.; García Fuentes, M.; González Lamuño, D.; Alvarez, J. Needs in rare diseases during paediatric age. An. Sist. Sanit. Navar. 2008, 31 (Suppl. S2), 165–175. [Google Scholar]
- Streisand, R.; Braniecki, S.; Tercyak, K.P.; Kazak, A.E. Childhood illness-related parenting stress: The pediatric inventory for parents. J. Pediatr. Psychol. 2001, 26, 155–162. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Monaghan, M.; Clary, L.; Stern, A.; Hilliard, M.E.; Streisand, R. Protective Factors in Young Children With Type 1 Diabetes. J. Pediatr. Psychol. 2015, 40, 878–887. [Google Scholar] [CrossRef]
- Kearney, J.A.; Salley, C.G.; Muriel, A.C. Standards of Psychosocial Care for Parents of Children With Cancer. Pediatr. Blood Cancer 2015, 62, S632–S683. [Google Scholar] [CrossRef] [Green Version]
- Pierpont, E.I.; Wolford, M. Behavioral functioning in cardiofaciocutaneous syndrome: Risk factors and impact on parenting experience. Am. J. Med. Genet. A 2016, 170, 1974–1988. [Google Scholar] [CrossRef] [PubMed]
- Vrijmoet-Wiersma, C.M.; Hoekstra-Weebers, J.E.; Margreet de Peinder, W.M.; Koopman, H.M.; Tissing, W.J.; Treffers, P.D.; Bierings, M.B.; Jansen, N.C.; Grootenhuis, M.A.; Egeler, R.M. Psychometric qualities of the Dutch version of the Pediatric Inventory for Parents (PIP): A multi-center study. Psychooncology 2010, 19, 368–375. [Google Scholar] [CrossRef] [Green Version]
- del Rincón, C.; Remor, E.; Arranz, P. Estudio psicométrico preliminar de la versión española del Pediatric Inventory for Parents (PIP). Int. J. Clin. Health Psychol. 2007, 7, 435–452. [Google Scholar]
- Zigmond, A.S.; Snaith, R.P. The hospital anxiety and depression scale. Acta Psychiatr. Scand. 1983, 67, 361–370. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bjelland, I.; Dahl, A.A.; Haug, T.T.; Neckelmann, D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J. Psychosom. Res. 2002, 52, 69–77. [Google Scholar] [CrossRef] [PubMed]
- Herrmann, C.; Scholz, K.H.; Kreuzer, H. Psychologic screening of patients of a cardiologic acute care clinic with the German version of the Hospital Anxiety and Depression Scale. Psychother. Psychosom. Med. Psychol. 1991, 41, 83–92. [Google Scholar] [PubMed]
- Costantini, M.; Musso, M.; Viterbori, P.; Bonci, F.; Del Mastro, L.; Garrone, O.; Venturini, M.; Morasso, G. Detecting psychological distress in cancer patients: Validity of the Italian version of the Hospital Anxiety and Depression Scale. Support. Care Cancer 1999, 7, 121–127. [Google Scholar] [CrossRef]
- Leung, C.M.; Wing, Y.K.; Kwong, P.K.; Lo, A.; Shum, K. Validation of the Chinese-Cantonese version of the hospital anxiety and depression scale and comparison with the Hamilton Rating Scale of Depression. Acta Psychiatr. Scand. 1999, 100, 456–461. [Google Scholar] [CrossRef]
- Malasi, T.H.; Mirza, I.A.; el-Islam, M.F. Validation of the Hospital Anxiety and Depression Scale in Arab patients. Acta Psychiatr. Scand. 1991, 84, 323–326. [Google Scholar] [CrossRef]
- Tilton, S.; Charles, D.; Lushene, R.E.; Jacobs, G.A. Review of the State-Trait Anxiety Inventory (STAI). News Notes 2008, 48, 1–3. [Google Scholar]
- Laux, L.; Glanzmann, P.; Schaffner, P.; Spielberger, C.D. Das State-Trait-Angstinventar. Theoretische Grundlagen und Handanweisung; Beltz Test: Weinheim, Germany, 1981. [Google Scholar]
- del Río Olvera, F.J.; Santamaría, F.C.; Cabello García, M.A.; Vela, J.A. Cuestionario de Ansiedad Estado Rasgo (STAI): Análisis psicométrico y funcionamiento en una muestra de drogodependientes y controles. [State Trait Anxiety Inventory (STAI): Psychometric analysis and functioning in a sample of drug addicts and controls]. Univ. Psychol. 2018, 17, 1–10. [Google Scholar]
- Spielberger, C.D.; Bruchon-Schweitzer, M.; Paulhan, I. STAI-Y Inventaire D’anxiété État-Trait Forme Y; Editions du Centre de psychologie appliquée: Paris, France, 1993; Volume 1. [Google Scholar]
- Spielberger, C.; Goruch, R.; Lushene, R.; Vagg, P.; Jacobs, G. Manual for the State-Trait Inventory STAI (Form Y); Mind Garden: Palo Alto, CA, USA, 1983. [Google Scholar]
- Spielberger, C.; Sydeman, S.; Maruish, M. State-trait anxiety inventory and state-trait anger expression inventory. In The Use of Psychological Testing for Treatment Planning and Outcome Assessment; Lawrence Erlbaum Associates, Inc.: Hillsdale, NJ, USA, 1994; pp. 292–321. [Google Scholar]
- Goldberg, D.P.; Hillier, V.F. A scaled version of the General Health Questionnaire. Psychol. Med. 1979, 9, 139–145. [Google Scholar] [CrossRef]
- Lobo, A.; Pérez-Echeverría, M.J.; Artal, J. Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychol. Med. 1986, 16, 135–140. [Google Scholar] [CrossRef]
- Klaiberg, A.; Schumacher, J.; Brähler, E. General Health Questionnaire 28 (GHQ-28): Teststatistische Überprüfung einer deutschen Version in einer bevölkerungsrepräsentativen Stichprobe. Z. Klin. Psychol. Psychiatr. Psychother./Im. Auftr. Görres-Ges. 2004, 52, 237–251. [Google Scholar]
- Piccinelli, M.; Bisoffi, G.; Bon, M.G.; Cunico, L.; Tansella, M. Validity and test-retest reliability of the Italian version of the 12-item General Health Questionnaire in general practice: A comparison between three scoring methods. Compr. Psychiatry 1993, 34, 198–205. [Google Scholar] [CrossRef] [PubMed]
- Schmidt, S.; Mühlan, H.; Power, M. The EUROHIS-QOL 8-item index: Psychometric results of a cross-cultural field study. Eur. J. Public Health 2005, 16, 420–428. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Rocha, N.; Power, M.; Bushnell, D.; Fleck, M. The EUROHIS-QOL 8-item index: Comparative psychometric properties to its parent WHOQOL-BREF. Value Health J. Int. Soc. Pharmacoecon. Outcomes Res. 2012, 15, 449–457. [Google Scholar] [CrossRef] [Green Version]
- Bullinger, M.; Quitmann, J.; Power, M.; Herdman, M.; Mimoun, E.; DeBusk, K.; Feigerlova, E.; Lunde, C.; Dellenmark-Blom, M.; Sanz, D.; et al. Assessing the quality of life of health-referred children and adolescents with short stature: Development and psychometric testing of the QoLISSY instrument. Health Qual. Life Outcomes 2013, 11, 76. [Google Scholar] [CrossRef] [Green Version]
- Rohenkohl, A.C.; Bullinger, M.; Quitmann, J. Quality of life in children, adolescents, and young adults with achondroplasia. Orthopade 2015, 44, 212–218. [Google Scholar] [CrossRef]
- Sommer, R.; Blömeke, J.; Bullinger, M.; Quitmann, J. The psychometric evaluation of the quality of life in short stature youth (QoLISSY) instrument for German children born small for gestational age. J. Endocrinol. Investig. 2018, 41, 1185–1191. [Google Scholar] [CrossRef]
- Drosatou, C.; Vlachopapadopoulou, E.-A.; Bullinger, M.; Quitmann, J.; Silva, N.; Salemi, G.; Pavlopoulou, I.; Michalacos, S.; Tsoumakas, K. Validation of the Greek version of the Quality of Life in Short Stature Youth (QoLISSY) questionnaire. J. Pediatr. Endocrinol. Metab. 2019, 32, 215–224. [Google Scholar] [CrossRef]
- Petch, J.; Halford, W.K. Psycho-education to enhance couples’ transition to parenthood. Clin. Psychol. Rev. 2008, 28, 1125–1137. [Google Scholar] [CrossRef] [Green Version]
- Hoffenaar, P.J.; van Balen, F.; Hermanns, J. The Impact of Having a Baby on the Level and Content of Women’s Well-Being. Soc. Indic. Res. 2010, 97, 279–295. [Google Scholar] [CrossRef]
- Evenson, R.J.; Simon, R.W. Clarifying the relationship between parenthood and depression. J. Health Soc. Behav. 2005, 46, 341–358. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- UMBERSON, D.; GOVE, W.R. Parenthood and Psychological Well-Being:Theory, Measurement, and Stage in the Family Life Course. J. Fam. Issues 1989, 10, 440–462. [Google Scholar] [CrossRef]
- Nomaguchi, K.M.; Milkie, M.A. Costs and rewards of children: The effects of becoming a parent on adults’ lives. J. Marriage Fam. 2003, 65, 356–374. [Google Scholar] [CrossRef]
- Keating-Lefler, R.; Wilson, M.E. The experience of becoming a mother for single, unpartnered, Medicaid-eligible, first-time mothers. J. Nurs. Sch. 2004, 36, 23–29. [Google Scholar] [CrossRef]
- Nehring, I.; Riedel, C.; Baghi, L.; Moshammer-Karb, T.; Schmid, R.; Kries, R.V. Psychosocial situation of families with chronically ill children: A survey of parent initiatives. Gesundheitswesen 2015, 77, 102–107. [Google Scholar] [CrossRef]
- Hentinen, M.; Kyngäs, H. Factors associated with the adaptation of parents with a chronically ill child. J. Clin. Nurs. 1998, 7, 316–324. [Google Scholar] [CrossRef] [PubMed]
- Wallander, J.L.; Varni, J.W. Effects of pediatric chronic physical disorders on child and family adjustment. J. Child. Psychol. Psychiatry 1998, 39, 29–46. [Google Scholar] [CrossRef] [PubMed]
- von Hagen, C.; Schwarz, H.P. Psychische Entwicklung bei Chronischer Krankheit im Kindes-und Jugendalter; Kohlhammer Verlag: Stuttgart, Germany, 2009. [Google Scholar]
- de Schepper, J. Listening to the parents of short stature children: The role of the pediatrician. Pediatrie 1990, 45, 71–73. [Google Scholar]
Authors | Population; Country | Study Design | Aim of the Study and Measure Method | Results |
---|---|---|---|---|
Casana-Granell, Lacomba-Trejo, Montoya-Castilla and Perez-Marin [44] | 145 principal caregivers of short-statured children aged 12–17 years; Spain | Cross-sectional study | Measuring stress levels of parents using PIP and their emotional distress using HADS | HADS: 47.6% showed symptoms of anxiety, 17.2% showed symptoms of depression. PIP: 44.2–62.7% showed high stress levels concerning caregiving. |
Majewska, Stanisławska-Kubiak, Wiecheć, Naskręcka, Kędzia and Mojs [37] | 101 mothers of children aged 5–16 years with IGHD or unknown cause for growth failure; Poland | Cross-sectional study | Assessing anxiety levels in mothers using the STAI | Trait anxiety: low in all recruited mothers; state anxiety: medium levels; mothers of children without diagnosis presented significantly higher levels of anxiety than mothers of children without diagnosis, as did mothers of younger children. |
Brod, Rasmussen, Alolga, Beck, Bushnell, Lee and Maniatis [43] | 243 parents of IGHD children aged 4 to <13 years; UK and the USA | Non-interventional | Describing the psychometric validation data for the three measures, namely GHD-CTB-Child, GHD-CTB-Observer, and GHD-PTB | Mean scores of the GHD-PTB ranged from 0.35 to 1.28. Treatment-naïve participants improved for the Emotional and Overall domains (−16.6 and −8.6 points) after 12 weeks. |
Brod, Alolga, Beck, Wilkinson, Højbjerre and Rasmussen [35] | 31 parents of children aged from 4–13 years with IGHD; Germany, the UK, and the USA | Cross-sectional study | Focus groups or telephone interviews guided by a semi-structured interview guide to understanding emotional well-being of parents of IGHD children | 47% of parents worried for their child, 38% felt angry/frustrated over the reaction of others, 29% felt relieved receiving diagnosis, 12% were pressured in parenting and managing treatment for their child. |
Brod, Højbjerre, Alolga, Beck, Wilkinson and Rasmussen [40] | 31 parents of IGHD children aged 4–13 years treated with growth hormone; Germany, the UK, and the USA | Cross-sectional study | Focus groups or telephone interviews guided by a semi-structured interview guide to explore the parents’ burden of hGH treatment | Parents worried about hGH treatment administration (59%), causing pain to their child (38%), and medication costs (15%); 12% were affected in daily activities; 50% felt limited in family travel, 32% needed time to prepare child for injection. |
Marini, Chesi, Mazzanti, Guazzarotti, Toni, Salerno, Officioso, Parpagnoli, Angeletti, Faienza, Iezzi, Aversa and Sacchetti [39] | 72 parents of children aged 8–17 years with IGHD; Italy | Cross-sectional study | Narrative-based approach to collect stories from parents to understand their points of view | “Waiting for diagnosis”: 55% lived with anxiety; “difficulties of hGH treatment”: 33% had organizational issues, for 21% it was painful task; “expressed worries”: 67% worried about side effects of hGH treatment. |
Quitmann, Rohenkohl, Sommer, Petzold and Bullinger-Naber [19] | 31 parents of IGHD/ISS children aged 4–18 years; Germany | Cross-sectional study | Developing measurement tool to capture HRQOL in IGHD/ISS children and the view of the parents with focus group discussions | Main burdens expressed: comparison of height, everyday problems, future anxieties, and social stigmatization through others. |
Silva, Bullinger, Sommer, Rohenkohl, Witt and Quitmann [25] | 238 parents of IGHD/ISS children aged 8–18 years; France, Germany, Spain, Sweden, and the UK | Cross-sectional study | Levels of caregiving stress and HRQOL of parents were raised by parents reporting on their HRQOL via EUROHIS-QOL-8 Index and caregiving stress via QoLISSY scale “effects on parents” | Parents of currently short-statured children: greater caregiving stress than parents of children with normal height; significant indirect effect of children’s psychosocial functioning on parents’ HRQOL via caregiving stress (p < 0.01). |
Bloemeke, Silva, Bullinger, Witt, Dörr and Quitmann [42] | Parents of children aged 4–18 years with IGHD (n = 65) or SGA (n = 58) starting hGH treatment; ISS children (n = 31) and the parents served as he control group (T0: n = 152 parents; T1: n = 126 parents); Germany | Prospective observational study | Evaluating the QoLISSY questionnaire as a health-outcome indicator of hGH interventions by assessing HRQOL before the start of hGH treatment (baseline, T0) and at 12 months after the start (T1) with KIDSCREEN-10 Index and QoLISSY questionnaire | QoLISSY questionnaire detected changes in parents’ HRQOL between treated and untreated patients. Parents of untreated children: higher HRQOL at T0 in domain “future” than parents of children in treated group; improvement on “effects on parents” from T0 to T1 for both intervention and control groups on QoLISSY. |
Quitmann, Giammarco, Maghnie, Napoli, Di Giovanni, Carducci, Mohn, Bullinger and Sommer [34] | 20 parents of IGHD/ISS children aged 4–18 years; Italy | Cross-sectional study | Testing the QoLISSY questionnaire in Italy by undergoing focus group discussions and a cognitive debriefing-process | “Effects on parents”: second-largest category with about 20% of codes. HGH treatment organization was main concern; 10 out of 31 parents expressed future anxieties. |
Visser-van Balen, Geenen, Kamp, Huisman, Wit and Sinnema [41] | 38 parents of children aged 11–13 years with ISS (n = 26) or SGA (n = 12); Netherlands | Cross-sectional study | Structured interviews and CBCL to understand the motives of parents for choosing hGH treatment | Two out of three parents: worries about future opportunities; 44.5% expected their child to have lower prospects in the labor market; 39% expected their child to have a lower prospect of finding a spouse. |
Hitt, Ginsburg, Cousounis, Lipman, Cucchiara, Stallings and Grimberg [36] | 166 parents of children with IGHD/ISS (6–16 years) seeking EP; USA | Cross-sectional study | Exploring factors that influence parental decision making to seek hGH treatment for their short-statured child by utilizing a survey | Efficacy and side effects concerned most parents (64%), 60% were concerned about comparison of their child with others, 54% about health in general. |
de Silva and de Zoysa [38] | 74 parents of children aged 8–18 years with IGHD; Sri Lanka | Cross-sectional study | Gathering mental health difficulties of parents using the GHQ-30 | 54% of parents seemed to have mental health difficulties, 70% of them were mothers. |
Haverkamp and Noeker [33] | 442 parents of children (mean age 10.6 years) with different pathological growth disorders (IGHD n = 79, ACH n = 47, TS n = 225, FSS n = 38, CDPG n = 53); Germany | Cross-sectional study | Testing new questionnaire for parents of short-statured children with four dimensions: “suffering”, “future anxieties”, “behavioral problems”, and “coping efforts”; comparison between IGHD and ACH | Parents of IGHD children scored low on all scales; 15.2% feared secondary psychological problems due to hGH treatment, future anxieties stressed 13.9%. Parents’ main sources of energy: good relationships with medical staff, medical intervention, and family. |
Rotnem, Cohen, Hintz and Genel [16] | Families of hypopituitary IGHD children with a mean age of 11.3 years (n = 11 parents); USA | uncontrolled before-and-after study | Structured and open-ended interviews with parents before and during one year of hGH treatment about experiences and resources | Doubts about maternal competence and overprotectiveness. Defenses: denial, rationalization, and reaction formation through incorporation with organizations. |
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Lackner, L.; Quitmann, J.; Kristensen, K.; Witt, S. Health-Related Quality of Life, Stress, Caregiving Burden and Special Needs of Parents Caring for a Short-Statured Child—Review and Recommendations for Future Research. Int. J. Environ. Res. Public Health 2023, 20, 6558. https://doi.org/10.3390/ijerph20166558
Lackner L, Quitmann J, Kristensen K, Witt S. Health-Related Quality of Life, Stress, Caregiving Burden and Special Needs of Parents Caring for a Short-Statured Child—Review and Recommendations for Future Research. International Journal of Environmental Research and Public Health. 2023; 20(16):6558. https://doi.org/10.3390/ijerph20166558
Chicago/Turabian StyleLackner, Lea, Julia Quitmann, Kaja Kristensen, and Stefanie Witt. 2023. "Health-Related Quality of Life, Stress, Caregiving Burden and Special Needs of Parents Caring for a Short-Statured Child—Review and Recommendations for Future Research" International Journal of Environmental Research and Public Health 20, no. 16: 6558. https://doi.org/10.3390/ijerph20166558