Mental Health Status Of Parents Research Articles

The association of stress perception on anxiety, depression and sleep quality in parents of children with burns: The moderating effect of social support

ObjectiveFew studies have explored the mental health status of parents of children with burns and the moderating effect of social support on them. MethodsA survey was performed with parents of 112 burn-injured children at a burn center in China. Their perceived stress, anxiety, depression, sleep quality, and social support were measured by the Chinese Perceived Stress Scale, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, and Perceived Social Support Scale. Results➀ The prevalence of anxiety (46.43%), depression (52.67%) and poor sleep quality (43.75%) of parents indicated that they experienced emotional and sleep disorders;➁ The perceived stress was positively correlated with sleep quality, anxiety and depression（P＜0.01), and negatively correlated with perceived social support (p＜0.05); ➂ Social support had a significant moderating effect on their perceived stress and anxiety, depression, but not on their sleep quality. With high social support, parental perceived stress had a significant positive association on anxiety and depression, while with low perceived social support, parental perceived stress had no significant association on anxiety and depression. ConclusionParents of burned children had increased stress, obvious symptoms of anxiety and depression, and poor sleep quality. Social support had a significant buffering effect on them under low pressure, and high pressure will hinder the buffering effect of social support on stress. Therefore, the ideal services to improve mental health should be provided for them to face different levels of stress.

Analysis of the anxiety level and influencing factors during the coronavirus disease 2019 epidemic among the parents of students in China.

Due to the outbreak of Coronavirus Disease 2019, there has been a significant impact on the mental health of parents. However, no detailed study on the mental health status of parents has been conducted to date. This study was a cross-sectional used a whole-group random sampling method to conduct an online questionnaire survey with 102,883 parents in Guangdong Province, China, April 25, 2020 and May 14, 2020. Anxiety was assessed by using the Generalized Anxiety Disorder tool (GAD-7). Potential factors of anxiety were estimated using univariate analysis and multivariate logistic regression analysis by SPSS 22.0 statistical software. Among the total 94,705 parents who have completed the questionnaire survey (92.05% response rate). The incidence of anxiety was 23.77%. Parents' anxiety symptoms are more likely to be caused by female family roles, higher levels of education, unemployed or jobless employment status, children not being an only child, and children having negative attitudes toward online courses. Our research shows that most parents experienced mild anxiety during the Coronavirus Disease 2019 epidemic. Our findings provide strong evidence for investigating and focusing on the mental health of this population during the COVID-19 epidemic. Therefore, governments and healthcare departments at all levels should actively provide psychological counseling services to relieve their anxiety symptoms.

Parents of children who are victims of trauma, allies or adversaries?

Introductiontrauma affects not the child but the whole family. how would the parents’ reaction to trauma influence the child’s resilience capacities?Objectivesstudy the mental health status of parents of children consulting the trauma and resilience unit.MethodsDescriptive and retrospective study of 20 consultants in the trauma and resilience unit at Mongi Slim hospital between January and April 2022. The evaluation of depressive symptoms in children was made by Children's Depression Inventory (CDI). The Hamilton Depression and Anxiety Scales were used to assess anxiety and depressive symptomatology in the parents of the consultants.ResultsThe mean age of the children was 10.46±3.24.The traumatic event was related to an assault in 75% of cases, 45% of which were intrafamilial, road accident and death of a relative in 10% respectively, 5% domestic violence.Five consultants had a CDI score ≥8 and 15 had a score >10. Only parents of children with a CDI score>19 had moderate to severe symptoms according to hamilton scales.The diagnosis of adjustment disorder was made in 45% of cases, post-traumatic stress disorder 20%, acute stress disorder 10% other 15%ConclusionsThe parents’ reaction to the tragedy would play a modulating role on the children’s resilience capacities. less anxious and depressed parents would help their child build his/her coping mecanisms.Disclosure of InterestNone Declared

Socio-economic and psychosocial determinants of violent discipline among parents in Asia Pacific countries during COVID-19: Focus on disadvantaged populations

BackgroundMobility restrictions and economic downfall as a result of the COVID-19 pandemic may increase the risk of child maltreatment, including increased risk for violent discipline use by parents. ObjectiveWe examined the socio-economic and psychosocial determinants of violent discipline among parents against children in Asia Pacific countries. Participants & settingsThis secondary data analysis included 7765 parents with children 6–18 years old in eight Asia Pacific countries. Methods24 potential determinants were identified, including household demographic factors, parents' psychosocial status, and livelihood changes. The dependent variable was parental use of violent discipline (physical, severe physical, psycho-social aggression, and any violent discipline). Univariate and multivariable logistic regression analysis was conducted. ResultsA total of 41 % of households reported violent discipline. Parental demographic characteristics that were positively related to use of violent discipline were living in rural areas, not being a household head, female sex, age younger than 35 years, and large family size. Poor parental mental health status, loss of job or reduced income due to COVID-19, lack of food at household level, parent engagement in petty trade, and owning a business also predicted violent discipline. Mandatory curfew and receiving pandemic-related education materials were also positive predictors. ConclusionSome socio-demographic factors, economic hardship due to COVID-19, and poor mental health status of parents are associated with the use of violent discipline against children in the Asia Pacific region. These results highlight several potential target areas for child protection interventions by governmental and non-profit organizations, including economic, social, and mental health interventions.

Mental health in relation to parents of children with disabilities in india

Parenting is regarded as the most amazing experience a person can have, and it is true to say that parents are essential in assisting children in growing and developing to the fullest extent possible. However, the most beautiful phase may become challenging if the child deviates from normalcy. Speaking of children with disabilities, parents of children with disabilities experience such social, psychological, emotional, and physical disturbances in life as their children strongly rely on them for their fundamental needs such as food, life skills, special education, safety, and care, etc. Worry, anxiety, despair, overprotection, rejection, and self-blame are all typical feelings for parents when they discover their child's condition. They are found to be frequently struggling with social situations as well. In such a condition, how can a parent be expected to have both balanced psychological well-being and a healthy parenting style? In order to highlight the importance of the delivery of appropriate interventions at the right moment to support parents in need, the researchers felt the need to conduct a study related to the dimensions and mental health status of parents of children with disabilities. For this study, a sample of 50 parents having children with disabilities (CwDs) and 50 parents having children without any disability (Cw/oDs) was prepared. The Mithila Mental Health Status Inventory was used to gather the data from the sample taken from Delhi, India. The hypothesis was framed and tested through descriptive and inferential statistical tools. In the end, the findings revealed that there was emotional instability, alienation, and egocentrism among parents of CwDs, and it was ultimately determined that the mental health of the parents of CwDs was poor. The mental health of parents of Cw/oDs was estimated to be average, with low levels of social alienation, emotional instability, and emotional nonconformity. Additionally, there was a statistically significant difference between the mental health of CwD parents and Cw/oD parents. The study proposes that since a parent's mental health directly affects how they parent their child, practitioners who work with families of CwDs must inquire about the mental strength of the parents and offer advice on coping mechanisms in order to reduce the stress levels of the parents. The good mental health of the parent is directly related to the quality of life of the entire family.

The Children with Hearing Disabilities: Mothers’ General Health Status and Children’s Quality of Life

Background: Having disabled children can definitely hurt the mental health status of parents, especially mothers, and even directly affect children’s behaviors as well as their adaptability and progress during all care and rehabilitation programs. Objectives: The main purpose of this study was to investigate general health status of mothers having children with hearing disabilities and reflect on children’s quality of life (QoL). Methods: This descriptive-analytical study was performed on all children with hearing disabilities covered by the State Welfare Organization (SWO) of Iran in northern Khuzestan province in 2019. Accordingly, a total of 44 children aged 1 - 6 years and their mothers were included. The data were collected using a demographic characteristics information form, the 28-item General Health Questionnaire (GHQ) and the Netherlands Organization for Applied Scientific Research Academic Medical Centre (TNO-AZL) Preschool Children Quality of Life (TAPQOL) questionnaire. The data were entered into the SPSS Statistics software (ver. 22) and analyzed using descriptive statistics, Pearson correlation coefficient, Spearman’s rank-order correlation coefficient, and chi-square test. Results: According to the results, 79% of the mothers had severe general health problems. The severity of such problems had further elevated in the dimensions of “physical symptoms”, “anxiety and sleep disorders”, “depression”, and “social functioning”, respectively. The mean score of the children’s QoL was 79.13 ± 14.48, which was at a moderate level. The study findings showed a significant relationship between some demographic characteristics and the mothers’ general health status and the children’s QoL. Moreover, there was a reciprocal correlation between mothers’ general health and children’s QoL scores (P = 0.049, r = -0.29). Conclusions: Although QoL in the children having hearing disabilities was at a moderate level, the majority of mothers had severe general health problems. The study results could be useful for health system officials in terms of the promotion of children’s QoL by designing and implementing programs to improve the general health status of the mothers of these children.

Relationships Between Anxiety Symptoms, Hopelessness and Suicidal Ideation Among Parental Caregivers of Mandarin-Speaking Children With Speech Impairment: The Mediating Effect of Depressive Symptoms.

Background: Determining the mental health status of parents who chronically care for a child with speech impairment is important for developing appropriate interventions to improve both parents' and children's health and achieve a win-win situation. Unfortunately, no study in China has explored this issue. This study investigated the differences in four aspects of mental health between maternal and paternal caregivers for the Mandarin-speaking children with speech impairment and determine whether depressive symptoms mediate the relationships between anxiety symptoms and suicidal ideation, hopelessness and suicidal ideation.Methods: This cross-sectional questionnaire survey was conducted in February 2020 by sending a link to the predesigned electronic questionnaire in WeChat. Standardized assessment tools were employed. Hierarchical multiple logistic regression was conducted to examine the associations between various factors and suicidal ideation, and two separate structural equation models were performed to evaluate the mediating effects of depressive symptoms in the relationship between anxiety symptoms and suicidal ideation as well as between hopelessness and suicidal ideation.Results: This study included 446 parental caregivers of Mandarin-speaking children with speech impairment. Paternal caregivers had greater score than maternal caregivers on loss of motivation (one of the subdomains of hopelessness). Somatic complications of the child (OR = 2.73, 95% CI: 1.09–6.67) and depressive symptoms (OR = 3.38, 95% CI: 1.83–6.30) were positively associated with caregivers' suicidal ideation. Having speech therapy of child (OR = 0.54, 95% CI: 0.29–0.98) was negatively correlated with caregivers' suicidal ideation. There was direct effect of depressive symptoms on suicidal ideation. Depressive symptoms play mediating roles on the relationships between anxiety symptoms (β = 0.171, p < 0.001) as well as between hopelessness and suicidal ideation (β = 0.187, p < 0.001).Conclusions: Paternal and maternal caregivers of Mandarin-speaking children with speech impairment suffered from mental health problems. Preventive strategies and interventions to ameliorate parental psychological well-being, and health care policies to increase the accessibility to speech therapy care of children with speech impairment are imperative.

Mental health status of parents of young patients with high myopia.

ObjectiveThe study aim was to investigate the mental health status of parents of patients with high myopia using the Symptom Checklist-90 (SCL-90).MethodsThe parents of 160 young patients with high myopia (high myopia group) and 80 healthy children (control group) participated in the study. The SCL-90 was used to evaluate mental health status. The SCL-90 total score and scores on each factor were calculated and compared between the two groups.ResultsThe total SCL-90 score, total mean score, positive score and scores on somatization, interpersonal sensitivity, depression, anxiety, hostility, psychosis, diet and sleep were significantly higher in fathers and mothers of patients with high myopia than in parents of control group children. There were statistically significant between-group differences in the above indices.ConclusionParents of children with high myopia are more likely to develop mental health problems than parents of healthy children. This suggests that mental health interventions for parents should not be ignored in the treatment and control of high myopia patients.

Mood and anxiety disorders among adolescent students in Jordan.

Mental disorders in adolescents have negative impacts on aspects of health and life that can be reduced by early detection and referral. This study aimed to estimate the prevalence of mood and anxiety disorders and to investigate their association with gender and other socio-demographic factors among adolescent students. A descriptive cross-sectional design was used in this study. A sample of 1103 adolescent students was recruited from schools who completed the first two sections of Patient Health Questionnaire for Adolescents (PHQ-A). The prevalence of any mental disorders was 28.6%. The prevalence of mood and anxiety disorders was 22.4% and 16.3%, respectively. Significant associations were found between mental disorders and gender, age, living status with parents, or mental health status of parents. Further studies are needed to be conducted in Jordan in order to understand the nature and risk factors of mental disorders among adolescents. School and community-based mental health screening, promotion and prevention programmes are recommended to prevent and reduce the prevalence of mental disorders among adolescents.

The impact of offspring marital status on depressive symptoms of parents: findings from the Korean Longitudinal Study of Aging.

Noticeable demographic changes have taken place in South Korea, with the general marriage rate decreasing and the average first age at marriage and general divorce rate increasing. The shown trends have contributed to intergenerational discordance in the perception of familial values, which is important in addressing the psychological well-being of parents. This study aimed to investigate the association between the marital status of offspring aged 40 years and over and the depression levels of parents. Data were from the Korean Longitudinal Study of Aging (KLoSA), 2006-2012. A total of 2,540 individuals with at least two offspring aged 40 years and over were included. Association between offspring marital status and parental depression scores, measured using the Center for Epidemiological Studies and Depression (CES-D 10) scale, was investigated using the generalized estimating equation (GEE) model. Subgroup analysis was performed based on offspring education level. When parents with only married offspring were set as reference, parents with never married offspring (β: 0.27, p = 0.02), parents with separated offspring (β: 0.52, p = 0.03), and parents with never married offspring and separated offspring (β: 0.38, p < 0.001) showed increases in depression scores. In the subgroup analysis, these higher depression score effects were largely limited to parents with high school graduate offspring. It is important to monitor the mental health status of parents with never married, separated, or both never married and separated offspring as this group may be comparatively vulnerable to depressive symptoms.

The influence of early education on parents' mental health

Objective To investigate the mental health status of parents who adhere to participate in early education class.Methods By use of Symptom check list-90 (SCL-90),we assessed mental health status of parents who adhered to participate in early education class when their babies were 4,6 months old,which was compared with that of parents who did not adhere to participate in early education.Results There were differences in positive cases in terms of somatization,obsessive-compulsive symptom,depression,anxiety between two groups when their babies were 4,6 months old (40 vs.119,20 vs.81,P ＜ 0.05).Conclusion Early education has a positive impact on mental health of parents,can effectively alleviate symptoms of somatization,OCD,anxiety and depression. Key words: Early education; Parents; Mental health

Health behaviours and mental health status of parents with intellectual disabilities: cross sectional study

ObjectivesThe authors sought to: (1) estimate the prevalence of health behaviours, mental health and exposure to social determinants of poorer health among parents with and without intellectual disability; and (2) determine the extent to which between-group differences in health behaviours/status may be attributable to differential exposure to social determinants of poorer health. Study designCross sectional survey. MethodsSecondary analysis of confidentialized needs analysis data collected in three Primary Care Trusts in England on 46,023 households with young children. ResultsHouseholds containing a parent with intellectual disabilities are at increased risk of: (1) poorer parental mental health, parental drug and alcohol abuse and smoking; (2) exposure to a range of environmental adversities. Controlling for the latter eliminated the increased risk of poorer health for single parent households headed by a person with intellectual disabilities. For two parent headed households, risk of poorer parental mental health remained elevated. ConclusionsThe poorer health of parents with intellectual disability may be accounted for by their markedly greater risk of exposure to common social determinants of poorer health rather than being directly attributable to their intellectual disability.

Psychological problems and nursing intervention in parents of children with epilepsy at out-patient clinic

Objective To evaluate mental health status of parents of children with epilepsy and to establish relevant nursing intervention strategies.Methods One hundred and six parents of children with epilepsy were randomly selected from out-patient in clinic.Mental health status was evaluated using the SCL-90 scale.Results The total score of SCL-90 scale was ( 152.29 ±23.71 ) and it' s higher than normal controls ( 129.60 ± 0.32),the difference was significant ( t =9.86,P ＜ 0.01 ).The scores for somatization,depression,anxiety,hostility,paranoid and the number of positive events in parents of children with epilepsy were significantly higher than that of the normal controls.Metal status of parents of children with epilepsy was improved obviously after specific psychology intervention,the difference was significant [ ( 152.29 ± 23.71 ) vs ( 126.40 ± 10.23 ) ;t =10.32,P ＜ 0.01 ].Conclusions Our data indicated that there were many mental health issues existed in parents of children with epilepsy.Significant improvement to psychological status was obtained after receiving proper nursing intervention. Key words: Epilepsy; Intervention strategies; Psychological nursing; Parents of children