scholarly journals Perceived mental health in parents of children with rare congenital surgical diseases: a double ABCX model considering gender

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Johannes Boettcher ◽  
Holger Zapf ◽  
Mareike Fuerboeter ◽  
Rojin Nazarian ◽  
Konrad Reinshagen ◽  
...  

Abstract Background Previous research has supported the utility of the Double ABCX model of family adaptation for parents in various diseases. Nonetheless, it remains unclear how raising a child with rare congenital surgical diseases impacts the mental health of both mothers and fathers. Methods The potential predictors of maternal and paternal mental health in a German sample of 210 parents of children with rare congenital surgical diseases were investigated. Parents were investigated cross-sectionally utilizing standardized psychometric questionnaires that assessed factors attributed to parental adaptation within the Double ABCX model. Results Stressor pile-up, family functioning, perceived stress, and mental health were positively associated with mothers and fathers. However, further analyses revealed that family functioning, social support, and perceived stress fully mediated the positive association between stressor pile-up and mental health in mothers, but not fathers. Conclusion Our findings suggest that parental adaptation to a rare congenital surgical disease in their children may be improved by increased intra- and extrafamilial resources and decreased perceived family-related stress in mothers, but not fathers. Our results may help to identify gender-specific factors that may guide clinicians and future interventions.

2016 ◽  
Vol 19 ◽  
Author(s):  
Mohd. Ashik Shahrier ◽  
Md. Nurul Islam ◽  
Mou-Mita Debroy

AbstractThe study aimed to explore whether McCubbin and Patterson’s Double ABCX model of stress and adaptation can promote a better understanding of the impacts of social support, definition of the stressor and coping strategies on stress and adaptation of the primary caregivers of Intellectually Disabled (ID) children above and beyond the effects of other factors. Structured Interview Schedule, Perceived Stress Scale (Keya, 2006) and Social Adjustment Scale (Mahmuda & Parvin, 2005) were administered on 130 caregivers of ID children and 140 caregivers of typically developing children recruited conveniently. Findings reveal that stress and adaptation of the caregivers of ID children were significantly positively associated (r = .429, p < .01). Significant variations in stress and adaptation of the caregivers of ID children were found in terms of children’s disability types (F = 14.50, df = 4/120, p < .001 for stress; F = 11.92, df = 4/120, p < .001 for adaptation) and severity of disability (F = 5.21, df = 1/120, p < .05 for stress; F = 11.14, df = 1/120, p < .01 for adaptation). Factors of the Double ABCX model of stress and adaptation created significant variations in stress (F = 17.94, df = 3/121, p < .001) and adaptation (F = 9.96, df = 3/121, p < .001) of the caregivers of ID children above and beyond the effects of other factors. The findings suggest that the Double ABCX model is valuable in understanding stress and adaptation of the primary caregivers of ID children.


2021 ◽  
Vol 3 ◽  
Author(s):  
Amber L. Pearson ◽  
Teresa Horton ◽  
Karin A. Pfeiffer ◽  
Rachel Buxton ◽  
Joseph Gardiner ◽  
...  

Despite a growing number of research outputs on the importance of nature contact during the COVID-19 pandemic, we know of no longitudinal research conducted prior to and during the pandemic among low-income and minority ethnicity populations, i.e., those that might be most affected. Furthermore, we have scant information about how and to what degree contact with nature might protect mental health or mitigate worsening of mental health during the pandemic. We filled these gaps using a subset of a longitudinal study of n = 86 individuals in low-income, predominantly African American, neighborhoods in Detroit, MI, USA. The study addressed the following research questions: (1) did self-reported use and perceived value of nature change during, vs. prior to, the pandemic; (2) did perceived access to outdoor spaces buffer people against mental health issues such as stress, anxiety and depression symptoms; or (3) did objectively measured quality of nature views from home buffer people against mental health issues, taking into account relevant covariates and pandemic experiences (e.g., loss of employment, death of a friend/relative)? While attitudes to nature improved slightly from pre- to during the pandemic, we also observed significant decreases in most types of outdoor physical activity and passive enjoyment of nature (e.g., smelling plants/rain). We found a positive association between visibility of greenspace and perceived stress and anxiety, which not only contradicts previous research findings, but was especially surprising given that overall there was a decrease in perceived stress from 2019–2020. We did not detect associations between perceived access/use of nature and mental health. However, higher depressive symptoms were associated with exposure to more COVID-19-related stressors (lost employment, death of friends from COVID-19, etc.). Taken together, our results indicate that COVID-19 may serve to prolong or exacerbate mental health issues, rather than create them, in this population and that low quality greenspace may perhaps limit the ability for nature view to buffer mental health during the pandemic.


Author(s):  
Peggy Henninger ◽  
Donna M. L. Heretick

Previous research supports application of the Double ABCX model of family adaptation of parents of children with autism spectrum disorder and other pervasive developmental disorders. This is the first study to consider processes of adaptation among parents of children with agenesis of the corpus callosum (ACC). Using a quantitative cross-sectional design, an international sample of 266 mothers of children, aged 12 or under, with ACC completed an online survey. Parental reports of stress, resources, coping, and sense of coherence were evaluated as predictors of four subdimensions of parental quality of life for 178 mothers. In general, findings support the Double ABCX model as a viable approach to understanding processes that are related to quality of life among this group of mothers.


1997 ◽  
Vol 27 (3-4) ◽  
pp. 17-37 ◽  
Author(s):  
Scott W. Plunkett ◽  
Maria G. Sanchez ◽  
Carolyn S. Henry ◽  
Linda C. Robinson

Author(s):  
Johannes Boettcher ◽  
Jonas Denecke ◽  
Claus Barkmann ◽  
Silke Wiegand-Grefe

(1) Parents caring for children and adolescents with rare diseases fear the long-term progression of the child’s disease and the loss of their parental role. The aim of this study was to examine the quality of life, mental health and associated protective factors of mothers and fathers caring for children with rare diseases requiring mechanical long-term ventilation. (2) In a cross-sectional design, data on quality of life, mental health, coping mechanisms, social support and family functioning from n = 75 affected families were collected using standardized psychometric questionnaires. (3) Mothers compared to fathers were significantly more impaired in their quality of life and mental health. Protective factors significantly associated with the respective outcomes for mothers were coping mechanisms, social support and family functioning, whereas for fathers solely the latter was found to be significant. Multiple regression analyses showed that family functioning may be the most important predictor of quality of life and mental health. (4) The results support the need for family-oriented care in parents of children with rare diseases. To reach optimal efficiency, health care providers should not only screen parents for psychosocial impairment but also provide interventions that consider gender-specific differences in psychological health.


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