Clubfoot Deformitesine İlişkin Ebeveyn Kaygısı ve Depresyonunun Değerlendirilmesi: Ebeveynin Çocuklarının Deformitesi ile İlgili Endişesi

Abstract

Amaç: Clubfoot (çarpık ayak) teşhisi ve çocuklarının yürüyememe ihtimalinin olması anne ve babalar üzerinde kaygı ve anksiyete açısından farklı etkilere neden olabilir. Bu çalışmanın amacı, clubfoot (çarpık ayak) deformitesi bulunan çocukların ebeveynlerinin çocukları yürümeye başlamadan önceki ve yürümeye başladıktan sonraki kaygı ve depresyon düzeylerini belirlemek ve anne ve babalar arasındaki kaygı ve depresyon farklılıklarını saptamaktır. Gereç ve Yöntem: Ebeveynlere sosyodemografik bilgi formu, Beck Depresyon Ölçeği (BDÖ) ve Beck Anksiyete Ölçeği (BAÖ) ilk görüşmeden önce (konsültasyon öncesi) ve çocuk yürümeye başladıktan sonra (konsültasyon sonrası) uygulandı. Bulgular: Ön görüşmede annelerin BAÖ ve BDÖ puanları (sırasıyla 13,05±10,14, 11,26±8,75) babalardan (7,93±8,02, 7,32±6,45) anlamlı derecede yüksekti (p<0,010, p=0,010). Konsültasyon sonrası anne ve babalar arasında hem BAE hem de BDE için anlamlı bir fark yoktu. Annelerin BAÖ ve BDÖ puanları konsültasyon sonrası (sırasıyla 6,73±6,18, 6,73±4,39) konsültasyon öncesine (13,05±10,14, 11,26±8,75) göre anlamlı derecede düşüktü (p<0,010, p=0,010). Babaların anksiyete ve depresyon düzeyleri konsültasyon sonrası değişmedi. Annelerin prenatal tanı zamanı ile konsültasyon sonrası BAÖ puanları arasında pozitif yönde güçlü bir korelasyon vardı (0,628, p=0,029). Sonuç: Clubfoot deformitesi ile doğan çocukların anneleri, babalara göre kaygı ve depresyona daha yatkın olabilir. Clubfootlu çocukların annelerinde görülen kaygı ve depresyon düzeyleri çocuk yürümeye başladıktan sonra azalmaktadır. Doğum öncesi dönemde clubfoot şüphesinin olma ihtimali anne tarafıından ne kadar geç öğrenilirse annenin kaygısı o kadar artmaktadır.

Keywords

• Konjenital çarpık ayak
• konjenital clubfoot
• maternal psikolojik durum
• ebeveynler.

Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity

Abstract

Objective: Having a child diagnosed with clubfoot and the anxiety about not being able to walk may have different effects on the mother and father. The present study aims to determine the anxiety and depression levels in parents of children with clubfoot before and after the child started walking and detect differences between mothers and fathers in terms of anxiety and depression. Material and Methods: Parents of the children were administered the sociodemographic form, Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) before the first consultation (pre-consultation) and after the child started walking (post-consultation). Results: Mothers’ BAI and BDI scores (13.05±10.14, 11.26±8.75, respectively) were significantly higher than fathers (7.93±8.02, 7.32±6.45) in pre-consultation (p<0.010, p=0.010). At post-consultation, there was no significant difference between mothers and fathers for both BAI and BDI. Mothers’ BAI and BDI scores were significantly lower post-consultation (6.73±6.18, 6.73±4.39 respectively) than pre-consultation (13.05±10.14, 11.26±8.75) (p<0.010, p=0.010). Fathers’ anxiety and depression levels did not change post-consultation. There was a positive strong correlation between prenatal timing of diagnosis and post-consultation BAI scores of mothers (0.628, p=0.029). Conclusion: Mothers may be more prone to anxiety and depression than fathers to clubfoot diagnosis. After the child starts walking, levels of anxiety and depression decrease in mothers of children with clubfoot. The anxiety of the mother increases with the delay in learning that there is a suspicion of clubfoot in prenatal terms.

Keywords

• Congenital talipes equinovarus
• congenital clubfoot
• maternal psychological status
• parents.

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