Anxiety, Depression and Quality of Life Levels of Mothers with Children with Cerebral Palsy

Öz

INTRODUCTION: The aim of this study was to investigate the relationship between the levels of anxiety, depression and quality of life in mothers of children with cerebral palsy and motor impairment in children with cerebral palsy. MATERIALS and METHODS: 98 mothers with children diagnosed with cerebral palsy were included in the study. Sociodemographic information of the participants was recorded. The Beck Anxiety Inventory(BAI), the Beck Depression Inventory (BDI) and the World Health Organization Short Form Turkish version (WHOQOL-BREF-TR) scale were applied to the mothers. The Pediatric Functional Independence Measurement (WeeFIM), the Gross Motor Function Classification System (GMFCS) and the Bimanuel Fine Motor Function (BFMF) scores were recorded. RESULTS: Differences in GMFCS, BFMF and WeeFIM scores of children with cerebral palsy were not related to BAI and BDI scores of mothers (p>0,05). There was a significant correlation between WeeFIM score and WHOQOL-BREF-TR social relations subtitle (p<0,05). There was a significant correlation between BFMF levels and WHOQOL-BREF-TR sub-titles of general health, social relations and environmental health (p<0,05). It was observed that there was no significant relationship between GMFCS level of children and mothers' quality of life (p>0,05). CONCLUSIONS: Functional disability in children with cerebral palsy negatively affects the quality of life of mothers. Depression and anxiety levels of mothers are affected independently of the functional levels of children with cerebral palsy. It was concluded that increasing the quality of life of mothers who have children with cerebral palsy with physical, psychological and economic support would be important for mothers and their children, their families, social and professional environments.

Anahtar Kelimeler

• Cerebral palsy,anxiety,depression,quality of life

Serebral Palsili Çocuğa Sahip Annelerin Anksıyete, Depresyon Ve Yaşam Kalitesi Düzeyleri

Öz

GİRİŞ ve AMAÇ: Çalışmamızın amacı serebral palsili çocukların annelerinde anksiyete, depresyon ve yaşam kalitesi düzeyi ile serebral palsili çocukların motor bozukluk düzeyleri arasındaki ilişkiyi araştırmaktı. YÖNTEM ve GEREÇLER: Serebral palsi tanılı çocuğa sahip 98 anne çalışmaya dahil edildi. Katılımcıların sosyodemografik bilgileri kaydedildi. Annelere Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ) ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Kısa Formu Türkçe Versiyonu (WHOQOL-BREF-TR) uygulandı. Serebral palsili çocukların Pediatrik Fonksiyonel Bağımsızlık Ölçümü (WeeFIM), Kaba Motor Fonksiyon Sınıflandırma Sistemi (KMFSS) ve Bimanuel İnce Motor Fonksiyon (BİMF) skorları kaydedildi. BULGULAR: Serebral palsili çocukların KMFSS, BİMF ve WeeFIM skorlarındaki farklılıkların annelerin BAÖ ve BDÖ skorları ile ilişkili olmadığı bulundu (p>0,05). WeeFIM skoru ile WHOQOL-BREF-TR sosyal ilişkiler alt başlığı arasında anlamlı ilişki saptandı (p<0,05). BİMF seviyeleri ile WHOQOL-BREF-TR genel sağlık, sosyal ilişkiler, çevresel sağlık alt başlıkları arasında anlamlı ilişki vardı (p<0,05). Çocukların KMFSS düzeyi ile annelerin yaşam kalitesi arasında anlamlı ilişki olmadığı gözlendi (p>0,05). TARTIŞMA ve SONUÇ: Serebral palsili çocuklardaki fonksiyonel yeti yitimi annelerin yaşam kalitesini olumsuz yönde etkiler. Annelerin anksiyete ve depresyon düzeyi serebral palsili çocukların fonksiyonel düzeylerinden bağımsız olarak etkilenir. Serebral palsili çocuğa sahip annelerin fiziksel, psikolojik ve ekonomik olarak desteklenerek yaşam kalitelerinin arttırılmasının anneler ve çocukları, aileleri, sosyal ve mesleki çevreleri için önemli olacağı kanısına varılmıştır

Anahtar Kelimeler

• Serebral palsi,anksiyete,depresyon,yaşam kalitesi

Kaynakça

1. 1. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy. April 2006. Dev Med Child Neurol Suppl 2007; 109:8-14.
2. 2. Sellier E, Platt MJ, Andersen GL, et al. Decreasing prevalence in cerebral palsy: a multi-site European population-based study, 1980 to 2003. Dev Med Child Neurol 2016 Jan;58(1):85-92.
3. 3. Serdaroglu A, Cansu A, Ozkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol 2006;48(6):413-6.
4. 4. Stevenson RD, Conaway M, Chumlea WC, Rosenbaum P, Fung EB, Henderson RC et al. Growth and health in children with moderate-to-severe cerebral palsy. Pediatrics 2006;118:1010-18.
5. 5. Ones K, Yilmaz E, Cetinkaya B, Caglar N. Assessment of the quality of life of mothers of children with cerebral palsy (primary caregivers). Neurorehabil Neural Repair 2005;19:232-7.
6. 6. Yilmaz H, Erkin G, Nalbant L. Depression and anxiety levels in mothers of children with cerebral palsy: a controlled study. Eur J Phys Rehabil Med 2013;49(6):823-7.
7. 7. Brehaut JC, Kohen DE, Raina P, Walter SD, Russell DJ, Swinton M et al. The health of primary caregivers of children with cerebral palsy: how does it compare with that of other Canadian caregivers? Pediatrics 2004;114(2):e182-91.
8. 8. Benedict RHB, Fishman I, McClellan MM, Bakshi R, Weinstock-Guttman B. Validity of the Beck Depression Inventory-Fast Screen in multiple sclerosis. Mult Scler 2003; 9: 393-6.

9. 9. Ulusoy M, Sahin N, Erkmen H. Turkish version of Beck Anxiety Inventory: Psychometric Properties. Journal of Cognitive Psychotherapy: An international quaterly 1998;12:163-72.
10. 10. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. Psychometric properties of WHOQOL-100 and WHOQOL-BREF. 3P Dergisi 1999;7:23-40.
11. 11. Aybay C, Erkin G, Elhan AH, Sirzai H, Ozel S. ADL assessment of nondisabled Turkish children with the WeeFIM instrument. Am J Phys Med Rehabil 2007;86:176-82.
12. 12. El O, Baydar M, Berk H, Peker O, Koşay C, Demiral Y. Interobserver reliability of the Turkish version of the expanded and revised gross motor function classification system. Disabil Rehabil 2012;34:1030-3.
13. 13. Beckung E, Hagberg G. Neuroimpairments, activity limitations and participation restrictions in children with cerebral palsy. Dev Med Child Neurol 2002;44(5):309-16.
14. 14. Erkin G, Delialioglu SU, Ozel S, Culha C, Sirzai H. Risk factors and clinical profiles in Turkish children with cerebral palsy: analysis of 625 cases. Int J Rehabil Res 2008; 31:89-91.
15. 15. Thapa R. Symptom recognition and diagnosis of cerebral palsy in Nepal. J Autism and Dev Disord 2017;47(6),1739-48.
16. 16. Yuan J, Wang J, Ma J, Zhu D, Zhang Z, Li J. Pediatric cerebral palsy prevalence and high-risk factors in Henan province, Central China. J Rehabil Med 2019 Jan 1;51(1):47-53.
17. 17. Ribeiro MFM, Sousa ALL, Vandenberghe L, Porto CC. Parental stress in mothers of children and adolescents with cerebral palsy. Rev. Latino-Am Enfermagem 2014;22(3):440-7.
18. 18. Dilek B, Batmaz I, Karakoç M, Sariyildiz MA, Aydın A, Cavas H et al. Assessment of depression and quality of life in mothers of children with cerebral palsy. Marmara Medical Journal 2013;26:94-8.
19. 19. Mugno D, Ruta L, D'Arrigo VG, Mazzone L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and Quality of Life Outcomes 2007;5:22.
20. 20. Eker L, Tüzün EH. An evaluation of quality of life of mothers of children with cerebral palsy. Disabil Rehabil 2004;26:1354-9.
21. 21. Altındag O, Iscan A, Akcan S, Koksal S, Ercin M, Ege L. Anxiety and depression levels in mothers of children with cerebral palsy. Turk J Phys Med Rehab 2007;53:24.