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Fibromyalgia syndrome in mothers of children with cerebral palsy and its relationship with caregiver burden: a cross-sectional study

Yıl 2024, Cilt: 10 Sayı: 1 - January 2024, 59 - 69, 04.01.2024
https://doi.org/10.18621/eurj.1292729

Öz

Objectives: Fibromyalgia syndrome (FMS) is a stress-related disease. The birth of a child with cerebral palsy (CP) is an important stress factor for the mother. This study aims to investigate the incidence of FMS in mothers of children with CP by comparing it with the control group and determining the factors affecting the severity of FMS.

Methods: The study included 112 children with CP (age: 38-216 months), their caregiver mother (age: 23-50 years) (Group 1) and 52 non-disabled children (age: 40-180 months), their caregiver mothers (age: 27-50 years) (Group 2). Children were evaluated with the Gross Motor Function Classification System (GMFCS) and the functional independence scale for children (WeeFIM). The mothers were evaluated according to the 2010 ACR FMS diagnostic criteria. The FMS Impact Questionnaire (FIQ), the Hospital Anxiety and Depression Scale (HADS), and the Bakas Caregiving Outcomes Scale (BCOS) were applied.

Results: In Group 1, mothers had higher anxiety-depression scores and caregiving burden than Group 2 (p < 0.05). FMS rate was %31.3 in Group 1 and %5.7 in Group 2. Mothers' anxiety-depression scores, widespread pain index, symptom severity score, pain, and caregiver burden were higher in Group 1 than in Group 2 (p < 0.05). Factors affecting the severity of FMS are the number of siblings of children with CP, the number of siblings with CP, GMFCS, dependence level, anxiety-depression levels of mothers, and caregiver burden. The most influential factor is the caregiver burden.

Conclusions: Long-term heavy caregiver burden in mothers of children with CP may be effective in developing FMS.

Kaynakça

  • 1. Michael-Asalu A, Taylor G, Campbell H, Lelea LL, Kirby RS. Cerebral palsy: Diagnosis, epidemiology, genetics, and clinical update. Adv Pediatr. 2019;66:189-208. doi: 10.1016/j.yapd.2019.04.002.
  • 2. Aisen ML, Kerkovich D, Mast J, et al. Cerebral palsy: clinical care and neurological rehabilitation. Lancet Neurol. 2011;10(9):844-852. doi: 10.1016/S1474-4422(11)70176-4.
  • 3. Vadivelan K, Sekar P, Sruthi SS, Gopichandran V. Burden of caregivers of children with cerebral palsy: an intersectional analysis of gender, poverty, stigma, and public policy. BMC Public Health. 2020;20(1):645. doi: 10.1186/s12889-020-08808-0.
  • 4. Khayatzadeh MM, Rostami HR, Amirsalari S, Karimloo M. Investigation of quality of life in mothers of children withcerebral palsy in Iran: association with socio-economic status,marital satisfaction and fatigue. Disabil Rehabil. 2013;35(10):803-808. doi: 10.3109/09638288.2012.708818.
  • 5. Park EY, Nam SJ. Time burden of caring and depression among parents of individuals with cerebral palsy. Disabil Rehabil. 2019;41(13):1508-1513. doi: 10.1080/09638288.2018.1432705.
  • 6. Marrón EM, Redolar-Ripol D, Boixadós M, et al. Burden on caregivers of children with cerebral palsy: predictors and related factors. Univ Psychol. 2013;12(3):767-777. doi: 10.11144/Javeriana.UPSY12-3.bccc
  • 7. Ramezani M, Eghlidi J, Pourghayoomi E, Mohammadi S. Caring-related chronic low back pain and associated factors among mothers of children with cerebral calsy. Rehabil Res Pract. 2020;2020:8854435. doi: 10.1155/2020/8854435.
  • 8. Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D. Fibromyalgia: pathogenesis, mechanisms, diagnosis and treatment options update. Int J Mol Sci. 2021;22(8):3891. doi: 10.3390/ijms22083891.
  • 9. Martínez-Lavín M. Fibromyalgia in women: somatisation or stress-evoked, sex-dimorphic neuropathic pain? Clin Exp Rheumatol. 2021;39(2):422-425. doi: 10.55563/clinexprheumatol/0c7d6v.
  • 10. Marques AP, Santo ASDE, Berssaneti AA, Matsutani LA, Yuan SLK. Prevalence of fibromyalgia: literature review update. Rev Bras Reumatol Engl Ed. 2017;57(4):356-363. doi: 10.1016/j.rbre.2017.01.005.
  • 11. Aguglia A, Salvi V, Maina G, Rossetto I, Aguglia E. Fibromyalgia syndrome and depressive symptoms: comorbidity and clinical correlates. J Affect Disord. 2011;128(3):262-266. doi: 10.1016/j.jad.2010.07.004.
  • 12. Amital D, Fostick L, Polliack ML, et al. Posttraumatic stress disorder, tenderness, and fibromyalgia syndrome: are they different entities? J Psychosom Res. 2006;61(5):663-669. doi: 10.1016/j.jpsychores.2006.07.003.
  • 13. Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. Cerebral palsy epidemiology: where are we now and where are we going? Dev Med Child Neurol. 1992;34(6):547-551. doi: 10.1111/j.1469-8749.1992.tb11479.x.
  • 14. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-223. doi: 10.1111/j.1469-8749.1997.tb07414.x.
  • 15. Ottenbacher KJ, Msall ME, Lyon NR, Duffy LC, Granger CV, Braun S. Interrater agreement and stability of the Functional Independence Measure for Children (WeeFIM): use in children with developmental disabilities. Arch Phys Med Rehabil. 1997;78(12):1309-1315. doi: 10.1016/s0003-9993(97)90302-6.
  • 16. Wolfe F, Clauw DJ, Fitzcharles MA, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken). 2010;62(5):600-610. doi: 10.1002/acr.20140.
  • 17. Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol. 2009;36(6):1304-1311. doi: 10.3899/jrheum.081090.
  • 18. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x.
  • 19. Bakas T, Champion V, Perkins SM, Farran CJ, Williams LS. Psychometric testing of the revised 15-item Bakas Caregiving Outcomes Scale. Nurs Res. 2006;55(5):346-355. doi: 10.1097/00006199-200609000-00007.
  • 20. Terzi R, Tan G. Musculoskeletal system pain and related factors in mothers of children with cerebral palsy. Agri. 2016;28(1):18-24. doi: 10.5505/agri.2015.74436.
  • 21. Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with cerebral palsy. Disabil Rehabil. 2010;32(20):1666-1672. doi: 10.3109/09638281003649912.
  • 22. Czupryna K, Nowotny-Czupryna O, Nowotny J. Back pain in mothers of cerebral palsied children. Ortop Traumatol Rehabil. 2014;16(5):497-505. doi: 10.5604/15093492.1128840.
  • 23. Byrne MB, Hurley DA, Daly L, Cunningham CG. Health status of caregivers of children with cerebral palsy. Child Care Health Dev. 2010;36(5):696-702. doi: 10.1111/j.1365-2214.2009.01047.x.
  • 24. Rapp CE Jr, Torres MM. The adult with cerebral palsy. Arch Fam Med. 2000;9(5):466-472. doi: 10.1001/archfami.9.5.466.
  • 25. Ketelaar M, Volman MJ, Gorter JW, Vermeer A. Stress in parents of children with cerebral palsy: what sources of stress are we talking about? Child Care Health Dev. 2008;34(6):825-829. doi: 10.1111/j.1365-2214.2008.00876.x.
  • 26. Farajzadeh A, Maroufizadeh S, Amini M. Factors associated with quality of life among mothers of children with cerebral palsy. Int J Nurs Pract. 2020;26(3):e12811. doi: 10.1111/ijn.12811.
  • 27. Gugała B. Caregiver burden versus intensity of anxiety and depression symptoms in parents of children with cerebral palsy as well as factors potentially differentiating the level of burden: a cross-sectional study (Poland). BMJ Open. 2021;11(6):e036494. doi: 10.1136/bmjopen-2019-036494.
  • 28. Boztepe H, Çınar S, Ay A, Kerimoğlu Yıldız G, Kılıç C. Predictors of caregiver burden in mothers of children with leukemia and cerebral palsy. J Psychosoc Oncol. 2019;37(1):69-78. doi: 10.1080/07347332.2018.1489441.
  • 29. Unsal-Delialioglu S, Kaya K, Ozel S, Gorgulu G. Depression in mothers of children with cerebral palsy and related factors in Turkey: a controlled study. Int J Rehabil Res. 2009;32(3):199-204. doi: 10.1097/MRR.0b013e32832607b6.
  • 30. Sajedi F, Alizad V, Malekkhosravi G, Karimlou M, Vameghi R. Depression in mothers of children with cerebral palsy and its relation to severity and type of cerebral palsy. Acta Med Iran. 2010;48(4):250-254.
  • 31. Gugała B, Penar-Zadarko B, Pięciak-Kotlarz D, et al. Assessment of anxiety and depression in Polish primary parental caregivers of children with cerebral palsy compared to a control group, as well as identification of selected predictors. Int J Environ Res Public Health. 2019;16(21):4173. doi: 10.3390/ijerph16214173.
  • 32. 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(3):232-237. doi: 10.1177/1545968305278857.
  • 33. Kavlak E, Kara G, Tekin F, Altuğ F, Ök N, Şenol H. Stress and depression levels of mothers who give care to children with cerebral palsy and mental retardation: a comparison study. Pam Med J. 2018;11(1):25-31. doi: 10.5505/ptd.2017.27676
Yıl 2024, Cilt: 10 Sayı: 1 - January 2024, 59 - 69, 04.01.2024
https://doi.org/10.18621/eurj.1292729

Öz

Kaynakça

  • 1. Michael-Asalu A, Taylor G, Campbell H, Lelea LL, Kirby RS. Cerebral palsy: Diagnosis, epidemiology, genetics, and clinical update. Adv Pediatr. 2019;66:189-208. doi: 10.1016/j.yapd.2019.04.002.
  • 2. Aisen ML, Kerkovich D, Mast J, et al. Cerebral palsy: clinical care and neurological rehabilitation. Lancet Neurol. 2011;10(9):844-852. doi: 10.1016/S1474-4422(11)70176-4.
  • 3. Vadivelan K, Sekar P, Sruthi SS, Gopichandran V. Burden of caregivers of children with cerebral palsy: an intersectional analysis of gender, poverty, stigma, and public policy. BMC Public Health. 2020;20(1):645. doi: 10.1186/s12889-020-08808-0.
  • 4. Khayatzadeh MM, Rostami HR, Amirsalari S, Karimloo M. Investigation of quality of life in mothers of children withcerebral palsy in Iran: association with socio-economic status,marital satisfaction and fatigue. Disabil Rehabil. 2013;35(10):803-808. doi: 10.3109/09638288.2012.708818.
  • 5. Park EY, Nam SJ. Time burden of caring and depression among parents of individuals with cerebral palsy. Disabil Rehabil. 2019;41(13):1508-1513. doi: 10.1080/09638288.2018.1432705.
  • 6. Marrón EM, Redolar-Ripol D, Boixadós M, et al. Burden on caregivers of children with cerebral palsy: predictors and related factors. Univ Psychol. 2013;12(3):767-777. doi: 10.11144/Javeriana.UPSY12-3.bccc
  • 7. Ramezani M, Eghlidi J, Pourghayoomi E, Mohammadi S. Caring-related chronic low back pain and associated factors among mothers of children with cerebral calsy. Rehabil Res Pract. 2020;2020:8854435. doi: 10.1155/2020/8854435.
  • 8. Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D. Fibromyalgia: pathogenesis, mechanisms, diagnosis and treatment options update. Int J Mol Sci. 2021;22(8):3891. doi: 10.3390/ijms22083891.
  • 9. Martínez-Lavín M. Fibromyalgia in women: somatisation or stress-evoked, sex-dimorphic neuropathic pain? Clin Exp Rheumatol. 2021;39(2):422-425. doi: 10.55563/clinexprheumatol/0c7d6v.
  • 10. Marques AP, Santo ASDE, Berssaneti AA, Matsutani LA, Yuan SLK. Prevalence of fibromyalgia: literature review update. Rev Bras Reumatol Engl Ed. 2017;57(4):356-363. doi: 10.1016/j.rbre.2017.01.005.
  • 11. Aguglia A, Salvi V, Maina G, Rossetto I, Aguglia E. Fibromyalgia syndrome and depressive symptoms: comorbidity and clinical correlates. J Affect Disord. 2011;128(3):262-266. doi: 10.1016/j.jad.2010.07.004.
  • 12. Amital D, Fostick L, Polliack ML, et al. Posttraumatic stress disorder, tenderness, and fibromyalgia syndrome: are they different entities? J Psychosom Res. 2006;61(5):663-669. doi: 10.1016/j.jpsychores.2006.07.003.
  • 13. Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. Cerebral palsy epidemiology: where are we now and where are we going? Dev Med Child Neurol. 1992;34(6):547-551. doi: 10.1111/j.1469-8749.1992.tb11479.x.
  • 14. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-223. doi: 10.1111/j.1469-8749.1997.tb07414.x.
  • 15. Ottenbacher KJ, Msall ME, Lyon NR, Duffy LC, Granger CV, Braun S. Interrater agreement and stability of the Functional Independence Measure for Children (WeeFIM): use in children with developmental disabilities. Arch Phys Med Rehabil. 1997;78(12):1309-1315. doi: 10.1016/s0003-9993(97)90302-6.
  • 16. Wolfe F, Clauw DJ, Fitzcharles MA, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken). 2010;62(5):600-610. doi: 10.1002/acr.20140.
  • 17. Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol. 2009;36(6):1304-1311. doi: 10.3899/jrheum.081090.
  • 18. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x.
  • 19. Bakas T, Champion V, Perkins SM, Farran CJ, Williams LS. Psychometric testing of the revised 15-item Bakas Caregiving Outcomes Scale. Nurs Res. 2006;55(5):346-355. doi: 10.1097/00006199-200609000-00007.
  • 20. Terzi R, Tan G. Musculoskeletal system pain and related factors in mothers of children with cerebral palsy. Agri. 2016;28(1):18-24. doi: 10.5505/agri.2015.74436.
  • 21. Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with cerebral palsy. Disabil Rehabil. 2010;32(20):1666-1672. doi: 10.3109/09638281003649912.
  • 22. Czupryna K, Nowotny-Czupryna O, Nowotny J. Back pain in mothers of cerebral palsied children. Ortop Traumatol Rehabil. 2014;16(5):497-505. doi: 10.5604/15093492.1128840.
  • 23. Byrne MB, Hurley DA, Daly L, Cunningham CG. Health status of caregivers of children with cerebral palsy. Child Care Health Dev. 2010;36(5):696-702. doi: 10.1111/j.1365-2214.2009.01047.x.
  • 24. Rapp CE Jr, Torres MM. The adult with cerebral palsy. Arch Fam Med. 2000;9(5):466-472. doi: 10.1001/archfami.9.5.466.
  • 25. Ketelaar M, Volman MJ, Gorter JW, Vermeer A. Stress in parents of children with cerebral palsy: what sources of stress are we talking about? Child Care Health Dev. 2008;34(6):825-829. doi: 10.1111/j.1365-2214.2008.00876.x.
  • 26. Farajzadeh A, Maroufizadeh S, Amini M. Factors associated with quality of life among mothers of children with cerebral palsy. Int J Nurs Pract. 2020;26(3):e12811. doi: 10.1111/ijn.12811.
  • 27. Gugała B. Caregiver burden versus intensity of anxiety and depression symptoms in parents of children with cerebral palsy as well as factors potentially differentiating the level of burden: a cross-sectional study (Poland). BMJ Open. 2021;11(6):e036494. doi: 10.1136/bmjopen-2019-036494.
  • 28. Boztepe H, Çınar S, Ay A, Kerimoğlu Yıldız G, Kılıç C. Predictors of caregiver burden in mothers of children with leukemia and cerebral palsy. J Psychosoc Oncol. 2019;37(1):69-78. doi: 10.1080/07347332.2018.1489441.
  • 29. Unsal-Delialioglu S, Kaya K, Ozel S, Gorgulu G. Depression in mothers of children with cerebral palsy and related factors in Turkey: a controlled study. Int J Rehabil Res. 2009;32(3):199-204. doi: 10.1097/MRR.0b013e32832607b6.
  • 30. Sajedi F, Alizad V, Malekkhosravi G, Karimlou M, Vameghi R. Depression in mothers of children with cerebral palsy and its relation to severity and type of cerebral palsy. Acta Med Iran. 2010;48(4):250-254.
  • 31. Gugała B, Penar-Zadarko B, Pięciak-Kotlarz D, et al. Assessment of anxiety and depression in Polish primary parental caregivers of children with cerebral palsy compared to a control group, as well as identification of selected predictors. Int J Environ Res Public Health. 2019;16(21):4173. doi: 10.3390/ijerph16214173.
  • 32. 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(3):232-237. doi: 10.1177/1545968305278857.
  • 33. Kavlak E, Kara G, Tekin F, Altuğ F, Ök N, Şenol H. Stress and depression levels of mothers who give care to children with cerebral palsy and mental retardation: a comparison study. Pam Med J. 2018;11(1):25-31. doi: 10.5505/ptd.2017.27676

Ayrıntılar

Birincil Dil İngilizce
Konular Rehabilitasyon
Bölüm Original Article
Yazarlar

İlknur AYKURT KARLIBEL 0000-0002-7854-0133

Meliha KASAPOĞLU AKSOY 0000-0003-4688-0464

Merve YENİ 0000-0002-6580-6254

Erken Görünüm Tarihi 9 Eylül 2023
Yayımlanma Tarihi 4 Ocak 2024
Gönderilme Tarihi 5 Mayıs 2023
Kabul Tarihi 8 Ağustos 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 10 Sayı: 1 - January 2024

Kaynak Göster

AMA AYKURT KARLIBEL İ, KASAPOĞLU AKSOY M, YENİ M. Fibromyalgia syndrome in mothers of children with cerebral palsy and its relationship with caregiver burden: a cross-sectional study. Eur Res J. Ocak 2024;10(1):59-69. doi:10.18621/eurj.1292729

e-ISSN: 2149-3189 


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