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

Yıl 2024, Cilt: 9 Sayı: 2, 265 - 271, 02.06.2024
https://doi.org/10.61399/ikcusbfd.1331892

Öz

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.

Destekleyen Kurum

Bu çalışma herhangi bir kurum, kuruluş veya kişi tarafından desteklenmemektedir.

Proje Numarası

-

Teşekkür

-

Kaynakça

  • Dobbs MB, Gurnett CA. Update on clubfoot: etiology and treatment. Clin Orthop Relat Res. 2009;467(5):1146-53.
  • Offerdal K, Jebens N, Blaas HG, Eik-Nes SH. Prenatal ultrasound detection of talipes equinovarus in a non-selected population of 49 314 deliveries in Norway. Ultrasound Obstet Gynecol. 2007;30(6):838- 44.
  • Mahan ST, Yazdy MM, Kasser JR, Werler MM. Prenatal screening for clubfoot: what factors predict prenatal detection? Prenat Diagn. 2014;34(4):389-93.
  • Radler C, Myers AK, Burghardt RD, Arrabal PP, Herzenberg JE, Grill F. Maternal attitudes towards prenatal diagnosis of idiopathic clubfoot. Ultrasound Obstet Gynecol. 2011;37(6):658-62.
  • Mahan ST, Miller PE, May CJ, Kasser JR. Prospective evaluation of parental anxiety related to newborn foot disorder. J Child Orthop. 2019;13(5):500-7.
  • Hysing M, Elgen I, Gillberg C, Lie SA, Lundervold AJ. Chronic physical illness and mental health in children. Results from a large-scale population study. J Child Psychol Psychiatry. 2007;48(8):785-92.
  • Pinquart M, Shen Y. Depressive symptoms in children and adolescents with chronic physical illness: an updated meta-analysis. J Pediatr Psychol. 2011;36(4):375-84.
  • Pinquart M, Shen Y. Behavior problems in children and adolescents with chronic physical illness: a meta-analysis. J Pediatr Psychol. 2011;36(9):1003-16.
  • Anıl H, Sahbudak B. Parental anxiety and depression levels associated with challenge tests in children with suspected drug and food allergies. Journal of Surgery and Medicine. 2020;4(8):669-73.
  • 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):250-4.
  • Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. J. Pediatr. Psychol. 2013;38(8):809-28.
  • Morawska A, Calam R, Fraser J. Parenting interventions for childhood chronic illness: A review and recommendations for intervention design and delivery. J Child Health Care. 2015;19(1):5-17.
  • Coppola G, Costantini A, Tedone R, Pasquale S, Elia L, Barbaro MF, et al. The impact of the baby’s congenital malformation on the mother’s psychological well-being: an empirical contribution on the clubfoot. J. Pediatr. Orthop. 2012;32(5):521-6.
  • Morin ML, Hoopes DM, Szalay EA. Positive communication paradigm decreases early recurrence in clubfoot treatment. J Pediatr Orthop. 2014;34(2):219-22.
  • Tarakci D, Leblebici G, Tarakci E, Bursali A. The effectiveness of three-phase physiotherapy program in children with clubfoot after Ponseti treatment. Foot Ankle Surg. 2021.
  • Karaman İ, Oner M, Kafadar İH, Gunay AE. Effects of written and visual briefing on parents' state and trait anxiety in newborns with Pes Equinovarus (PEV) treated by Ponseti Method: a randomized trial. Erciyes Medical Journal. 2020;42(2):147-50.
  • Walter C, Sachsenmaier S, Wunschel M, Teufel M, Gotze M. Clubfoot treatment with Ponseti method-parental distress during plaster casting. J Orthop Surg Res. 2020;15(1).
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.
  • Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi. 1988;6:118-22.
  • Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7.
  • Ulusoy M. Beck anksiyete ölçeğinin psikometrik özellikleri. Uzmanlık Tezi, Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul. 1993.
  • De Smith M. Statistical Analysis Handbook A Comprehensive Handbook of Statistical Concepts, Techniques and Software Tools 2018 Edition. 2018.
  • Haberal B, Altıntaş E, Beyaz S. Assessment of anxiety and depression levels in parents of children presenting to the orthopedics outpatient clinic with the complaint of in-toeing. J. Surg. Med. 2020;4(11):920-4.
  • Marokakis S, Kasparian NA, Kennedy SE. Prenatal counselling for congenital anomalies: a systematic review. Prenat Diagn. 2016;36(7):662-71.
  • Mirtabar SM, Pahlavan Z, Aligoltabar S, Barat S, Nasiri-Amiri F, Nikpour M, et al. Women's worries about prenatal screening tests suspected of fetal anomalies: a qualitative study. BMC Womens Health. 2023;23(1):66.
  • Ozdemir MA, Topak D, Turgut C, Telek M, Dogar F. Evaluation of depression, anxiety, and stress status in parents of patient with congenital clubfoot treated with Ponseti method: A prospective study. Medicine (Baltimore). 2022;101(44):e31654.
  • Lee JY, Lee JH, Yeon GM, Jung YJ. Parental anxiety regarding premature infants and factors affecting parental concern. J Spec Pediatr Nurs. 2019;24(4):e12266.
  • Schulz JF, Molho DA, Sylvia SM, Lo Y, Gomez JA, Moloney CM, et al. Parental understanding of intoeing gait - A preliminary study. Foot (Edinb). 2019;41:39-43.
  • Van Gampelaere C, Luyckx K, Goethals ER, van der Straaten S, Laridaen J, Casteels K, et al. Parental stress, anxiety and trait mindfulness: associations with parent-child mealtime interactions in children with type 1 diabetes. J Behav Med. 2020;43(3):448-59.
  • Bailey DE, Jr., Landerman L, Barroso J, Bixby P, Mishel MH, Muir AJ, et al. Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C. Psychosomatics. 2009;50(2):138-46.
  • Skari H, Skreden M, Malt UF, Dalholt M, Ostensen AB, Egeland T, et al. Comparative levels of psychological distress, stress symptoms, depression and anxiety after childbirth--a prospective population-based study of mothers and fathers. BJOG. 2002;109(10):1154-63.

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

Yıl 2024, Cilt: 9 Sayı: 2, 265 - 271, 02.06.2024
https://doi.org/10.61399/ikcusbfd.1331892

Öz

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.

Proje Numarası

-

Kaynakça

  • Dobbs MB, Gurnett CA. Update on clubfoot: etiology and treatment. Clin Orthop Relat Res. 2009;467(5):1146-53.
  • Offerdal K, Jebens N, Blaas HG, Eik-Nes SH. Prenatal ultrasound detection of talipes equinovarus in a non-selected population of 49 314 deliveries in Norway. Ultrasound Obstet Gynecol. 2007;30(6):838- 44.
  • Mahan ST, Yazdy MM, Kasser JR, Werler MM. Prenatal screening for clubfoot: what factors predict prenatal detection? Prenat Diagn. 2014;34(4):389-93.
  • Radler C, Myers AK, Burghardt RD, Arrabal PP, Herzenberg JE, Grill F. Maternal attitudes towards prenatal diagnosis of idiopathic clubfoot. Ultrasound Obstet Gynecol. 2011;37(6):658-62.
  • Mahan ST, Miller PE, May CJ, Kasser JR. Prospective evaluation of parental anxiety related to newborn foot disorder. J Child Orthop. 2019;13(5):500-7.
  • Hysing M, Elgen I, Gillberg C, Lie SA, Lundervold AJ. Chronic physical illness and mental health in children. Results from a large-scale population study. J Child Psychol Psychiatry. 2007;48(8):785-92.
  • Pinquart M, Shen Y. Depressive symptoms in children and adolescents with chronic physical illness: an updated meta-analysis. J Pediatr Psychol. 2011;36(4):375-84.
  • Pinquart M, Shen Y. Behavior problems in children and adolescents with chronic physical illness: a meta-analysis. J Pediatr Psychol. 2011;36(9):1003-16.
  • Anıl H, Sahbudak B. Parental anxiety and depression levels associated with challenge tests in children with suspected drug and food allergies. Journal of Surgery and Medicine. 2020;4(8):669-73.
  • 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):250-4.
  • Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. J. Pediatr. Psychol. 2013;38(8):809-28.
  • Morawska A, Calam R, Fraser J. Parenting interventions for childhood chronic illness: A review and recommendations for intervention design and delivery. J Child Health Care. 2015;19(1):5-17.
  • Coppola G, Costantini A, Tedone R, Pasquale S, Elia L, Barbaro MF, et al. The impact of the baby’s congenital malformation on the mother’s psychological well-being: an empirical contribution on the clubfoot. J. Pediatr. Orthop. 2012;32(5):521-6.
  • Morin ML, Hoopes DM, Szalay EA. Positive communication paradigm decreases early recurrence in clubfoot treatment. J Pediatr Orthop. 2014;34(2):219-22.
  • Tarakci D, Leblebici G, Tarakci E, Bursali A. The effectiveness of three-phase physiotherapy program in children with clubfoot after Ponseti treatment. Foot Ankle Surg. 2021.
  • Karaman İ, Oner M, Kafadar İH, Gunay AE. Effects of written and visual briefing on parents' state and trait anxiety in newborns with Pes Equinovarus (PEV) treated by Ponseti Method: a randomized trial. Erciyes Medical Journal. 2020;42(2):147-50.
  • Walter C, Sachsenmaier S, Wunschel M, Teufel M, Gotze M. Clubfoot treatment with Ponseti method-parental distress during plaster casting. J Orthop Surg Res. 2020;15(1).
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.
  • Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi. 1988;6:118-22.
  • Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7.
  • Ulusoy M. Beck anksiyete ölçeğinin psikometrik özellikleri. Uzmanlık Tezi, Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul. 1993.
  • De Smith M. Statistical Analysis Handbook A Comprehensive Handbook of Statistical Concepts, Techniques and Software Tools 2018 Edition. 2018.
  • Haberal B, Altıntaş E, Beyaz S. Assessment of anxiety and depression levels in parents of children presenting to the orthopedics outpatient clinic with the complaint of in-toeing. J. Surg. Med. 2020;4(11):920-4.
  • Marokakis S, Kasparian NA, Kennedy SE. Prenatal counselling for congenital anomalies: a systematic review. Prenat Diagn. 2016;36(7):662-71.
  • Mirtabar SM, Pahlavan Z, Aligoltabar S, Barat S, Nasiri-Amiri F, Nikpour M, et al. Women's worries about prenatal screening tests suspected of fetal anomalies: a qualitative study. BMC Womens Health. 2023;23(1):66.
  • Ozdemir MA, Topak D, Turgut C, Telek M, Dogar F. Evaluation of depression, anxiety, and stress status in parents of patient with congenital clubfoot treated with Ponseti method: A prospective study. Medicine (Baltimore). 2022;101(44):e31654.
  • Lee JY, Lee JH, Yeon GM, Jung YJ. Parental anxiety regarding premature infants and factors affecting parental concern. J Spec Pediatr Nurs. 2019;24(4):e12266.
  • Schulz JF, Molho DA, Sylvia SM, Lo Y, Gomez JA, Moloney CM, et al. Parental understanding of intoeing gait - A preliminary study. Foot (Edinb). 2019;41:39-43.
  • Van Gampelaere C, Luyckx K, Goethals ER, van der Straaten S, Laridaen J, Casteels K, et al. Parental stress, anxiety and trait mindfulness: associations with parent-child mealtime interactions in children with type 1 diabetes. J Behav Med. 2020;43(3):448-59.
  • Bailey DE, Jr., Landerman L, Barroso J, Bixby P, Mishel MH, Muir AJ, et al. Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C. Psychosomatics. 2009;50(2):138-46.
  • Skari H, Skreden M, Malt UF, Dalholt M, Ostensen AB, Egeland T, et al. Comparative levels of psychological distress, stress symptoms, depression and anxiety after childbirth--a prospective population-based study of mothers and fathers. BJOG. 2002;109(10):1154-63.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Araştırma Makaleleri
Yazarlar

Gökçe Leblebici 0000-0003-1369-4016

Devrim Tarakçı 0000-0001-9804-368X

Sedef Güngör 0000-0003-3391-2295

Ela Tarakci 0000-0003-1330-2051

Ayşegül Bursalı 0000-0003-1061-9221

Proje Numarası -
Yayımlanma Tarihi 2 Haziran 2024
Gönderilme Tarihi 31 Temmuz 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 9 Sayı: 2

Kaynak Göster

APA Leblebici, G., Tarakçı, D., Güngör, S., Tarakci, E., vd. (2024). Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(2), 265-271. https://doi.org/10.61399/ikcusbfd.1331892
AMA Leblebici G, Tarakçı D, Güngör S, Tarakci E, Bursalı A. Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity. İKÇÜSBFD. Haziran 2024;9(2):265-271. doi:10.61399/ikcusbfd.1331892
Chicago Leblebici, Gökçe, Devrim Tarakçı, Sedef Güngör, Ela Tarakci, ve Ayşegül Bursalı. “Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9, sy. 2 (Haziran 2024): 265-71. https://doi.org/10.61399/ikcusbfd.1331892.
EndNote Leblebici G, Tarakçı D, Güngör S, Tarakci E, Bursalı A (01 Haziran 2024) Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9 2 265–271.
IEEE G. Leblebici, D. Tarakçı, S. Güngör, E. Tarakci, ve A. Bursalı, “Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity”, İKÇÜSBFD, c. 9, sy. 2, ss. 265–271, 2024, doi: 10.61399/ikcusbfd.1331892.
ISNAD Leblebici, Gökçe vd. “Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9/2 (Haziran 2024), 265-271. https://doi.org/10.61399/ikcusbfd.1331892.
JAMA Leblebici G, Tarakçı D, Güngör S, Tarakci E, Bursalı A. Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity. İKÇÜSBFD. 2024;9:265–271.
MLA Leblebici, Gökçe vd. “Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, c. 9, sy. 2, 2024, ss. 265-71, doi:10.61399/ikcusbfd.1331892.
Vancouver Leblebici G, Tarakçı D, Güngör S, Tarakci E, Bursalı A. Evaluation of Parental Anxiety and Depression Related to Clubfoot Deformity: Parental Concern about Their Child’s Deformity. İKÇÜSBFD. 2024;9(2):265-71.