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Coping strategies and relation with depression levels of mothers of children with congenital heart diseases

Year 2021, Volume: 12 Issue: 4, 391 - 397, 22.12.2021
https://doi.org/10.18663/tjcl.973367

Abstract

Aim: To reveal the coping attitudes of mothers of children who had undergone surgery to diagnose congenital heart diseases and the relationship between these attitudes and depression levels.
Material and Methods: This study was a cross-sectional observational descriptive study conducted in a pediatric cardiovascular surgery clinic. The study included 32 mothers of pediatric patients who were surgically treated for congenital heart diseases. Participants were assessed with sociodemographic information form, Turkish versions of the coping orientation to problems experienced inventory (COPE), and the Beck depression inventory (BDI).
Results: The median maternal age was 31.0 (range, 21-47) years. The median BDI score was 11 (range, 1-27), and the number of mothers with a BDI score of 17 and above was 13 (40.6%). Problem-focused coping was the most common problem-coping style used by 29 (90.6%) participants with a median score of 67.0 (range, 41.0-72.0). In addition, 10 (31.3%), 10 (31.3%), and 9 (28.1%) participants showed the highest scores for active coping, suppression of competing activities, and seeking instrumental social support subscales, respectively. There was a negative correlation between BDI score and active coping, restraint, seeking instrumental social support subscales, and problem-focused coping total scores.
Conclusion: Our study revealed that most mothers of children with CHD used problem-focused coping more frequently. There was a negative correlation between the problem-focused coping attitude total score and the Beck Depression total scores. Interventions to target problem-focused coping could potentially protect mothers from depression.

References

  • Denniss DL, Sholler GF, Costa DSJ, et al. Need for Routine Screening of Health-Related Quality of Life in Families of Young Children with Complex Congenital Heart Disease. The Journal of pediatrics 2019; 205: 21-8.
  • van der Linde D, Konings EE, Slager MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. Journal of the American College of Cardiology 2011; 58: 2241-7.
  • Cantwell-Bartl AM, Tibballs J. Psychosocial experiences of parents of infants with hypoplastic left heart syndrome in the PICU. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2013; 14: 869-75.
  • Sood E, Karpyn A, Demianczyk AC, et al. Mothers and Fathers Experience Stress of Congenital Heart Disease Differently: Recommendations for Pediatric Critical Care. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2018; 19: 626-34.
  • Harvey KA, Kovalesky A, Woods RK, et al. Experiences of mothers of infants with congenital heart disease before, during, and after complex cardiac surgery. Heart & lung : the journal of critical care 2013; 42: 399-406.
  • Re J, Dean S, Menahem S. Infant cardiac surgery: mothers tell their story: a therapeutic experience. World journal for pediatric & congenital heart surgery 2013; 4: 278-85.
  • Golfenshtein N, Srulovici E, Deatrick JA. Interventions for Reducing Parenting Stress in Families With Pediatric Conditions: An Integrative Review. Journal of family nursing 2016; 22: 460-92.
  • Davis CC, Brown RT, Bakeman R, et al. Psychological adaptation and adjustment of mothers of children with congenital heart disease: stress, coping, and family functioning. Journal of pediatric psychology 1998; 23: 219-28.
  • Folkman S, Lazarus RS, Gruen RJ, et al. Appraisal, coping, health status, and psychological symptoms. Journal of personality and social psychology 1986; 50: 571-9.
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology 1989; 56: 267-83.
  • Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-71.
  • Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi. (A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989; 7: 3-13.
  • Agargun M, Beşiroğlu L, Kıran ÜK, et al. The psychometric properties of the COPE inventory in Turkish sample: A preliminary research. Anatolian Journal of Psychiatry 2005; 6.
  • Melnyk BM, Feinstein NF, Moldenhouer Z, et al. Coping in parents of children who are chronically ill: strategies for assessment and intervention. Pediatric nursing 2001; 27: 548-58.
  • Wallander JL, Varni JW. Effects of pediatric chronic physical disorders on child and family adjustment. Journal of child psychology and psychiatry, and allied disciplines 1998; 39: 29-46.
  • Thompson RJ, Jr., Gil KM, Gustafson KE, et al. Stability and change in the psychological adjustment of mothers of children and adolescents with cystic fibrosis and sickle cell disease. Journal of pediatric psychology 1994; 19: 171-88.
  • Rao P, Pradhan PV, Shah H. Psychopathology and coping in parents of chronically ill children. Indian journal of pediatrics 2004; 71: 695-699.
  • Geist R, Grdisa V, Otley A. Psychosocial issues in the child with chronic conditions. Best practice & research Clinical gastroenterology 2003; 17: 141-52.
  • Hancock HS, Pituch K, Uzark K, et al. A randomised trial of early palliative care for maternal stress in infants prenatally diagnosed with single-ventricle heart disease. Cardiology in the young 2018; 28: 561-70.
  • Solberg Ø, Dale MT, Holmstrøm H, et al. Long-term symptoms of depression and anxiety in mothers of infants with congenital heart defects. Journal of pediatric psychology 2011; 36: 179-87.
  • Landolt MA, Ystrom E, Stene-Larsen K, et al. Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study. Psychological medicine 2014; 44: 3421-33.
  • McCusker CG, Doherty NN, Molloy B, et al. A controlled trial of early interventions to promote maternal adjustment and development in infants born with severe congenital heart disease. Child: care, health and development 2010; 36: 110-7.
  • Lin CR, Tsai YF, Chang HL. Coping mechanisms of parents of children recently diagnosed with autism in Taiwan: a qualitative study. Journal of clinical nursing 2008; 17: 2733-40.
  • Smith LE, Seltzer MM, Tager-Flusberg H, et al. A comparative analysis of well-being and coping among mothers of toddlers and mothers of adolescents with ASD. Journal of autism and developmental disorders 2008; 38: 876-89.
  • Cop E, Dinç G, Kultur E. Coping Styles of Mothers of Children with Chronic Diseases and Their Relationship with Psychiatric Symptoms: A Preliminary Report. Turkish Journal of Pediatric Disease 2016.

Doğuştan kalp hastalığı olan çocukların annelerinin baş etme tutumlarının depresyon düzeyleri ile ilişkisi

Year 2021, Volume: 12 Issue: 4, 391 - 397, 22.12.2021
https://doi.org/10.18663/tjcl.973367

Abstract

Amaç: Doğuştan kalp hastalığı (DKH) tanısıyla ameliyat olan çocukların annelerinin baş etme tutumlarını ve bu tutumlar ile depresyon düzeyleri arasındaki ilişkiyi ortaya çıkarmak.
Gereç ve Yöntemler: Bu çalışma bir pediatrik kardiyovasküler cerrahi kliniğinde yürütülen kesitsel gözlemsel tanımlayıcı bir çalışmadır. Çalışmaya DKH tanısı ile cerrahi olarak tedavi edilen pediatrik 32 hastanın annesi dahil edildi. Katılımcılar sosyodemografik bilgi formu, Baş Etme Tutumları Ölçeği (COPE) Türkçe versiyonu ve Beck Depresyon Ölçeği (BDÖ) ile değerlendirildi.
Bulgular: Ortanca anne yaşı 31.0 (aralık, 21,0-47,0) yıldı. Ortanca BDÖ puanı 11 (aralık, 1-27), BDÖ puanı 17 ve üzeri olan anne sayısı 13 (%40,6) idi. Sorun odaklı başa çıkma, 29 (%90.6) katılımcının, ortanca 67.0 (aralık, 41.0-72.0) puanla, kullandığı en yaygın baş etme tutumu olmuştur. Ayrıca 10 (%31,3), 10 (%31,3) ve 9 (%28,1) katılımcı sırasıyla aktif baş etme, diğer meşguliyetleri bastırma ve yararlı sosyal destek kullanımı alt ölçeklerinde en yüksek puanları göstermiştir. BDÖ puanı ile aktif baş etme, geri durma, yararlı sosyal destek kullanımı alt ölçek ve sorun odaklı başa çıkma toplam puanları arasında negatif bir ilişki vardı.
Sonuç: Çalışmamız, DKH'li çocuğu olan annelerin çoğunun sorun odaklı başa çıkmayı daha sık kullandığını ortaya koydu. Sorun odaklı başa çıkma tutumu toplam puanı ile BDÖ toplam puanları arasında negatif bir ilişki vardı. Bu ilişki göz önüne alınarak sorun odaklı başa çıkmayı hedefleyen müdahalelerin anneleri potansiyel olarak depresyondan koruyabileceği düşünülebilir. Bu konuyu araştırmak için geniş çaplı yeni çalışmalara ihtiyaç vardır.

References

  • Denniss DL, Sholler GF, Costa DSJ, et al. Need for Routine Screening of Health-Related Quality of Life in Families of Young Children with Complex Congenital Heart Disease. The Journal of pediatrics 2019; 205: 21-8.
  • van der Linde D, Konings EE, Slager MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. Journal of the American College of Cardiology 2011; 58: 2241-7.
  • Cantwell-Bartl AM, Tibballs J. Psychosocial experiences of parents of infants with hypoplastic left heart syndrome in the PICU. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2013; 14: 869-75.
  • Sood E, Karpyn A, Demianczyk AC, et al. Mothers and Fathers Experience Stress of Congenital Heart Disease Differently: Recommendations for Pediatric Critical Care. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2018; 19: 626-34.
  • Harvey KA, Kovalesky A, Woods RK, et al. Experiences of mothers of infants with congenital heart disease before, during, and after complex cardiac surgery. Heart & lung : the journal of critical care 2013; 42: 399-406.
  • Re J, Dean S, Menahem S. Infant cardiac surgery: mothers tell their story: a therapeutic experience. World journal for pediatric & congenital heart surgery 2013; 4: 278-85.
  • Golfenshtein N, Srulovici E, Deatrick JA. Interventions for Reducing Parenting Stress in Families With Pediatric Conditions: An Integrative Review. Journal of family nursing 2016; 22: 460-92.
  • Davis CC, Brown RT, Bakeman R, et al. Psychological adaptation and adjustment of mothers of children with congenital heart disease: stress, coping, and family functioning. Journal of pediatric psychology 1998; 23: 219-28.
  • Folkman S, Lazarus RS, Gruen RJ, et al. Appraisal, coping, health status, and psychological symptoms. Journal of personality and social psychology 1986; 50: 571-9.
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology 1989; 56: 267-83.
  • Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-71.
  • Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi. (A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989; 7: 3-13.
  • Agargun M, Beşiroğlu L, Kıran ÜK, et al. The psychometric properties of the COPE inventory in Turkish sample: A preliminary research. Anatolian Journal of Psychiatry 2005; 6.
  • Melnyk BM, Feinstein NF, Moldenhouer Z, et al. Coping in parents of children who are chronically ill: strategies for assessment and intervention. Pediatric nursing 2001; 27: 548-58.
  • Wallander JL, Varni JW. Effects of pediatric chronic physical disorders on child and family adjustment. Journal of child psychology and psychiatry, and allied disciplines 1998; 39: 29-46.
  • Thompson RJ, Jr., Gil KM, Gustafson KE, et al. Stability and change in the psychological adjustment of mothers of children and adolescents with cystic fibrosis and sickle cell disease. Journal of pediatric psychology 1994; 19: 171-88.
  • Rao P, Pradhan PV, Shah H. Psychopathology and coping in parents of chronically ill children. Indian journal of pediatrics 2004; 71: 695-699.
  • Geist R, Grdisa V, Otley A. Psychosocial issues in the child with chronic conditions. Best practice & research Clinical gastroenterology 2003; 17: 141-52.
  • Hancock HS, Pituch K, Uzark K, et al. A randomised trial of early palliative care for maternal stress in infants prenatally diagnosed with single-ventricle heart disease. Cardiology in the young 2018; 28: 561-70.
  • Solberg Ø, Dale MT, Holmstrøm H, et al. Long-term symptoms of depression and anxiety in mothers of infants with congenital heart defects. Journal of pediatric psychology 2011; 36: 179-87.
  • Landolt MA, Ystrom E, Stene-Larsen K, et al. Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study. Psychological medicine 2014; 44: 3421-33.
  • McCusker CG, Doherty NN, Molloy B, et al. A controlled trial of early interventions to promote maternal adjustment and development in infants born with severe congenital heart disease. Child: care, health and development 2010; 36: 110-7.
  • Lin CR, Tsai YF, Chang HL. Coping mechanisms of parents of children recently diagnosed with autism in Taiwan: a qualitative study. Journal of clinical nursing 2008; 17: 2733-40.
  • Smith LE, Seltzer MM, Tager-Flusberg H, et al. A comparative analysis of well-being and coping among mothers of toddlers and mothers of adolescents with ASD. Journal of autism and developmental disorders 2008; 38: 876-89.
  • Cop E, Dinç G, Kultur E. Coping Styles of Mothers of Children with Chronic Diseases and Their Relationship with Psychiatric Symptoms: A Preliminary Report. Turkish Journal of Pediatric Disease 2016.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orıgınal Artıcle
Authors

Pınar Eraslan

Sercan Tak This is me 0000-0002-6086-3874

Publication Date December 22, 2021
Published in Issue Year 2021 Volume: 12 Issue: 4

Cite

APA Eraslan, P., & Tak, S. (2021). Coping strategies and relation with depression levels of mothers of children with congenital heart diseases. Turkish Journal of Clinics and Laboratory, 12(4), 391-397. https://doi.org/10.18663/tjcl.973367
AMA Eraslan P, Tak S. Coping strategies and relation with depression levels of mothers of children with congenital heart diseases. TJCL. December 2021;12(4):391-397. doi:10.18663/tjcl.973367
Chicago Eraslan, Pınar, and Sercan Tak. “Coping Strategies and Relation With Depression Levels of Mothers of Children With Congenital Heart Diseases”. Turkish Journal of Clinics and Laboratory 12, no. 4 (December 2021): 391-97. https://doi.org/10.18663/tjcl.973367.
EndNote Eraslan P, Tak S (December 1, 2021) Coping strategies and relation with depression levels of mothers of children with congenital heart diseases. Turkish Journal of Clinics and Laboratory 12 4 391–397.
IEEE P. Eraslan and S. Tak, “Coping strategies and relation with depression levels of mothers of children with congenital heart diseases”, TJCL, vol. 12, no. 4, pp. 391–397, 2021, doi: 10.18663/tjcl.973367.
ISNAD Eraslan, Pınar - Tak, Sercan. “Coping Strategies and Relation With Depression Levels of Mothers of Children With Congenital Heart Diseases”. Turkish Journal of Clinics and Laboratory 12/4 (December 2021), 391-397. https://doi.org/10.18663/tjcl.973367.
JAMA Eraslan P, Tak S. Coping strategies and relation with depression levels of mothers of children with congenital heart diseases. TJCL. 2021;12:391–397.
MLA Eraslan, Pınar and Sercan Tak. “Coping Strategies and Relation With Depression Levels of Mothers of Children With Congenital Heart Diseases”. Turkish Journal of Clinics and Laboratory, vol. 12, no. 4, 2021, pp. 391-7, doi:10.18663/tjcl.973367.
Vancouver Eraslan P, Tak S. Coping strategies and relation with depression levels of mothers of children with congenital heart diseases. TJCL. 2021;12(4):391-7.


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