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Parenting stress in parents of children with cerebral palsy and its association with physical function

Park, Moon Seoka; Chung, Chin Youba; Lee, Kyoung Mina; Sung, Ki Hyuka; Choi, In Hob; Kim, Tae Wona

Journal of Pediatric Orthopaedics B: September 2012 - Volume 21 - Issue 5 - p 452–456
doi: 10.1097/BPB.0b013e32835470c0
Cerebral Palsy

This study was carried out to determine parenting stress levels in the parents of children with cerebral palsy (CP) and to examine the factors that contribute to the parenting stress score. Parenting stress levels were assessed in 101 parents of children with CP (mean age 8.8 years, SD 2.1) using the parenting stress index (PSI). The extent of involvement, gross motor function classification system, and pediatric outcomes data collection instrument were collected for patients’ information. The responding parent, parents’ age, percentage of involvement in the parenting role, employment, socioeconomic status, educational level, other children, and age were obtained for parents’ information. Normative percentile scores were calculated for each subscale, each domain, and the total PSI score. Multiple regression analysis was carried out to determine the significant factors contributing to the PSI score. The mean total PSI score was 97.7 (SD 4.6). The global function score of pediatric outcomes data collection instrument (P=0.004) and ambulatory states (gross motor function classification system, P=0.002) were found to be the significant factors contributing to the total PSI score, where parents of children with a more favorable function showed a higher PSI score. Parents of children with CP showed a high level of parenting stress. Clinicians should keep in mind that psychological support and intervention might be needed for parents of children with CP.

aDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, Kyungki

bDepartment of Orthopaedic Surgery, Seoul National University Children’s Hospital, Seoul, Korea

Correspondence to Tae Won Kim, MD, Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 300 Gumi-Dong, Bundang-Gu, Sungnam, Kyungki 463 707, Korea Tel: +82 317 877 203; fax: +82 317 874 056; e-mail: kimsimne@hanmail.net

© 2012 Lippincott Williams & Wilkins, Inc.