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Child characteristics associated with child quality of life and parenting stress in Angelman syndrome.
- Source :
- Journal of Intellectual Disability Research; Mar2024, Vol. 68 Issue 3, p248-263, 16p
- Publication Year :
- 2024
-
Abstract
- Background: Angelman syndrome (AS) is a rare neurodevelopmental disorder characterised by severe intellectual disability, movement disorder, epilepsy, sleeping problems, and behavioural issues. Little is known on child health‐related quality of life (HRQoL) in AS. AS family studies have reported elevated parenting stress and a high impact of the child's syndrome on the parent. It is unclear which factors influence child HRQoL and parenting stress/impact in AS. Methods: We collected data prospectively through standardised clinical assessments of children with AS at the ENCORE Expertise centre for Angelman Syndrome at the Erasmus MC Sophia Children's Hospital. A linear regression analysis was conducted for the following outcome variables: (1) child HRQoL (Infant and Toddler Quality of Life Questionnaire); (2) the impact of the child's syndrome on the parent (Infant and Toddler Quality of Life Questionnaire); and (3) parenting stress (Parenting Stress Index). Predictor variables were child genotype, epilepsy, sleeping problems (Sleep Disturbance Scale for Children), cognitive developmental level (Bayley Cognition Scale), autistic features (Autism Diagnostic Observation Schedule) and emotional/behavioural problems (Child Behaviour Checklist). Covariates were sex, age and socio‐economic status. Results: The study sample consisted of 73 children with AS, mean age = 9.1 years, range = 2–18 years. Emotional/behavioural problems were the strongest significant predictor of lowered child HRQoL. Internalising problems were driving this effect. In addition, having the deletion genotype and higher age was related to lower child HRQoL. Sleeping problems were related to a higher impact of the child's syndrome on the parent. Finally, emotional/behavioural problems were associated with higher parenting stress. Cognitive developmental level, autistic features and epilepsy were not a significant predictor of child HRQoL and parenting stress/impact. Conclusions: These results suggest that interventions aimed at increasing child HRQoL and decreasing parenting stress/impact in AS should focus on child emotional/behavioural problems and sleeping problems, using a family‐centred approach. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOSPITALS
PARENTS of children with disabilities
ANGELMAN syndrome
AGE distribution
REGRESSION analysis
BEHAVIOR disorders in children
SLEEP disorders
CHILD Behavior Checklist
PSYCHOSOCIAL factors
QUALITY of life
AFFECTIVE disorders
GENOTYPES
QUESTIONNAIRES
RESEARCH funding
PSYCHOLOGICAL stress
LONGITUDINAL method
MENTAL illness
SYMPTOMS
DISEASE complications
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 09642633
- Volume :
- 68
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Intellectual Disability Research
- Publication Type :
- Academic Journal
- Accession number :
- 175258579
- Full Text :
- https://doi.org/10.1111/jir.13106