Psychological Impact on Parents of Children with Congenital Adrenal Hyperplasia: a Study from Sri Lanka
Overview
Pediatrics
Affiliations
Introduction: Congenital adrenal hyperplasia (CAH) is a group of autosomal recessively inherited disorders with significant morbidity. The long-term implications result in immense psychological stress to the parents. This study assessing the psychological impact on the parents is a first in Sri Lanka and one of the few worldwide.
Objective: Document the presence of depressive symptoms in parents of children with CAH.
Design: Study participants were 37 parents of children diagnosed with CAH who were attending an endocrinology clinic of the largest children's hospital in Sri Lanka. Centre for Epidemiological Studies-Depression scale (CES-D), a psychometrically sound scale for assessing depressive symptomatology, was used.
Results: The study classified 59% of the parents as being affected, and the psychological impact on them did not reduce with time.
Conclusion: Parents of children with CAH demonstrated symptoms of depression that did not abate with the passage of time.
Larasati I, Saktini F, Winarni T, Ediati A, Utari A Belitung Nurs J. 2023; 9(1):54-61.
PMID: 37469639 PMC: 10353655. DOI: 10.33546/bnj.2379.
Rautmann L, Witt S, Theiding C, Odenwald B, Nennstiel-Ratzel U, Dorr H Int J Environ Res Public Health. 2023; 20(5).
PMID: 36901502 PMC: 10002056. DOI: 10.3390/ijerph20054493.
Congenital Adrenal Hyperplasia-Current Insights in Pathophysiology, Diagnostics, and Management.
Claahsen-van der Grinten H, Speiser P, Ahmed S, Arlt W, Auchus R, Falhammar H Endocr Rev. 2021; 43(1):91-159.
PMID: 33961029 PMC: 8755999. DOI: 10.1210/endrev/bnab016.
Singarayan V, David A, Ayyar V, James S J Family Med Prim Care. 2020; 9(6):2814-2817.
PMID: 32984131 PMC: 7491816. DOI: 10.4103/jfmpc.jfmpc_131_20.
Management of Childhood Congenital Adrenal Hyperplasia-An Integrative Review of the Literature.
Fleming L, Van Riper M, Knafl K J Pediatr Health Care. 2017; 31(5):560-577.
PMID: 28416079 PMC: 5654644. DOI: 10.1016/j.pedhc.2017.02.004.