Depression and Coping Patterns in Mothers Caring for Children with Epilepsy

Rehab Fathy Abdel Hady Ghaith^1, and Shadia Fathy Mahmoud Mohammed¹

¹Lecturers of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig University

Cite this paper:
Rehab Fathy Abdel Hady Ghaith and Shadia Fathy Mahmoud Mohammed. Depression and Coping Patterns in Mothers Caring for Children with Epilepsy. American Journal of Nursing Research. 2020; 8(2):303-311. doi: 10.12691/ajnr-8-2-21

Abstract

Background: Epilepsy is one of the most common chronic neurological diseases in childhood terms. Mothers that care for children with epilepsy are usually at a high risk of psychological distress, such as depression and anxiety than norms. Parental coping is an important area to focus on to enhance child condition. Aim of the study: The aim of the study was to assess depression and coping patterns in mothers caring for children with epilepsy. Research Design: A descriptive research design was used. Setting: The present study was fulfilled at Neurology outpatient clinic at El-Ahrar General Hospital at Zagazig City in Sharkia Governorate. Subjects: The sample comprised 140 mothers of children with epilepsy. Tools of Data Collection: Three tools were utilized including: Socio-demographic/medical data sheet, Beck's Depression Inventory and Coping Health Inventory for Parents. Results: Thirty percent of mothers suffered from depression. Majority of mothers were unable to have family integration coping, social support coping, medical situation coping and total coping. Moreover, depression was negatively and highly significantly correlated with total coping, family integration coping, medical situation coping, and social support coping. Conclusion: Nearly one third of mothers suffered from depression and majority of them were unable to cope with child disease. Depression in mothers was negatively and highly significantly correlated with their coping ability with child disease. Recommendations: It is recommended to provide mothers of epileptic children with nursing intervention programs about different coping strategies and how to manage psychological problems.

Keywords:
epilepsy depression coping patterns mothers children

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References:

[1]	Murugupillai, R., Wanigasinghe, J., Muniyandi, R. & Arambepola, C. (2016): Parental concerns towards children and adolescents with epilepsy in Sri Lanka-Qualitative study. Seizure, 34, 6-11.
[2]	Hocaoglu, C., & Koroglu A. (2011): Childhood Age Epilepsy and Family. Journal of Pediatric Psychology, 42(4), 21-25.
[3]	Russ, S.A., Larson, K. & Halfon N. (2012): A national profile of childhood epilepsy and seizure disorder. Pediatrics, 129 (2), 256-64.
[4]	Farghaly, W., Nagiub, H., Rageh, T., Shehata, G., Badry, N., bdelmonem, M., Abd Al Waneth, A. & Kandi, N. (2012): Epidemiology of epilepsy in Egypt, African child health, 3-4 (39), 1-3.
[5]	Scheffer, I.E., Berkovic, S., Capovilla, G., Connolly, M.B., French, J., Guilhoto, L., et al. (2017): ILAE classification of the epilepsies: position paper of the ILAE Commission for Classification and Terminology. Epilepsia, 58(4), 512-21.
[6]	Reilly, C., Atkinson, P., Das, K.B., Chin, R.F., Aylett, S.E., Burch, V., et al. (2015): Factors associated with quality of life in active childhood epilepsy: a population-based study. Eur J Paediatr Neurol, 19 (3), 308-13.
[7]	Wo, S. W., Ong, L. C., Low, W. Y. & Lai P. S. (2018): Exploring the needs and challenges of parents and their children in childhood epilepsy care: A qualitative study. Epilepsy & Behavior, (88) 268-276.
[8]	Quittner, A. (2012): Reexamining Research on Stress and Social Support: The Importance of Contextual Factors. Advances in Pediatric Psychology: Stress and Coping with Pediatric Conditions. New York: Guilford Press. pp. 85-115.
[9]	Ellis, N., Upton, D.& Thompson, P. (2012): Epilepsy and the Family: A review of Current Literature. Seizure, 9, 22-30.
[10]	Hagemann, A., Pfäfflin, M., Nussbeck, F.W. & May TW. (2016): The efficacy of an educational program for parents of children with epilepsy (FAMOSES): results of a controlled multicenter evaluation study. Epilepsy Behav, 64 (Part A), 143-51.
[11]	Humeniuk, E. & Tarkowski, Z., (2016): Parents’ reactions to children’s stuttering and style of coping with stress. Journal of Fluency Disorders, 49, 51-60.
[12]	Plexico, L. W., & Burrus, E. (2012). Coping with a child who stutters: a phenomenological analysis. Journal of Fluency Disorders, 37(4), 275-288.
[13]	McCubbin, H. I., & Patterson, J. M. (1981): Systematic assessment of family stress, resources, and coping. Tools for research, education and clinical intervention. Family stress, coping and health project Madison, WI: University of Wisconsin.
[14]	Azar, M. & Badr, L. K. (2010): Predictors of Coping in Parents of Children With an Intellectual Disability: Comparison Between Lebanese Mothers and Fathers. Journal of Pediatric Nursing, 25, 46-56.
[15]	Duffy, L.V. (2011): Parental Coping and Childhood Epilepsy: The Need for Future Research. Journal Neuroscience Nursin, 43(1), 29-35.
[16]	Crawford, P., & Marshall, F. (2013): Coping with Epilepsy. Pediatric Nursing, 125-132.
[17]	Yam, W. K., Ronen, G. M., Cherk, S. W., Rosenbaum, P., Chan, K. Y., Striner, D. L., et al. (2008): Health-Related Quality of Life of Children with Epilepsy in Hong Kong: How does it Compare with that of Youth with Epilepsy in Canada? Epilepsy Behav, 12(3), 419-26.
[18]	Khajeh, A., Firouzkoohi, M., Miri-Aliabad, Gh., Fayyazi, A. & MiriBonjar, M.( 2015): Prevalence of Anxiety, Stress and Depressive Symptoms Among Mothers of Children With Epilepsy. Health Scope, 4(1), 1-3.
[19]	Beck, A.T., Steer, R.A., Ball, R., & Ranieri, W., (1996): Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588-597.
[20]	McCubbin, H.I., McCubbin, M. A., Patterson, J. M., Cauble, A. E., Wilson, L. R. & Warren, W. (1983): CHIP: Coping Health Inventory for Parents: An Assessment of Parental Coping Patterns in the Care of the Chronically Ill Child. Journal of Marriage and the Family, 359-370.
[21]	Reilly, C., Atkinson, P & Das, K. (2014): A population-Based Study of Neuro Behavioral Comorbidities in Children with Active Epilepsy. Pediatrics, 133, e1586-e1593.
[22]	Camfield, P., & Camfield, C. (2015): Incidence, prevalence and aetiology of seizures and epilepsy in children. Epileptic Disorders, 17(2), 117-123.
[23]	El-Marzky, N.M., El -Sharkawy, S.S, Adly, R.M. & Hassan, S.E. (2019): Stressors and Coping Patterns of Mothers Having Children with Epilepsy. Egyptian Journal of Health Care, 10, (1), 208-222.
[24]	Åndell, E., Tomson, T., Carlsson, S., Hellebro, E., Andersson, T., Adelöw, C., & Åmark, P. (2015): The Incidence of Unprovoked Seizures and Occurrence of Neuro-developmental Comorbidities in Children at the Time of their First Epileptic Seizure and during the Subsequent Six Months. Epilepsy Research, 113(4), 140-150.
[25]	Hamamreh, N., Russo, S. & Alkaissi, A. (2016): Prevalence and Severity of Depression among Mothers of Disabled Children in Palestine. A descriptive, Analytical, Cross Sectional Study, Journal of Natural Sciences Research, 6(4), 26-46.
[26]	Banerjee, P., Nina, L. Filippi, K. David, E. Hauser, W. & Allen, E. (2009):"The descriptive Epidemiology of Epilepsy- A review." Epilepsy Research, 85, 31 - 45.
[27]	Saleem, S., Mushtaq, M., Saleem, B., Maqbool, W., & Singh, G. (2015): Prevalence and Pattern of Active Epilepsy in School going Childrens in Kashmir Valley. Indian Journal of Public Health Research & Development, 6(1), 89-94.
[28]	Mua, P., Kuo, H., & chang, K. (2004): Boundary Ambiguity, Coping Patterns and Depression in Mothers Caring for Children with Epilepsy in Taiwan; ; 42(3), 273-282.
[29]	Metwaly, S. M. (2010): Nursing Intervention Protocol for Parents Having Children under Haemodialysis Therapy. Unpublished Doctoral Thesis. Faculty of Nursing, Zagazig University.
[30]	Kroeger, L. (2007): Wisconsin among experiences with haemodialysis. A Research Paper Submitted in partial fulfillment of the Education Specialist Degree with a Major in Career and Technical Education.
[31]	Sami, N.M. (2006): Effect of psychosocial factors on childhood attention deficit disorder, Unpublished M. D. Thesis, Faculty of Medicine, Ain Shams University.
[32]	El Malky, M., Atia, M., & Alam, .F. (2016): The effectiveness of social skill training on depressive symptoms, self-esteem and interpersonal difficulties among Schizophrenic patients. International Journal of Advanced Nursing Studies, 5(1), 43-50.
[33]	Hesdorffer, D.C., Ishihara, L., Mynepalli, L., Webb, D.J., Weil, J. & Hauser, W. A. (2012): Epilepsy, suicidality, and psychiatric disorders: a bidirectional association. Ann Neurol, 72(2), 184-91.
[34]	Ferro, M.A. & Speechley, K.N. (2009): Depressive symptoms among mothers of children with epilepsy: a review of prevalence, associated factors, and impact on children. Epilepsia, 50(11), 2344-54.
[35]	Akaya, A. P., Kurulb, S. H., Ozeka, H., Cengizhana, S., Emiroglua, N. & Ellidokuzc, H. (2011): Maternal reactions to a child with epilepsy: Depression, anxiety, parental attitudes and family functions. Epilepsy Research, 95, 213-220.
[36]	Ekinci, O., Isik, U., Gunes, S., Yildirim, C. Killi, Y. &Guler, G. (2016): Self-concept in children and adolescents with epilepsy: The role of family functioning, mothers’ emotional symptoms and ADHD. Brain & Development, 38, 714-722.
[37]	Aronu, A.E. & Ojinnaka, N.C. (2009): Psychiatric morbidity among parents of children with epilepsy in Enugu, Nigeria. Neurol Asia, 14(1), 15-20.
[38]	Reilly, C., Atkinson, P., Memon, A., Jones, C., Dabydeen, L., Das, K. B., Gillberg, C., Neville, B. G. R. & Scott, R. C. (2018): Symptoms of depression, anxiety, and stress in parents of young children with epilepsy: A case controlled population-based study. Epilepsy & Behavior, 80, 177-183.
[39]	Lv, R., Wu, L., Jin, L., Lu, Q., Wang, M., Qu, Y., et al. (2009): Depression, Anxiety and Quality of Life in Parents of Children with Epilepsy. ActaNeurol Scand, 120, (5), 335-341.
[40]	Soltanifar, A., Ashrafzadeh, F., Mohareri, F. & Mokhber N. (2012): Depression and Anxiety in Iranian Mothers of Children with Epilepsy. Iranian Journal of Child Neurology, 6(1), 29-34.
[41]	Sepehrmanesh, Zahra and colleagues. (2003): Demographic Study of Depression, Kashan Medical Science University Journal, 7, (27).
[42]	Rodenburg, R., Meijer, A.M., Dekovic, M. & Aldenkamp, A.P. (2005): Family factors and psychopathology in children with epilepsy: a literature review. Epilepsy Behav,6, 488-503.
[43]	Mua, P. (2005): Paternal reactions to a child with epilepsy: Uncertainty, coping strategies, and depression. Journal of Advanced Nursing, 49(4), 367-376.
[44]	Baker, B. L., Blacher, J. & Olsson, M. B. (2005): Preschool children with and without developmental delay: Behavior problems, parents' optimism and well-being. Journal of Intellectual Disability Research, 49, 575-590.
[45]	Saied, H. (2006): Effect of psychosocial factors on childhood attention deficit disorder. Unpublished M. D. Thesis, Faculty of Medicine, Ain Shams University.
[46]	Beresford, B. & Sloper, T. (2011): The Information Needs of Chronically Ill or Physically Disabled Children and Adolescents. NHS 1639 3.99 BB/TS. Avaliable at www.york.ac.uk/inst/spru/pubs/pdf/ info needs.pdf.
[47]	Tuncay, T., & Musabak, I. (2015): Problem-Focused Coping Strategies Predict Posttraumatic Growth in Veterans with Lower-Limb Amputations. Journal of Social Service Research, 41(4), 466-483.
[48]	Carlson, J. M. & Miller, P. A. (2017): Family burden, child disability, and the adjustment of mothers caring for children with epilepsy: Role of social support and coping. Epilepsy & Behavior, 68, 168-173.
[49]	Hooper, L., Williams, W.H., Wall, S.E. & Chua, K. (2007): Caregiver distress, coping and parenting styles in cases of childhood encephalitis, Nuropsychological Rehabilitation, 17 (4), 621-637.