Document Detail


Depressive symptoms among mothers of children with epilepsy: a review of prevalence, associated factors, and impact on children.
MedLine Citation:
PMID:  19694788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The impact of epilepsy is not limited to the child experiencing seizures, but affects all members of the family. As primary caregivers, mothers are particularly at risk for experiencing increased depressive symptoms and risk for clinical depression. The objective of this systematic review was to critically assess available evidence regarding the prevalence, associated factors, and impact of maternal depressive symptoms on child outcomes in epilepsy. Using a modified version of the Quality Index, studies were rigorously evaluated in terms of reporting, external validity, and internal validity. Limitations in the study designs and analytic techniques of previous research are discussed, and study methods to overcome these barriers are presented in order to advance this research area. Up to 50% of mothers of children with epilepsy are at risk for clinical depression. Correlates of maternal depressive symptoms include a number of modifiable risk factors such as role ambiguity, worry, and satisfaction with relationships. In addition, studies suggest that depressive symptoms in mothers have a negative impact on child outcomes in epilepsy including behavior problems and health-related quality of life. The overall mean score on the Quality Index was 9.7, indicating a midrange quality score, suggesting a need for more methodologically robust studies.
Authors:
Mark A Ferro; Kathy N Speechley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2009-08-19
Journal Detail:
Title:  Epilepsia     Volume:  50     ISSN:  1528-1167     ISO Abbreviation:  Epilepsia     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-30     Completed Date:  2009-11-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983306R     Medline TA:  Epilepsia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2344-54     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada. mark.ferro@schulich.uwo.ca
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MeSH Terms
Descriptor/Qualifier:
Caregivers / psychology*
Child
Cost of Illness*
Depression / diagnosis,  epidemiology*,  psychology*
Epilepsy / epidemiology,  psychology*,  rehabilitation
Family Health
Health Status
Humans
Mothers / psychology*
Outcome Assessment (Health Care)
Prevalence
Questionnaires
Risk Factors
Grant Support
ID/Acronym/Agency:
//Canadian Institutes of Health Research

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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