Journal of Korean Neuropsychiatric Association (신경정신의학)

Korean Neuropsychiatric Association (대한신경정신의학회)
권호 표지

Maternal Parenting Stress and Sense of Competence in Children with Seizure Disorders

소아 간질 아동 어머니의 양육 스트레스 및 부모효능감

Park, Su-Bin;Yoo, Han-Ik;Jeon, Jeong-Won;Choi, Soon-Ho;Wang, Hee-Ryung;Kim, Kun-Woo;Kim, Jin-Yong;Ko, Tae-Sung
박수빈;유한익;전정원;최순호;왕희령;김건우;김진용;고태성

  • Published : 2007.11.30
⟨ Previous Next ⟩

Abstract

Objectives：While parents who foster children with epilepsy would have considerable parenting difficulties, the parenting stress and sense of competence have not been investigated. We investigated maternal parenting stress, parenting satisfaction and sense of parenting competence in children with seizure disorders, and the associations with seizure-related variables. Methods：Mothers of 79 children with seizure disorders (41 boys, 38 girls；mean age, 9.9±2.3 years) and 79 healthy comparison subjects matched for age and sex were recruited for this study. The Korean version of the Parenting Stress Index (K-PSI-SF) and the Parenting Sense of Competence (K-PSOC) were used to assess parenting stress, parenting satisfaction and parenting efficacy. Results：Mothers of children with seizure disorders showed higher scores on stress related to difficult child and child learning and parenting anxiety compared to mothers of healthy children. In addition, scores on stress related to parental-child interaction and child learning were significantly associated with parental economic status. Scores on stress from parental-child interaction was also correlated with seizure severity, and stress from child learning was correlated with seizure type. Sense of parenting competence and anxiety scores were correlated with paternal educational status, respectively. Conclusion：These findings suggest that mothers of children with epilepsy have greater parenting stress and anxiety and social and seizure-associated factors may affect the parenting stress and anxiety. (J Korean Neuropsychiatr Assoc 2007;46(6): 596-602)

본 연구를 통해 국내 간질 환아의 어머니들에서 양육 스트레스와 부모로서의 불안감이 일반 집단에 비해서 높음이 확인되었다. 어머니의 불안감과 부적응은 환아와 가족 모두의 적응과 삶의 질에 영향을 끼치므로, 어머니의 양육스트레스 및 불안감에 대한 효율적인 치료적 개입 및 사회적 지원이 필요할 것으로 생각된다. 또한 아직 국내에서는 양육스트레스를 겪는 간질 환아의 어머니들에게 효과적인 치료적 개입에 대해 체계적인 연구가 진행되지 않은 실정이어서 이에 대한 추후 연구들이 기대된다.

Keywords

References

  1. Camfield CS, Camfield PR, Gordon K, Wirrell E, Dooley JM. Incidence of epilepsy in childhood and adolescence: a population-based study in Nova Scotia from 1977 to 1985. Epilepsia 1996;37:19-23 https://doi.org/10.1111/j.1528-1157.1996.tb00506.x
  2. Kim WJ. Psychiatric aspects of epileptic children and adolescents. J Am Acad Child Adolesc Psychiatry 1991;30:874-886 https://doi.org/10.1097/00004583-199111000-00003
  3. Coulter DL. The psychosocial impact of epilepsy in childhood. Child Health Care 1982;11:48-53 https://doi.org/10.1207/s15326888chc1102_1
  4. Kitamoto I, Kurokawa T, Tomita S, Maeda Y, Sakamoto K, Ueda K. Child-parent relationships in the care of epileptic children. Brain Dev 1988;10:36-40 https://doi.org/10.1016/S0387-7604(88)80043-3
  5. Hoare P, Kerley S. Psychosocial adjustment of children with chronic epilepsy and their families. Dev Med Child Neurol 1991;33:201-215 https://doi.org/10.1111/j.1469-8749.1991.tb05109.x
  6. Hartlage LC, Green JB. The relation of parental attitudes to academic and social achievement in epileptic children. Epilepsia 1972;13:21-26 https://doi.org/10.1111/j.1528-1157.1972.tb04544.x
  7. McBride AB. Differences in women's and men's thinking about parent-child interactions. Res Nurs Health 1985;8:389-396 https://doi.org/10.1002/nur.4770080412
  8. Quittner AL, DiGirolamo AM, Michel M, Eigen H. Parental response to cystic fibrosis: a contextual analysis of the diagnosis phase. J Pediatr Psychol 1992;17:683-704 https://doi.org/10.1093/jpepsy/17.6.683
  9. International League Against Epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Commission on Classification and Terminology of the International League Against Epilepsy. Epilepsia 1989;30:389-399 https://doi.org/10.1111/j.1528-1157.1989.tb05316.x
  10. An Jin Yoo, Mi Hyun Han. The Validation of the Child Behavior Checklist. Korean Association of Child Studies 1995;16:5-21
  11. Achenbach TM, Edelbrock C. Manual for the Child Behavior Checklist and Revised Child Behavior Profiles. Burlington: University of Vermont;1983
  12. Abidin RR. Parenting Stress Index Short Form. Charlottesville, VA: Pediatric Psychology Press;1999
  13. Suk Jea Shin, Moon Ja Chung. Effects of Stress, Social Support and Efficacy on Mothers' Parenting Behaviors. Korean Association of Child Studies 1998;19:27-42
  14. Giband-Wallston J, Wanderrsman, LP. Development and utility of the parental sense of competence scale. Meeting of the American Psychological Association;1978 Aug; Toronto
  15. Park SB, Hanik KY, Kim JY, Jeon JW, Choi SH, Wang HR, et al. Temperament and Character Factors in Korean Children with Seizure Disorders. J Nerv Ment Dis 2007;195:470-476 https://doi.org/10.1097/NMD.0b013e3180302608
  16. Lavigne JV, Faier-Routman J. Psychological adjustment to pediatric physical disorders: a meta-analytic review. J Pediatr Psychol 1992;17:133-157 https://doi.org/10.1093/jpepsy/17.2.133
  17. Carlton-Ford S, Miller R, Brown M, Nealeigh N, Jennings P. Epilepsy and children's social and psychological adjustment. J Health Soc Behav 1995;36:285-301 https://doi.org/10.2307/2137344
  18. Mitchell WG, Chavez JM, Lee H, Guzman BL. Academic underachievement in children with epilepsy. J Child Neurol. 1991;6:65-72 https://doi.org/10.1177/088307389100600114
  19. Gudmundsson G. Epilepsy in Iceland: a clinical and epidemiological investigation. Acta neurologica Scandinavica 1966;43(suppl 25):1-124 https://doi.org/10.1111/j.1600-0404.1967.tb05714.x
  20. Dodson. Epilepsy, cerebral palsy, and IQ. New York, Demos Medical Publishing;2001. p.613-627
  21. Holdsworth L, Whitmore K. A study of children with epilepsy attending ordinary schools. I: their seizure patterns, progress and behaviour in school. Dev Med Child Neurol 1974;16:746-758 https://doi.org/10.1111/j.1469-8749.1974.tb03395.x
  22. Stores G. School-children with epilepsy at risk for learning and behaviour problems. Dev Med Child Neurol 1978;20:502-508 https://doi.org/10.1111/j.1469-8749.1978.tb15256.x
  23. Cowan LD, Bodensteiner JB, Leviton A, Doherty J. Prevalence of the epilepsies in children and adolescents. Epilepsia 1989;30:94-106 https://doi.org/10.1111/j.1528-1157.1989.tb05289.x
  24. Addy DP. Cognitive function in children with epilepsy. Dev Med Child Neurol 1987;29:394-397 https://doi.org/10.1111/j.1469-8749.1987.tb02493.x
  25. Buchanan N. Social aspects of epilepsy in childhood and adolescence. Aust Paediatr J 1988;24:220-221
  26. Singhi PD, Goyal L, Pershad D, Singhi S, Walia BN. Psychosocial problems in families of disabled children. Br J Med Psychol 1990;63:173-182 https://doi.org/10.1111/j.2044-8341.1990.tb01610.x
  27. Conger RD, Ge X, Elder GH Jr, Lorenz FO, Simons RL. Economic stress, coercive family process, and developmental problems of adolescents. Child Dev 1994;65:541-561 https://doi.org/10.2307/1131401
  28. Camfield CS, Breau, L, Camfield P. Impact of pediatric epilepsy on the family: a new scale for clinical and research use. Epilepsia 2001;42:104-112 https://doi.org/10.1046/j.1528-1157.2001.081420.x
  29. Young-Ja Jeon. A Study on Wives' Parenting Stress. Journal of Child & Family Welfare Study 1996;1:159-177
  30. Lewis MA, Hatton CL, Salas I, Leake B, Chiofalo N. Impact of the Children's Epilepsy Program on parents. Epilepsia 1991;32:365-374 https://doi.org/10.1111/j.1528-1157.1991.tb04665.x