Predictors of caregiver depression and family functioning after perinatal stroke

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dc.contributor.authorBemister, Taryn B.
dc.contributor.authorBrooks, Brian L.
dc.contributor.authorDyck, Richard H.
dc.contributor.authorKirton, Adam
dc.date.accessioned2015-08-05T19:13:05Z
dc.date.available2015-08-05T19:13:05Z
dc.date.issued2015-07-15
dc.descriptionArticle deposited according to publisher policies: http://www.biomedcentral.com/about/copyright, August 5, 2015.en_US
dc.description.abstractBACKGROUND: Perinatal stroke is a leading cause of cerebral palsy and lifelong neurological morbidity. Studies on perinatal stroke outcomes are increasing, although examinations of its broader impact on parents and families have been limited. A recent study found that parents of children with moderate and severe outcomes have increased risk for psychosocial concerns, including depressive symptoms and poor family functioning. Other parents adapt remarkably well, but how this occurs is unknown. The primary aim of this study was to examine predictors of parent and family outcomes, namely caregiver depression and family functioning. The secondary aim was to explore potential mediators and moderators of the relationship between condition severity and parent and family outcomes. METHODS: Parents were recruited from a large, population-based perinatal stroke research cohort, and they completed measures assessing their demographics, social supports, stress levels, marital quality, feelings of guilt and blame, psychological well-being, and family functioning. Bivariate analyses compared these variables. Predictor variables, mediators, and moderators were chosen according to the strength of their relationship with the outcome variables (i.e., caregiver depression and family functioning) and theory. Hierarchical regression, mediator, and moderator analyses were conducted accordingly. RESULTS: A total of 103 parents participated in this study (76 mothers, 27 fathers; mean age of 39.2 years; mean child age of 7.46 years). Condition severity, anxiety, social support, and blame independently predicted caregiver depression while condition severity, stress levels, and marital quality independently predicted family functioning. Blame regarding the cause of their child's condition also mediated the relationship between condition severity and caregiver depression. CONCLUSIONS: Adverse parental outcomes can be predicted in perinatal stroke populations. Moreover, anxiety and stress management techniques, marital support, and psychoeducation regarding the unpreventable nature of perinatal stroke may be utilized in the future to enhance family outcomes.en_US
dc.description.refereedYesen_US
dc.description.sponsorshipSponsored by the University of Calgary's Open Access Author’s Fund.en_US
dc.identifier.citationBemister, T. B., Brooks, B. L., Dyck, R. H., & Kirton, A. (2015). Predictors of caregiver depression and family functioning after perinatal stroke. BMC Pediatrics, 15(1), 75.en_US
dc.identifier.doi10.1186/s12887-015-0397-5
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/33356
dc.identifier.urihttp://hdl.handle.net/1880/50832
dc.language.isoenen_US
dc.publisherBioMed Central Pediatricsen_US
dc.publisher.corporateUniversity of Calgary
dc.publisher.departmentPsychologyen_US
dc.publisher.facultyArtsen_US
dc.publisher.institutionUniversity of Calgaryen_US
dc.publisher.urlhttp://www.biomedcentral.com/1471-2431/15/75en_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titlePredictors of caregiver depression and family functioning after perinatal strokeen_US
dc.typejournal article
thesis.degree.disciplinePsychology
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