Attachment and emotional symptoms in family members of adolescents with short stature
DOI:
https://doi.org/10.21134/pssa.v13i1.9Keywords:
Caregiver, Short stature, Adolescence, Emotional distress, AttachmentAbstract
Caring for an adolescent child with a medical condition such as short stature (TB) is associated with emotional symptoms. Sociodemographic factors and secure attachment may buffer them. The aim was to study factors related to emotional symptoms in caregivers of adolescents with TB. A total of 157 caregivers of adolescents with TB participated. We assessed sociodemographic variables, anxiety, depression and attachment. Many had anxious symptoms (46.90%), depressive symptoms (17.50%) and emotional distress (14.40%). Secure attachment, the presence of fewer children, the absence of chronic conditions in other children, and a lesser affectation of the child's height were associated with less symptomatology. It is important to attend to the family in the process of assessment and treatment of the disease.
Downloads
References
Abd-Elaziz, F. G. (2024). Biopsychosocial burden and adjustment of families of children with short stature. Helwan International Journal for Nursing Research and Practice, 3(7), 92–107. https://doi.org/10.21608/hijnrp.2024.293534.1170
Agerskov, H., Thiesson, H. C., Schultz, H., & Pedersen, B. D. (2023). Relationships and dynamics in families with a child with a kidney transplant—A study of parents' everyday life experiences. Journal of Renal Care, 50(2), 151-158. https://doi.org/10.1111/jorc.12465
Aratti, A., & Zampini, L. (2024). Caregiver burden, parenting stress and coping strategies: The experience of parents of children and adolescents with osteogenesis imperfecta. Healthcare, 12(10), 1018. https://doi.org/10.3390/healthcare12101018
Ariza, A. B., Martínez-Aedo, M. J., & López-Siguero, J. P. (2019). Efficacy and safety of replacement treatment in isolated growth hormone deficiency. Anales de Pediatría (English Edition), 90(5), 285–292. https://doi.org/10.1016/j.anpede.2018.05.007
Blegen, N. E., Hummelvoll, J. K., & Severinsson, E. (2010). Mothers with mental health problems: a systematic review. Nursing & Health Sciences, 12(4), 519–528. https://doi.org/10.1111/j.1442-2018.2010.00550.x
Carrión-Plaza, A. (2021). Cáncer intantil y nuevas tecnologías: Desarrollo e implementación de la aplicación HABITAPP para pacientes y cuidadores [University of Valencia]. https://roderic.uv.es/handle/10550/78000
Carrion-Plaza, A., Jaen, J., & Montoya-Castilla, I. (2020). HabitApp: New Play Technologies in Pediatric Cancer to Improve the Psychosocial State of Patients and Caregivers. Frontiers in Psychology, 11, 157. https://doi.org/10.3389/fpsyg.2020.00157
Casaña-Granell, S., Lacomba-Trejo, L., Montoya-Castilla, I., & Pérez-Marín, M. (2016). Malestar emocional y estrés en cuidadores principales de pacientes pediátricos con talla baja. Calidad de vida y salud, 9(2), 93-103. Recuperado a partir de: http://revistacdvs.uflo.edu.ar/index.php/CdVUFLO/article/view/138
Casaña-Granell, S. (2019). Talla baja: factores psicosociales y de adaptación del paciente padiátrico y su familia [Universitat de València]. https://dialnet.unirioja.es/servlet/tesis?codigo=255831&info=resumen&idioma=SPA
Casaña-Granell, S., Lacomba-Trejo, L., Montoya-Castilla, I., & Pérez-Marín, M. (2021). Adolescence and short stature : factors in adjustment to the diagnosis. Quality of Life Research, February. https://doi.org/10.1007/s11136-021-02798-1
Casaña-Granell, S., Lacomba-Trejo, L., Montoya-Castilla, I., & Pérez-Marín, M. (2022). Factors associated with stress when caring for a child with a short stature. Current Psychology, 1–9. https://doi.org/10.1007/s12144-020-01323-w
Casaña-Granell, S., Lacomba-Trejo, L., Valero-Moreno, S., Prado-Gasco, V., Montoya-Castilla, I., & Pérez-Marín, M. (2018). A Brief version of the pediatric inventory for parents (pip) in Spanish population: Stress of main family carers of chronic paediatric patients. PLoS ONE, 13(7), 1–16. https://doi.org/10.1371/journal.pone.0201390
Ceñal, M. J. (2009). Dilemas diagnósticos y terapéuticos en talla baja. Pediatría Atención Primaria, 11, 155–172. https://doi.org/10.4321/s1139-76322009000600004
Cohen, J. (1998). Statistical Power Analysis for the Behavioral Sciences Second Edition.
Cortés, L., Lacomba-Trejo, L., & Pérez-Marín, M. (2020). Levantando la voz: las cuidadoras en el hogar de personas en situación de dependencia. [Speakin out loud: women as caretakers of dependent people at home]. Trabajo Social Hoy, 89(Primer Cuatrimestre), 83–100. https://doi.org/10.12960/tsh.2020.0006
Delamater, A. M., Guzman, A., & Aparicio, K. (2017). Mental health issues in children and adolescents with chronic illness. International Journal of Human Rights in Healthcare, 10(3), 163–173. https://doi.org/10.1108/IJHRH-05-2017-0020
Diago, J. I., Carrascosa, A., Del Valle, C. J., Ferrández, A., Gracia, R., & Pombo, M. (2006). Idiopathic short stature: Definition and treatment. Anales de Pediatria, 64(4), 360–364. https://doi.org/10.1157/13086525
Essex, M. J., Kraemer, H. C., Armstrong, J. M., Boyce, W. T., Goldsmith, H. H., Klein, M. H., Woodward, H., & Kupfer, D. J. (2006). Exploring risk factors for the emergence of children’s mental health problems. Archives of General Psychiatry, 63(11), 1246–1256. https://doi.org/10.1001/archpsyc.63.11.1246
Huang, Y., Pan, Y., Chen, M., Jiang, H., Ren, L., Wang, Y., Zhang, L., & Dong, C. (2022). The resilient process of the family after diagnosis of childhood chronic illness: A qualitative meta-synthesis. Journal of Pediatric Nursing, 67, e180–e190. https://doi.org/10.1016/j.pedn.2022.07.017
García, L., Carrascosa, A., Caveda, E., Del Valle, J., Duque, N., & Ferrández, A. (2009). Prevalence of idiopathic short stature in a pediatric population attending endocrinology clinics in Spain (P01-077). LWPE-ESPE.
Greenman, P. S., Renzi, A., Monaco, S., Luciani, F., & Di Trani, M. (2024). How does trauma make you sick? The role of attachment in explaining somatic symptoms of survivors of childhood trauma. Healthcare, 12(2), Article 203. https://doi.org/10.3390/healthcare12020203
Karademas, E. C. (2022). A new perspective on dyadic regulation in chronic illness: the dyadic regulation connectivity model. Health Psychology Review, 16(1), 1–21 https://doi.org/10.1080/17437199.2021.1874471
Lackner, L., Quitmann, J., Kristensen, K., & Witt, S. (2023). Health-related quality of life, stress, caregiving burden, and special needs of parents caring for a short-statured child—Review and recommendations for future research. International Journal of Environmental Research and Public Health, 20(16), Article 6558. https://doi.org/10.3390/ijerph20166558
Lacomba-Trejo, L., Valero-Moreno, S., Casaña-Granell, S., Pérez-Marín, M., & Montoya-Castilla, I. (2018). Chronic pediatric disease: A comparative study of anxiety, depression and self-esteem levels Enfermedad crónica pediátrica: estudio comparativo de los niveles de ansiedad, depresión y autoestima. Revista de Psicología Clínica con Niños y Adolescentes, 5, 48–53. https://doi.org/10.21134/rpcna.2018.05.3.7
Lacomba-Trejo, L., Valero-Moreno, S., Montoya-Castilla, I., & Pérez-Marín, M. (2020). Psychosocial factors and chronic illness as predictors for anxiety and depression in adolescence. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.568941
Lo Cascio, V., Guzzo, G., Pace, F., & Pace, U. (2013). Anxiety and self-esteem as mediators of the relation between family communication and indecisiveness in adolescence. International Journal for Educational and Vocational Guidance, 13(2), 135–149. https://doi.org/10.1007/s10775-013-9243-1
Marín-Tejeda, M., Martínez-Martínez, K. I., & Santillán Torres-Torija, C. (2021). Quality of attachment, trauma, psychopathology, and frequency of non-suicidal self-injury in Mexican adolescents suffering from psychosocial vulnerability: Description of a risk profile. Salud mental, 44(2), 53–63. https://doi.org/10.17711/SM.0185-3325.2021.009
Marshall, K. H., Pincus, H. A., Tesson, S., Lingam, R., Woolfenden, S. R., & Kasparian, N. A. (2024). Integrated psychological care in pediatric hospital settings for children with complex chronic illness and their families: A systematic review. Psychology & Health, 39(4), 452–478. https://doi.org/10.1080/08870446.2022.2072843
Mehta, P., & Sharma, J. (2021). Moderation effect of social support and personal resources between emotional work and employee wellbeing. Asia-Pacific Journal of Business Administration, 2, 235-255. https://doi.org/10.1108/APJBA-07-2020-0252
Melero, R., & Cantero, M. (1969). Cuestionario de Apego Adulto: evaluación en la población española. Journal of Personality and Social Psychology, 61, 226–244. https://www.cop.es/infocop/pdf/1645.pdf
Moscoso, M. S. (2011). El estrés crónico y la medición psicométrica del distrés emocional percibido en medicina y psicología clínica de la salud. Liberabit, 17(1).
Mueller-Godeffroy, E., Vonthein, R., Ludwig-Seibold, C., Heidtmann, B., Boettcher, C., Hilgard, D., Lilienthal, E., Ziegler, A., & Wagner, V. M. (2017). Quality of life and family burden in type 1 diabetes children and adolescents on continuous subcutaneous insulin infusion versus multiple daily injections: a multicenter randomized controlled trial. Pediatric diabetes, 18, 82‐83. https://doi.org/10.1111/pedi.12589
Ochoa, M., Cardoso, M., & Reyes, V. (2016). Emociones de la familia ante el diagnóstico de diabetes mellitus tipo 1 en el infante. Enfermería Universitaria, 13(1), 40–46. https://doi.org/10.1016/j.reu.2016.01.006
Ou-Yang, L.-X., & Yang, F. (2024). Pay attention to the mental health of children with short stature. Chinese Journal of Contemporary Pediatrics, 26(4), 331.
Papalia, D. E., & Martorell, G. (2021). Desarrollo humano (14.ª ed.). McGraw-Hill Education.
Postigo-Zegarra, S., Schoeps, K., Pérez-Marín, M., Lacomba-Trejo, L., & Valero-Moreno, S. (2024). Personal and family factors for emotional distress in adolescents with chronic disease. Frontiers in Psychology, 14, Article 1304683. https://doi.org/10.3389/fpsyg.2023.1304683
Quitmann, J. H., Bullinger, M., Sommer, R., Rohenkohl, A. C., & Silva, N. M. B. Da. (2016). Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives. PLoS ONE, 11(4), 1–20. https://doi.org/10.1371/journal.pone.0153953
Ribera-Asensi, O., Pérez-Marín, M., & Valero-Moreno, S. (2024). Family bonds and personal factors in caregiver burden in patients at the end of life. Family Process. https://doi.org/10.1111/famp.13026
Set, Z. (2021). Examining the Relationship between Attachment and Depression in Terms of Various Variables: A Theoretical Study. Psikiyatride Güncel Yaklaşımlar, 13(1), 23–33.
Sevilla, P., Alija, M. J., & Arriola, G. (2015). Análisis de la demanda asistencial en endocrinología pediátrica en una consulta hospitalaria. Acta Pediátrica Española, 73, e165–e170.
Sharawat, I. K., & Panda, P. K. (2021). Caregiver Satisfaction and Effectiveness of Teleconsultation in Children and Adolescents With Migraine During the Ongoing COVID-19 Pandemic. Journal of Child Neurology, 36(4), 296–303. https://doi.org/10.1177/0883073820968653
Toledano-Toledano, F., Luna, D., Moral de la Rubia, J., Martínez Valverde, S., Bermúdez Morón, C. A., Salazar García, M., & Vasquez Pauca, M. J. (2021). Psychosocial Factors Predicting Resilience in Family Caregivers of Children with Cancer: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(2), 748. https://doi.org/10.3390/ijerph18020748
Torralba-García, A., Valero-Moreno, S., Lacomba-Trejo, L., & Pérez-Marín, M. (2021). ¿Cuáles son los factores de riesgo y protección para el bienestar de adolescentes con FQ? Revista de Psicología Clínica con Niños y Adolescentes, 8(1), 31–39. https://www.revistapcna.com/sites/default/files/2032-1.pdf
Valero-Moreno, S., Lacomba-Trejo, L., Casaña-Granell, S., Prado-Gascó, V. J., Montoya-Castilla, I., & Pérez-Marín, M. (2019). Factor structure of the Hospital Anxiety and Depression Scale in adolescent patients with chronic disease. Archivos Argentinos de Pediatria, 117(4). https://doi.org/10.5546/aap.2019.eng.252
Valero-Moreno, S., Pérez-Marín, M., Montoya-Castilla, I., Castillo, S., Ramírez-Aguilar, A., & Escribano-Montaner, A. (2016). Impacto de la enfermedad respiratoria crónica pediátrica : Estrés percibido en los cuidadores principales. 9(2), 131–138.
Valero-Moreno, S. (2021). Repercusiones psicológicas de la enfermedad respiratoria crónica pediátrica en los pacientes y en sus cuidadores [Universidad de Valencia]. https://roderic.uv.es/handle/10550/77561
Wang, A., Bai, X., Lou, T., Pang, J., & Tang, S. (2020). Mitigating distress and promoting positive aspects of caring in caregivers of children and adolescents with schizophrenia: Mediation effects of resilience, hope, and social support. International Journal of Mental Health Nursing, 29(1), 80–91. https://doi.org/10.1111/inm.12651
Wang, J., Yang, Y., Tang, Y., Wu, M., Jiang, S., & Zou, H. (2021). Longitudinal links among parent-child attachment, emotion parenting, and problem behaviors of preadolescents. Children and Youth Services Review, 121, 105797. https://doi.org/10.1016/j.childyouth.2020.105797
Witt, S., Bloemeke, J., Bullinger, M., Dörr, H.-G., Silva, N., & Quitmann, J. H. (2024). Growth hormone treatment in children with short stature: Impact of the diagnosis on parents. Journal of Pediatric Endocrinology and Metabolism, 37(4), 326–335. https://doi.org/10.1515/jpem-2023-0420
Zayed, A. A., Beano, A. M., Haddadin, F. I., Radwan, S. S., Allauzy, S. A., Alkhayyat, M. M., Al-Dahabrah, Z. A., Al-Hasan, Y. G., & Yousef, A. M. F. (2016). Prevalence of short stature, underweight, overweight, and obesity among school children in Jordan. BMC Public Health, 16(1), 1–10. https://doi.org/10.1186/s12889-016-3687-4
Zigmond, A., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta psychiatrica Scandinavica, 67(6). https://doi.org/10.1111/J.1600-0447.1983.TB09716.X
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Journal of HEALTH PSYCHOLOGY
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is licensed under CC BY-NC-SA 4.0 
