Paediatric gastroesophageal reflux disease and parental mental health: Prevalence and predictors
Journal article
Aizlewood, Elizabeth GM, Jones, F. and Whatmough, Rachel M 2023. Paediatric gastroesophageal reflux disease and parental mental health: Prevalence and predictors. Clinical Child Psychology and Psychiatry. https://doi.org/10.1177/13591045231164866
Authors | Aizlewood, Elizabeth GM, Jones, F. and Whatmough, Rachel M |
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Abstract | Objective The current study aimed to estimate the prevalence of common mental health difficulties in parents who have an infant with Gastroesophageal Reflux Disease (GORD), and to identify psychological predictors of parental anxiety, depression, and well-being, as a platform for subsequent intervention development. Methods Parents of infants with GORD ( N = 309) completed online psychometric measures of potential predictors (self-compassion, illness appraisals, and illness uncertainty), potential confounders (sleep quality, relationship satisfaction, social support, and infant feeding satisfaction), and mental health outcomes (anxiety, depression, and wellbeing). The outcome measures were repeated eight-weeks later ( N = 103). Results At the first time-point, 66% of participants exceed the clinical cut off for generalised anxiety disorder and 63% exceeded that for a depressive disorder. Both had significantly reduced eights-weeks later. Greater self-compassion predicted lower anxiety and depression, and better well-being, in both cross-sectional and longitudinal data, including when all confounders were controlled for. Illness uncertainty and illness appraisals were less consistent predictors. No robust differences were found between parents of infants with silent GORD and those with GORD with visible regurgitation. Conclusions Parents of infants with GORD showed high rates of anxiety and depression, which were elevated compared to those that have been found in perinatal and general population samples. Self-compassion was a consistent predictor of better mental health and has promise as a proximal intervention target. Future research could benefit from examining the efficacy of a compassion-focussed intervention in this population. |
Keywords | Psychiatry and Mental health; Clinical Psychology; General Medicine; Pediatrics, Perinatology and Child Health |
Year | 2023 |
Journal | Clinical Child Psychology and Psychiatry |
Publisher | SAGE Publications |
ISSN | 1359-1045 |
1461-7021 | |
Digital Object Identifier (DOI) | https://doi.org/10.1177/13591045231164866 |
Official URL | https://doi.org/10.1177/13591045231164866 |
Publication dates | |
Online | 20 Mar 2023 |
Publication process dates | |
Accepted | 04 Mar 2023 |
Deposited | 22 Mar 2023 |
Publisher's version | License |
Output status | Published |
Additional information | Publications router: Date 2023-03-20 of type 'publication_date' with format 'electronic' included in notification |
Page range | 135910452311648 |
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https://repository.canterbury.ac.uk/item/942vv/paediatric-gastroesophageal-reflux-disease-and-parental-mental-health-prevalence-and-predictors
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