Increased burden on caregivers of having a child with haemophilia complicated by inhibitors
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Increased burden on caregivers of having a child with haemophilia complicated by inhibitors. / Lindvall, Karin; von Mackensen, Sylvia; Elmståhl, Sölve; Khair, Kate; Stain, Ann Marie; Ljung, Rolf; Berntorp, Erik.
In: PEDIATR BLOOD CANCER, Vol. 61, No. 4, 01.04.2014, p. 706-711.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Increased burden on caregivers of having a child with haemophilia complicated by inhibitors
AU - Lindvall, Karin
AU - von Mackensen, Sylvia
AU - Elmståhl, Sölve
AU - Khair, Kate
AU - Stain, Ann Marie
AU - Ljung, Rolf
AU - Berntorp, Erik
N1 - © 2013 Wiley Periodicals, Inc.
PY - 2014/4/1
Y1 - 2014/4/1
N2 - INTRODUCTION: Having a child with a chronic disease often increases the burden in the family with more hospital visits, treatment administration, and increased worries for the ill child. A cross-sectional, international, multi-centre study in caregivers of children <18 years with haemophilia and inhibitor was performed at Haemophilia Treatment Centres in Sweden, UK, and Canada to evaluate caregivers' burden and their health-related quality of life (HRQoL) compared to that of caregivers of children on prophylaxis without inhibitors and caregivers of healthy children.METHODS: Caregivers of children with haemophilia completed several questionnaires (SF-36, Visual Analogue Scale of Interference (VAS), Caregivers' Burden Scale and Impact on Family Scale (IOF). Caregivers of healthy children completed only the SF-36. In addition, socio-demographic data were collected.RESULTS: In total, 143 caregivers were included in the study. Comparing the two haemophilia groups with caregivers of healthy children revealed significant differences for all SF-34 domains except 'pain' and 'general health'. In Caregivers' Burden Scale, caregivers of children with inhibitors reported higher impact of haemophilia (P < 0.0001) and higher impact on VAS (P < 0.0001) compared to caregivers of children without inhibitors. In IOF, caregivers of children with inhibitors reported significant negative impact of the disease, except for aspect of coping.CONCLUSION: Caregivers of children with inhibitors reported higher impact of the disease compared to caregivers of children with no inhibitors. No differences between mothers and fathers in the two groups for SF-36, Caregivers' Burden Scale, VAS and IOF, except for domain pain in SF-36 where mothers reported higher impairments.
AB - INTRODUCTION: Having a child with a chronic disease often increases the burden in the family with more hospital visits, treatment administration, and increased worries for the ill child. A cross-sectional, international, multi-centre study in caregivers of children <18 years with haemophilia and inhibitor was performed at Haemophilia Treatment Centres in Sweden, UK, and Canada to evaluate caregivers' burden and their health-related quality of life (HRQoL) compared to that of caregivers of children on prophylaxis without inhibitors and caregivers of healthy children.METHODS: Caregivers of children with haemophilia completed several questionnaires (SF-36, Visual Analogue Scale of Interference (VAS), Caregivers' Burden Scale and Impact on Family Scale (IOF). Caregivers of healthy children completed only the SF-36. In addition, socio-demographic data were collected.RESULTS: In total, 143 caregivers were included in the study. Comparing the two haemophilia groups with caregivers of healthy children revealed significant differences for all SF-34 domains except 'pain' and 'general health'. In Caregivers' Burden Scale, caregivers of children with inhibitors reported higher impact of haemophilia (P < 0.0001) and higher impact on VAS (P < 0.0001) compared to caregivers of children without inhibitors. In IOF, caregivers of children with inhibitors reported significant negative impact of the disease, except for aspect of coping.CONCLUSION: Caregivers of children with inhibitors reported higher impact of the disease compared to caregivers of children with no inhibitors. No differences between mothers and fathers in the two groups for SF-36, Caregivers' Burden Scale, VAS and IOF, except for domain pain in SF-36 where mothers reported higher impairments.
KW - Adaptation, Psychological
KW - Adolescent
KW - Adult
KW - Anxiety
KW - Blood Coagulation Factor Inhibitors
KW - Caregivers
KW - Case-Control Studies
KW - Child
KW - Child, Preschool
KW - Cohort Studies
KW - Cross-Sectional Studies
KW - Factor VIII
KW - Female
KW - Follow-Up Studies
KW - Health Status
KW - Hemophilia A
KW - Humans
KW - Immune Tolerance
KW - Infant
KW - International Agencies
KW - Male
KW - Middle Aged
KW - Prognosis
KW - Quality of Life
KW - Questionnaires
U2 - 10.1002/pbc.24856
DO - 10.1002/pbc.24856
M3 - SCORING: Journal article
C2 - 24277475
VL - 61
SP - 706
EP - 711
JO - PEDIATR BLOOD CANCER
JF - PEDIATR BLOOD CANCER
SN - 1545-5009
IS - 4
ER -