Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment
Background: Pediatric rheumatic diseases (PRDs) are a group of chronic disorders that start in childhood and are characterized by periodic exacerbations and remissions of symptoms, with limitations in family, school, and social activities. The aim of this study was to detect differences in parents’...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/12/1863 |
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| author | Emanuela Del Giudice Riccardo Lubrano Sonia Monique Bramanti Alessandra Babore Carmen Trumello Sara Giovanna De Maria Anna Dilillo Alessia Marcellino Vanessa Martucci Mariateresa Sanseviero Silvia Bloise Flavia Ventriglia Valerio Manippa |
| author_facet | Emanuela Del Giudice Riccardo Lubrano Sonia Monique Bramanti Alessandra Babore Carmen Trumello Sara Giovanna De Maria Anna Dilillo Alessia Marcellino Vanessa Martucci Mariateresa Sanseviero Silvia Bloise Flavia Ventriglia Valerio Manippa |
| author_sort | Emanuela Del Giudice |
| collection | DOAJ |
| description | Background: Pediatric rheumatic diseases (PRDs) are a group of chronic disorders that start in childhood and are characterized by periodic exacerbations and remissions of symptoms, with limitations in family, school, and social activities. The aim of this study was to detect differences in parents’ psychological adjustment and emotion regulation strategies, and parent-reported children’s adjustments in families of children with active and inactive PRDs. Methods: Fifty-four parents (38 mothers and 16 fathers) of children with PRD were recruited from a pediatric unit. Disease activity was evaluated by their pediatric rheumatologist, while parents’ depressive and anxiety symptoms, emotion regulation strategies, and children’s emotional difficulties and hyperactivity–inattention symptoms were assessed through a web-based survey. Results: Parents of children with active PRDs reported higher levels of their child’s emotional difficulties and hyperactivity–inattention symptoms. Linear regression analysis demonstrated that having a child in the active phases of PRD and lower use of cognitive reappraisal lead to higher children’s emotional symptoms, while active disease, low use of cognitive reappraisal, and greater expressive suppression were associated with higher hyperactivity–inattention symptoms. Our study highlights that children with PRDs and their parents may be at increased risk for psychological problems, especially during the active disease phase, highlighting the importance of a multidisciplinary approach. |
| first_indexed | 2024-03-08T20:53:20Z |
| format | Article |
| id | doaj.art-03688a171cee47b088d8e9c56141f258 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-08T20:53:20Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-03688a171cee47b088d8e9c56141f2582023-12-22T14:00:19ZengMDPI AGChildren2227-90672023-11-011012186310.3390/children10121863Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological AdjustmentEmanuela Del Giudice0Riccardo Lubrano1Sonia Monique Bramanti2Alessandra Babore3Carmen Trumello4Sara Giovanna De Maria5Anna Dilillo6Alessia Marcellino7Vanessa Martucci8Mariateresa Sanseviero9Silvia Bloise10Flavia Ventriglia11Valerio Manippa12Pediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyDepartment of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyDepartment of Education, Psychology and Communication, University of Bari Aldo Moro, 70122 Bari, ItalyBackground: Pediatric rheumatic diseases (PRDs) are a group of chronic disorders that start in childhood and are characterized by periodic exacerbations and remissions of symptoms, with limitations in family, school, and social activities. The aim of this study was to detect differences in parents’ psychological adjustment and emotion regulation strategies, and parent-reported children’s adjustments in families of children with active and inactive PRDs. Methods: Fifty-four parents (38 mothers and 16 fathers) of children with PRD were recruited from a pediatric unit. Disease activity was evaluated by their pediatric rheumatologist, while parents’ depressive and anxiety symptoms, emotion regulation strategies, and children’s emotional difficulties and hyperactivity–inattention symptoms were assessed through a web-based survey. Results: Parents of children with active PRDs reported higher levels of their child’s emotional difficulties and hyperactivity–inattention symptoms. Linear regression analysis demonstrated that having a child in the active phases of PRD and lower use of cognitive reappraisal lead to higher children’s emotional symptoms, while active disease, low use of cognitive reappraisal, and greater expressive suppression were associated with higher hyperactivity–inattention symptoms. Our study highlights that children with PRDs and their parents may be at increased risk for psychological problems, especially during the active disease phase, highlighting the importance of a multidisciplinary approach.https://www.mdpi.com/2227-9067/10/12/1863pediatric rheumatic diseasesparental emotion regulation strategychildren’s psychological adjustmentchildren’s emotional difficultiesbehavioral difficultieschronic and recurrent pain |
| spellingShingle | Emanuela Del Giudice Riccardo Lubrano Sonia Monique Bramanti Alessandra Babore Carmen Trumello Sara Giovanna De Maria Anna Dilillo Alessia Marcellino Vanessa Martucci Mariateresa Sanseviero Silvia Bloise Flavia Ventriglia Valerio Manippa Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment Children pediatric rheumatic diseases parental emotion regulation strategy children’s psychological adjustment children’s emotional difficulties behavioral difficulties chronic and recurrent pain |
| title | Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment |
| title_full | Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment |
| title_fullStr | Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment |
| title_full_unstemmed | Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment |
| title_short | Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents’ and Children’s Psychological Adjustment |
| title_sort | facing pediatric rheumatic diseases the role of disease activity and parental emotion regulation strategy in parents and children s psychological adjustment |
| topic | pediatric rheumatic diseases parental emotion regulation strategy children’s psychological adjustment children’s emotional difficulties behavioral difficulties chronic and recurrent pain |
| url | https://www.mdpi.com/2227-9067/10/12/1863 |
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