A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes

Abstract Background Children with chronic health conditions and their parents are at greater risk of developing emotional and behavioural problems compared to their physically healthy peers. The psychological impact on parents is crucial to understand given the relationship between parental mental h...

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Main Authors: Sophie D. Bennett, Eleanor Kerry, Kate Fifield, Brian C. F. Ching, Matteo Catanzano, Holan Liang, Isobel Heyman, Anna E. Coughtrey, Charlotte Sanderson, Natalia Rojas, Roz Shafran
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:JCPP Advances
Subjects:
Online Access:https://doi.org/10.1002/jcv2.12046
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author Sophie D. Bennett
Eleanor Kerry
Kate Fifield
Brian C. F. Ching
Matteo Catanzano
Holan Liang
Isobel Heyman
Anna E. Coughtrey
Charlotte Sanderson
Natalia Rojas
Roz Shafran
author_facet Sophie D. Bennett
Eleanor Kerry
Kate Fifield
Brian C. F. Ching
Matteo Catanzano
Holan Liang
Isobel Heyman
Anna E. Coughtrey
Charlotte Sanderson
Natalia Rojas
Roz Shafran
author_sort Sophie D. Bennett
collection DOAJ
description Abstract Background Children with chronic health conditions and their parents are at greater risk of developing emotional and behavioural problems compared to their physically healthy peers. The psychological impact on parents is crucial to understand given the relationship between parental mental health and child emotional and behavioural difficulties. This study was part of a broader research project examining the acceptability, feasibility and impact of a ‘Mental Health and Psychological Wellbeing Drop‐in Centre’ in a paediatric hospital providing access to support and intervention for children and their families. This paper aimed to investigate the impact of the centre on parents (n = 148). Methods Parental anxiety and depression were assessed using the GAD‐7 and PHQ‐9 at baseline and 6‐month post‐baseline. Child mental health was assessed using the parent‐report Strengths and Difficulties Questionnaire (SDQ). If parents had significant mental health needs, a brief intervention/signposting to relevant services was provided. Results At baseline, 48% of parents scored above clinical threshold for anxiety and 41% for depression, and parent reported child SDQ scores were correlated with parental anxiety and parental low mood. Self‐reported parental anxiety and low mood decreased at 6‐months post‐baseline (parental anxiety: mean decrease = 2.29 [1.22–3.36], d = 0.38; parental low mood: mean decrease = 1.81 [0.64–3.00], d = 0.28). There were no significant correlations between change in parent reported child wellbeing and changes in parental low mood and anxiety between baseline and 6‐month post‐baseline. Conclusions Assessing and providing a brief treatment to address the mental health needs of parents of children with comorbidity may bring important benefits. It is recommended that children's mental health services consider assessment of parental mental health as part of routine care.
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spelling doaj.art-8c13c70182864ee4b49b952b581c20c52022-12-22T00:34:36ZengWileyJCPP Advances2692-93842021-12-0114n/an/a10.1002/jcv2.12046A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomesSophie D. Bennett0Eleanor Kerry1Kate Fifield2Brian C. F. Ching3Matteo Catanzano4Holan Liang5Isobel Heyman6Anna E. Coughtrey7Charlotte Sanderson8Natalia Rojas9Roz Shafran10UCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKUCL Great Ormond Street Institute of Child Health London UKAbstract Background Children with chronic health conditions and their parents are at greater risk of developing emotional and behavioural problems compared to their physically healthy peers. The psychological impact on parents is crucial to understand given the relationship between parental mental health and child emotional and behavioural difficulties. This study was part of a broader research project examining the acceptability, feasibility and impact of a ‘Mental Health and Psychological Wellbeing Drop‐in Centre’ in a paediatric hospital providing access to support and intervention for children and their families. This paper aimed to investigate the impact of the centre on parents (n = 148). Methods Parental anxiety and depression were assessed using the GAD‐7 and PHQ‐9 at baseline and 6‐month post‐baseline. Child mental health was assessed using the parent‐report Strengths and Difficulties Questionnaire (SDQ). If parents had significant mental health needs, a brief intervention/signposting to relevant services was provided. Results At baseline, 48% of parents scored above clinical threshold for anxiety and 41% for depression, and parent reported child SDQ scores were correlated with parental anxiety and parental low mood. Self‐reported parental anxiety and low mood decreased at 6‐months post‐baseline (parental anxiety: mean decrease = 2.29 [1.22–3.36], d = 0.38; parental low mood: mean decrease = 1.81 [0.64–3.00], d = 0.28). There were no significant correlations between change in parent reported child wellbeing and changes in parental low mood and anxiety between baseline and 6‐month post‐baseline. Conclusions Assessing and providing a brief treatment to address the mental health needs of parents of children with comorbidity may bring important benefits. It is recommended that children's mental health services consider assessment of parental mental health as part of routine care.https://doi.org/10.1002/jcv2.12046chronic illnessdrop‐inmental healthparents
spellingShingle Sophie D. Bennett
Eleanor Kerry
Kate Fifield
Brian C. F. Ching
Matteo Catanzano
Holan Liang
Isobel Heyman
Anna E. Coughtrey
Charlotte Sanderson
Natalia Rojas
Roz Shafran
A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes
JCPP Advances
chronic illness
drop‐in
mental health
parents
title A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes
title_full A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes
title_fullStr A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes
title_full_unstemmed A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes
title_short A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes
title_sort drop in centre for treating mental health problems in children with chronic illness outcomes for parents and their relationship with child outcomes
topic chronic illness
drop‐in
mental health
parents
url https://doi.org/10.1002/jcv2.12046
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