Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome

BackgroundPrader-Willi syndrome (PWS) is a potentially life threatening, genetic developmental disorder that requires lifelong medical treatment and behavioral management. PWS has a major impact on the patient's social environment. In this study, we have explored traumatic life events and sympt...

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Main Authors: Anja Bos-Roubos, Ellen Wingbermühle, Anneloes Biert, Laura de Graaff, Jos Egger
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.897138/full
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author Anja Bos-Roubos
Anja Bos-Roubos
Ellen Wingbermühle
Ellen Wingbermühle
Ellen Wingbermühle
Anneloes Biert
Laura de Graaff
Laura de Graaff
Laura de Graaff
Jos Egger
Jos Egger
Jos Egger
Jos Egger
author_facet Anja Bos-Roubos
Anja Bos-Roubos
Ellen Wingbermühle
Ellen Wingbermühle
Ellen Wingbermühle
Anneloes Biert
Laura de Graaff
Laura de Graaff
Laura de Graaff
Jos Egger
Jos Egger
Jos Egger
Jos Egger
author_sort Anja Bos-Roubos
collection DOAJ
description BackgroundPrader-Willi syndrome (PWS) is a potentially life threatening, genetic developmental disorder that requires lifelong medical treatment and behavioral management. PWS has a major impact on the patient's social environment. In this study, we have explored traumatic life events and symptoms of posttraumatic stress disorder (PTSD) in family members of individuals with PWS. We have also assessed quality of life in relation to trauma manifestations. In addition, we have evaluated demographic characteristics such as living setting of PWS patients as well as PWS symptom severity.MethodsData of this observational study were obtained by means of the Life Events Checklist DMS-5, the Posttraumatic Stress Disorder Checklist DSM-5, the abbreviated World Health Organization Quality of Life questionnaire, the Lancashire Quality of Life Profile questionnaire, and a short demographic inventory. The study sample includes 98 adults aged 19 to 80 years (M = 49, SD = 15), who are relatives of 69 individuals with PWS aged 0 to 58 years (M = 19, SD = 13). Participants were recruited via the two Dutch patient associations PWS and the Dutch Digital Center of Expertise PWS.ResultsLife time prevalence of traumatic events (93%) was higher in family members of PWS patients (“PWS relatives”) than in the general Dutch population (81%). Of those who reported any traumatic event, almost half reported PWS-related events. The prevalence of probable PTSD was higher in PWS relatives (12.1%) than the general lifetime prevalence of PTSD (worldwide, and in the Netherlands 7.4%). Predominant trauma symptoms in PWS relatives were “negative changes in arousal and reactivity” and “negative changes in cognition and mood;” both significantly negatively related to quality of life. Symptom severity of PWS individuals, as well as the associated trauma symptom severity of their relatives increased with age of the PWS individual. The presence of trauma symptoms was less frequent among relatives of PWS individuals living in a care facility.ConclusionsHaving a relative with PWS is associated with higher prevalence of traumatic experiences and greater vulnerability to PTSD. Raising awareness in health care professionals of trauma symptoms in PWS relatives may contribute to effective treatment of their psychosocial stress. In addition, timely interventions might prevent family members from developing psychopathology like PTSD.
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spelling doaj.art-d51773799f634acc8007d4bcc40214e02022-12-22T03:33:00ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-06-011310.3389/fpsyt.2022.897138897138Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi SyndromeAnja Bos-Roubos0Anja Bos-Roubos1Ellen Wingbermühle2Ellen Wingbermühle3Ellen Wingbermühle4Anneloes Biert5Laura de Graaff6Laura de Graaff7Laura de Graaff8Jos Egger9Jos Egger10Jos Egger11Jos Egger12Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray, NetherlandsDonders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, NetherlandsCentre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray, NetherlandsDonders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, NetherlandsDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, NetherlandsCentre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray, NetherlandsDepartment of Internal Medicine, Erasmus University Medical Center, Rotterdam, NetherlandsCenter for Adults With Rare Genetic Syndromes, Erasmus University Medical Center, Rotterdam, NetherlandsDutch Center of Reference for Prader-Willi Syndrome, Rotterdam, NetherlandsCentre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray, NetherlandsDonders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, NetherlandsDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, NetherlandsStevig, Specialized and Forensic Care for People With Intellectual Disabilities, Dichterbij, Oostrum, NetherlandsBackgroundPrader-Willi syndrome (PWS) is a potentially life threatening, genetic developmental disorder that requires lifelong medical treatment and behavioral management. PWS has a major impact on the patient's social environment. In this study, we have explored traumatic life events and symptoms of posttraumatic stress disorder (PTSD) in family members of individuals with PWS. We have also assessed quality of life in relation to trauma manifestations. In addition, we have evaluated demographic characteristics such as living setting of PWS patients as well as PWS symptom severity.MethodsData of this observational study were obtained by means of the Life Events Checklist DMS-5, the Posttraumatic Stress Disorder Checklist DSM-5, the abbreviated World Health Organization Quality of Life questionnaire, the Lancashire Quality of Life Profile questionnaire, and a short demographic inventory. The study sample includes 98 adults aged 19 to 80 years (M = 49, SD = 15), who are relatives of 69 individuals with PWS aged 0 to 58 years (M = 19, SD = 13). Participants were recruited via the two Dutch patient associations PWS and the Dutch Digital Center of Expertise PWS.ResultsLife time prevalence of traumatic events (93%) was higher in family members of PWS patients (“PWS relatives”) than in the general Dutch population (81%). Of those who reported any traumatic event, almost half reported PWS-related events. The prevalence of probable PTSD was higher in PWS relatives (12.1%) than the general lifetime prevalence of PTSD (worldwide, and in the Netherlands 7.4%). Predominant trauma symptoms in PWS relatives were “negative changes in arousal and reactivity” and “negative changes in cognition and mood;” both significantly negatively related to quality of life. Symptom severity of PWS individuals, as well as the associated trauma symptom severity of their relatives increased with age of the PWS individual. The presence of trauma symptoms was less frequent among relatives of PWS individuals living in a care facility.ConclusionsHaving a relative with PWS is associated with higher prevalence of traumatic experiences and greater vulnerability to PTSD. Raising awareness in health care professionals of trauma symptoms in PWS relatives may contribute to effective treatment of their psychosocial stress. In addition, timely interventions might prevent family members from developing psychopathology like PTSD.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.897138/fulltraumaPTSDcontextual neuropsychologyfamilyPrader-Willi syndrome (PWS)quality of life
spellingShingle Anja Bos-Roubos
Anja Bos-Roubos
Ellen Wingbermühle
Ellen Wingbermühle
Ellen Wingbermühle
Anneloes Biert
Laura de Graaff
Laura de Graaff
Laura de Graaff
Jos Egger
Jos Egger
Jos Egger
Jos Egger
Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome
Frontiers in Psychiatry
trauma
PTSD
contextual neuropsychology
family
Prader-Willi syndrome (PWS)
quality of life
title Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome
title_full Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome
title_fullStr Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome
title_full_unstemmed Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome
title_short Family Matters: Trauma and Quality of Life in Family Members of Individuals With Prader-Willi Syndrome
title_sort family matters trauma and quality of life in family members of individuals with prader willi syndrome
topic trauma
PTSD
contextual neuropsychology
family
Prader-Willi syndrome (PWS)
quality of life
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.897138/full
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