@article{CalvanoWarschburger2018, author = {Calvano, Claudia and Warschburger, Petra}, title = {Quality of life among parents seeking treatment for their child's functional abdominal pain}, series = {Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation}, volume = {27}, journal = {Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation}, number = {10}, publisher = {Springer}, address = {Dordrecht}, issn = {0962-9343}, doi = {10.1007/s11136-018-1916-2}, pages = {2557 -- 2570}, year = {2018}, abstract = {Purpose: Dealing with a child who suffers from functional abdominal pain (FAP) is a major challenge for the child's parents. However, little is known about the quality of life (QoL) of this group of parents. Therefore, this cross-sectional study aimed to provide a comprehensive analysis of parental QoL among parents seeking treatment for their child's abdominal pain. Methods: 133 parents of 7-13-year-old children diagnosed with FAP reported on their health-related QoL (HRQoL), as assessed by the SF-12, and on caregiver-related QoL, as assessed by two CHQ-PF50 scales (emotional impact, time impact). T tests were used to compare the parents' scores on these measures with reference scores. Subgroups which were at risk of impairment were defined by cut-off scores. Determinants of parental QoL were identified by hierarchical regression analyses. Results: While the parents showed significantly poorer mental health compared to population-based reference samples (d = 0.33-0.58), their physical health did not differ. However, parents were severely strained with respect to the time impact and emotional impact of their child's health (d = 0.33-1.58). While 12.7-27.9\% of the parents were at risk of poor HRQoL, 60.6-70.1\% were highly strained due to the demands of their role as caregivers. Physical and mental health were best explained by parents' psychiatric symptoms, while parents' perception of their child's impairment additionally determined the high time and emotional impact. Conclusions: Physical HRQoL is not impaired in the majority of parents seeking treatment for their child's functional abdominal pain. However, the time demands and worries due to the child's pain deserve specific attention. Psychosocial interventions for a child's FAP should include information provided to the parents about coping with time constraints and emotional impact. Further prospective studies are warranted.}, language = {en} } @phdthesis{Calvano2018, author = {Calvano, Claudia}, title = {Funktionelle Bauchschmerzen im Kindesalter}, school = {Universit{\"a}t Potsdam}, pages = {209}, year = {2018}, abstract = {Funktionelle Bauchschmerzen des Kindes betreffen die ganze Familie, wobei die Literatur insbesondere die Rolle der Eltern hervorhebt. Bisher wurden die Eltern jedoch prim{\"a}r als ā€˛critical behavioral agents" (Palermo \& Eccleston, 2009) gesehen, die einen Einfluss auf die Bauchschmerzen und Beeintr{\"a}chtigung des Kindes aus{\"u}ben. Untersuchungen der psychosozialen Auswirkungen der Bauchschmerzen und der Beeintr{\"a}chtigung des Kindes auf die Eltern wurden bislang vernachl{\"a}ssigt (Palermo \& Eccleston, 2009). Die Dissertation hatte daher zum Ziel, die Rolle der Eltern bei funktionellen Bauchschmerzen umfassend zu betrachten, indem sowohl schmerzbezogene Reaktionen der Eltern, als auch die psychosoziale Belastung der Eltern ber{\"u}cksichtigt und systematisch in Zusammenhang zu den Bauchschmerzen und der Beeintr{\"a}chtigung des Kindes untersucht wurden. Zum anderen sollten durch Interventionsstudien Aussagen {\"u}ber die Ver{\"a}nderbarkeit spezifischer Belastungsmerkmale der Eltern und {\"u}ber das Wechselspiel zwischen der Ebene der Eltern und der Ebene des Kindes erm{\"o}glicht werden. Anhand von vier Studien sollten die Fragen beantworten werden 1) welche Faktoren die {\"a}rztliche Inanspruchnahme beeinflussen und welche besondere Relevanz dabei die Bewertungsprozesse der Eltern besitzen, 2) wie die psychosoziale Belastung der Eltern charakterisiert ist und durch welche Faktoren sie beeinflusst wird, 3) welche Ver{\"a}nderungen im Rahmen einer kindzentrierten verhaltenstherapeutischen Intervention auf Seiten der Eltern zu beobachten sind und 4) wie sich diese Ver{\"a}nderungen seitens der Eltern und seitens des Kindes gegenseitig beeinflussen.}, language = {de} }