Duran TOPAK, Burak KUŞÇU, Fatih DOĞAR, Celaleddin TURGUT

Pre- and post-treatment comparison of the anxiety, depression and stress conditions of fathers with children with developmental dysplasia of the hip in early childhood

To compare the pre-and post-treatment depression, anxiety, and stress scores of fathers with children who were diagnosed with Developmental Dysplasia of the Hip (DDH) during early childhood screening and to investigate the effect of socio-demographic differences. We included the parents of children diagnosed with DDH during the screening program in early childhood in the study, and their emotional states before and after treatment were evaluated in our clinic between April 2020 and January 2021 using the Turkish version of the Depression, Anxiety, Stress Scale-21 (DASS-21). The effects of socio-demographic changes on emotional status before or after treatment were analyzed from the data obtained. The emotional states of the parents before and after the treatment were compared. A total of 40 men with a mean age of 26.32 ± 4.40 years were included in the study. The participants' pre-treatment depression, anxiety, stress, and total scores were significantly higher when compared with the post-treatment scores (p = 0.001, p = 0.001, p = 0.001, p = 0.001, respectively). It was observed that socio-demographic variables did not affect depression, anxiety, and stress scores before or after treatment. It was observed that only the stress scores of the participants above the age of 30 before treatment were higher than the participants aged 20–24 (p = 0.020). In the fathers of children with DDH in early childhood, the increased levels of anxiety, depression, and stress before treatment create a temporary emotional state that regresses with treatment.

PDF

___

1. Jackson JC, Runge MM, Nye NS. Common questions about developmental dysplasia of the hip. Am Fam Physician. 2014:843-50.
2. Lange AE, Lange J, Ittermann T, et al. Population-based study of the incidence of congenital hip dysplasia in preterm infants from the Survey of Neonates in Pomerania (SNiP). BMC Pediatr. 2017:78-84.
3. Woodacre T, Ball T, Cox P. Epidemiology of developmental dysplasia of the hip within the UK: refining the risk factors. J Child Orthop. 20 16:633–42.
4. Pollet V, Percy V, Prior HJ. Relative risk and incidence for developmental dysplasia of the hip. J Pediatr. 2017:202–7.
5. Auriemma J, Potisek NM. Developmental Dysplasia of the Hip. Pediatr Rev. 2018:570-2.
6. Anuar R, Mohd-Hisyamudin H, Ahmad M, et al. The economic impact of managing late presentation of developmental dysplasia of hip (DDH). Malays Orthop J. 2015:40–3.
7. American Academy of Pediatrics Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip Clinical practice guideline: early detection of developmental dysplasia of the hip. Pediatrics. 2000:896–905.
8. Lamers F, Van Oppen P, Comijs HC, et al. Comorbidity patterns of anxiety and depressive disorders in a large cohort study: the Netherlands Study of Depression and Anxiety (NESDA). J Clin Psychiatry. 2011:341-8.
9. Selye H, Guillemin R. Le syndrome général d'adaptation [General adaptation syndrome]. Maroc Med. 1952:259-63.
10. Oliveira JV, Westphal F, Abrahäo AR. Neonatal outcome impact in puerperal mothers of newborns with congenital anomaly. Cogitare Enferm. 2015:360-7.
11. Fontoura FC, Cardoso MVLML, Rodrigues SE, et al. Anxiety of mothers of newborns with congenital malformations in the pre- and postnatal periods. Rev Lat Am Enfermagem. 2018:3080-7.
12. Cherry AS, Blucker RT, Thornberry TS, et al. Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned. J Multidiscip Healthc. 2016:59-67.
13. Elisei S, Lucarini E, Murgia N, et al. Perinatal depression: a study of prevalence and of risk and protective factors. Psychiatr Danub. 2013:258- 62.
14. Yıldırım A, Boysan M, Kefeli MC. Psychometric properties of the Turkish version of the Depression Anxiety Stress Scale-21 (DASS-21), Br J Guid Counsell. 2018:582-95.
15. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995:335-43.
16. Eiser C. Psychological effects of chronic disease. J Child Psychol Psychiatry. 1990:85-98
17. Kumar R, Robson K. A prospective study of emotional disorder in childbearing women. Br J Psychiatry. 1984:35-47.
18. Lehman LL, Maletsky K, Beaute J, et al. Prevalence of symptoms of anxiety, depression, and post-traumatic stress disorder in parents and children following pediatric stroke. J Child Neurol. 2020:472-9.
19. Gardner F, Dezateux C, Elbourne D, et al. Collaborative Hip Trial Group. The hip trial: psychosocial consequences for mothers of using ultrasound to manage infants with developmental hip dysplasia. Arch Dis Child Fetal Neonatal Ed. 2005:17-24.