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Parental depression following the early diagnosis of Cystic Fibrosis : a matched, prospective study.

Glasscoe, Claire A. and Lancaster, Gillian A. and Smyth, Rosalind L. and Hill, Jonathan (2007) Parental depression following the early diagnosis of Cystic Fibrosis : a matched, prospective study. The Journal of Pediatrics, 150 (2). pp. 185-191. ISSN 0022-3476

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Abstract

To assess risks for parental depression following the diagnosis of cystic fibrosis (CF) in a child. Study design Matched cohort study in NW England; 45 parental couples with a child diagnosed with CF were compared with 45 control couples matching for age, sex, and position in the family of the index child. The Beck Depression Inventory (BDI-II) with a clinical cut-off ≥13 for dysphoria (mild depression) was the main outcome. A stratified analysis was conducted using the Mantel-Haenszel risk-ratio estimator (RRMH) with eight strata for each of the matching variable combinations. Results Heterogeneity was found within the dataset. Parents with a child with CF ≤9 months of age at baseline had an elevated prospective risk of depression (mothers RRMH [95% confidence interval(CI)] = 2·6[1·05,6·42], fathers RRMH [95%CI] = 2·26 [0·97,5·28]). The absence of a group effect for depression at follow-up after adjusting for the matching (mothers RRMH [95%CI] = 1·1 [0·59,2·05], fathers RRMH [95%CI] = 1·42 [0·66,3·08]) masked this heterogeneity. Conclusion This hypothesis-generating finding suggests that parents may be more vulnerable to depression when their child is diagnosed with a life-shortening condition during the first few months of life. Mood in parents of infants diagnosed early needs to be monitored longitudinally and preventative strategies devised.

Item Type: Article
Journal or Publication Title: The Journal of Pediatrics
Subjects: Q Science > QA Mathematics
Departments: Faculty of Science and Technology > Mathematics and Statistics
ID Code: 26974
Deposited By: Mr Richard Ingham
Deposited On: 20 Aug 2009 15:13
Refereed?: Yes
Published?: Published
Last Modified: 09 Oct 2013 15:17
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/26974

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