Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2012 , Vol 3, Issue 4
Predictive Variables of Depression Level In Parents of Children With Cerebral Palsy
Selvin Balki1, Özden Canbay2
1Cumhuriyet Üniversitesi, Sağlık Bilimleri Fakültesi Fizyoterapi ve Rehabilitasyon Bölümü, Sivas, Türkiye
2Özel Gülüş Özel Eğitim ve Rehabilitasyon Merkezi, Malatya, Türkiye
Objective: The aim of the study was to investigate the association between clinical status of children with cerebral palsy (CP) and symptoms of depression in their parents with particular attention to mothers' perceptions.

Patients and Methods: Parents (40 mothers, 22 fathers) of children (24 males, 16 females) with CP aged 4-28 years (being educated in a private rehabilitation center) participated in this cross-sectional study. Gross Motor Function Classification System, Beck Depression Inventory (BDI), and Modified Ashworth Scale were used. The measurements included mothers' ratings of their children's mental handicap and problem behaviour level (2-point scale (yes/no) and 10-cm-visual analog scale, respectively). Demographic informations were collected as well as information on home exercises, functional status and care giving roles.

Results: According to mothers, 40% of their children had mental handicap. Mean problem behavior level was 4.9. 45% of the mothers, and 40% of the fathers had depressive symptoms above the cut off on BDI. In symptoms of depression of mothers of the mentally handicapped CP group were found importantly increase (p<0.01). Mental handicap of the children (beta=0.440) were related to the maternal depression (p<0.01). However, the behavioural problems of the children (beta=0.764) were related to the paternal depression (p<0.001). Both the maternal and the paternal depression were predicted by income (beta=-0.329, -0.472, respectively). Assessed other parameters, did not affect in the parent's BDI scores.

Conclusion: It might be important to take mothers' perceptions about disabilities of their children with CP into account in order to determine the active support for families. Keywords : Paternal depression, maternal depression. mother proxy report, cerebral palsy