Skip to main content

Advertisement

Log in

Health-related quality of life and mental health in parents of children with hemolytic uremic syndrome

  • Original Article
  • Published:
Pediatric Nephrology Aims and scope Submit manuscript

An Erratum to this article was published on 05 April 2016

Abstract

Background

Little is known about health-related quality of life (HRQoL) and mental health of parents having children with a history of hemolytic uremic syndrome (HUS).

Methods

This study included 63 mothers and 58 fathers of a cohort of 63 HUS-affected children. At assessment, the mean time since a child experienced an acute episode of HUS was 6.4 years. Parental HRQoL, mental health and posttraumatic stress disorder (PTSD) were assessed with standardized self-report questionnaires. Medical data were extracted from patients’ hospital records.

Results

The HRQoL and mental health of both the mothers and fathers were not impaired compared to normative data. However, a shorter time since a child’s acute HUS episode was a significant predictor of lower HRQoL among the mothers, while no such effect was found among the fathers. Two fathers (3 %), but no mothers, met the criteria for a diagnosis of HUS-related full PTSD; one father (2 %) and four mothers (6 %) met the criteria for a diagnosis of HUS-related partial PTSD.

Conclusions

Our study shows that most parents of our study sample were doing well in terms of HRQoL and mental health, although a small number met the criteria for full or partial PTSD diagnosis due to their child’s HUS. We therefore recommend that healthcare providers pay special attention to parents regarding PTSD symptoms during the clinical follow-up of a HUS-affected child since some parents may benefit from psychological support.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Andreoli SP (2009) Acute kidney injury in children. Pediatr Nephrol 24:253–263

    Article  PubMed  PubMed Central  Google Scholar 

  2. Schifferli A, von Vigier RO, Fontana M, Spartà G, Schmid H, Bianchetti MG, Rudin C, Swiss Pediatric Surveillance Unit (2010) Hemolytic-uremic syndrome in Switzerland: a nationwide surveillance 1997–2003. Eur J Pediatr 169:591–598

    Article  PubMed  Google Scholar 

  3. Garg AX, Suri RS, Barrowman N, Rehman F, Matsell D, Rosas-Arellano MP, Salvadori M, Haynes RB, Clark WF (2003) Long-term renal prognosis of diarrhea-associated hemolytic uremic syndrome: a systematic review, meta-analysis, and meta-regression. JAMA 290:1360–1370

    Article  CAS  PubMed  Google Scholar 

  4. Copelovitch L, Kaplan BS (2008) Streptococcus pneumoniae-associated hemolytic uremic syndrome. Pediatr Nephrol 23:1951–1956

  5. Noris M, Remuzzi G (2009) Atypical hemolytic-uremic syndrome. N Engl J Med 361:1676–1687

    Article  CAS  PubMed  Google Scholar 

  6. Loirat C, Saland J, Bitzan M (2012) Management of hemolytic uremic syndrome. Presse Med 41:e115–e135

    Article  PubMed  Google Scholar 

  7. Hogg RJ, Furth S, Lemley KV, Portman R, Schwartz GJ, Coresh J, Balk E, Lau J, Levin A, Kausz AT, Eknoyan G, Levey AS (2003) National kidney foundation’s kidney disease outcomes quality initiative clinical practice guidelines for chronic kidney disease in children and adolescents: evaluation, classification, and stratification. Pediatrics 111:1416–1421

    Article  PubMed  Google Scholar 

  8. Fremeaux-Bacchi V, Fakhouri F, Garnier A, Bienaime F, Dragon-Durey M-A, Ngo S, Moulin B, Servais A, Provot F, Rostaing L, Burtey S, Niaudet P, Deschenes G, Lebranchu Y, Zuber J, Loirat C (2013) Genetics and outcome of atypical hemolytic uremic syndrome: a nationwide French series comparing children and adults. Clin J Am Soc Nephrol 8:554–562

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Nathanson S, Kwon T, Elmaleh M, Charbit M, Launay EA, Harambat J, Brun M, Ranchin B, Bandin F, Cloarec S, Bourdat-Michel G, Pietrement C, Champion G, Ulinski T, Deschenes G (2010) Acute neurological involvement in diarrhea-associated hemolytic uremic syndrome. Clin J Am Soc Nephrol 5:1218–1228

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Sturm V, Menke MN, Landau K, Laube GF, Neuhaus TJ (2010) Ocular involvement in paediatric haemolytic uraemic syndrome. Acta Ophthalmol 88:804–807

    Article  PubMed  Google Scholar 

  11. World-Health-Organization (WHO) (1948) Constitution of the World Health Organization basic document. World Health Organization, Geneva. Available at: www.who.int

  12. Lopes M, Ferraro A, Koch VH (2014) Health-related quality of life of children and adolescents with CKD stages 4-5 and their caregivers. Pediatr Nephrol 29:1239–1247

    Article  PubMed  Google Scholar 

  13. Hatzmann J, Heymans HS, Ferrer-i-Carbonell A, van Praag BM, Grootenhuis MA (2008) Hidden consequences of success in pediatrics: parental health-related quality of life—results from the Care Project. Pediatrics 122:e1030–e1038

    Article  PubMed  Google Scholar 

  14. Tsai TC, Liu SI, Tsai JD, Chou LH (2006) Psychosocial effects on caregivers for children on chronic peritoneal dialysis. Kidney Int 70:1983–1987

    Article  PubMed  Google Scholar 

  15. Wiedebusch S, Konrad M, Foppe H, Reichwald-Klugger E, Schaefer F, Schreiber V, Muthny FA (2010) Health-related quality of life, psychosocial strains, and coping in parents of children with chronic renal failure. Pediatr Nephrol 25:1477–1485

    Article  PubMed  Google Scholar 

  16. Hasegawa A, Oshima S, Takahashi K, Uchida K, Ito K, Sonoda T (2005) Improvement of quality of life in tacrolimus-based pediatric renal transplant recipients and their caregivers, including donors. Transplant Proc 37:1771–1773

    Article  CAS  PubMed  Google Scholar 

  17. Pollock KGJ, Duncan E, Cowden JM (2009) Emotional and behavioral changes in parents of children affected by hemolytic-uremic syndrome associated with verocytotoxin-producing escherichia coli: a qualitative analysis. Psychosomatics 50:263–269

    Article  PubMed  Google Scholar 

  18. American Psychiatric Association (1994) The diagnostic and statistical manual of mental disorders. American Psychiatric Association, Washington, DC. Available at: www.psychiatry.org

  19. Stuber ML, Shemesh E (2006) Post-traumatic stress response to life-threatening illnesses in children and their parents. Child Adolesc Psychiatr Clin North Am 15:597–609

    Article  Google Scholar 

  20. Melnyk BM, Alpert-Gillis L, Feinstein NF, Crean HF, Johnson J, Fairbanks E, Small L, Rubenstein J, Slota M, Corbo-Richert B (2004) Creating opportunities for parent empowerment: program effects on the mental health/coping outcomes of critically ill young children and their mothers. Pediatrics 113:E597–E607

    Article  PubMed  Google Scholar 

  21. Nelson LP, Gold JI (2012) Posttraumatic stress disorder in children and their parents following admission to the pediatric intensive care unit: a review. Pediatr Crit Care Med 13:338–347

    Article  PubMed  Google Scholar 

  22. Cents RA, Diamantopoulou S, Hudziak JJ, Jaddoe VW, Hofman A, Verhulst FC, Lambregtse-van den Berg MP, Tiemeier H (2013) Trajectories of maternal depressive symptoms predict child problem behaviour: the generation R study. Psychol Med 43:13–25

    Article  CAS  PubMed  Google Scholar 

  23. Buysse CM, Raat H, Hazelzet JA, Hop WC, Maliepaard M, Joosten KF (2008) Surviving meningococcal septic shock: health consequences and quality of life in children and their parents up to 2 years after pediatric intensive care unit discharge. Crit Care Med 36:596–602

    Article  PubMed  Google Scholar 

  24. van Oers H, Tacke C, Haverman L, Kuipers I, Maurice-Stam H, Kuijpers T, Grootenhuis M (2014) Health related quality of life and perceptions of child vulnerability among parents of children with a history of Kawasaki disease. Acta Paediatr 103:671–677

    Article  PubMed  Google Scholar 

  25. Zipfel PF, Wolf G, John U, Kentouche K, Skerka C (2011) Novel developments in thrombotic microangiopathies: is there a common link between hemolytic uremic syndrome and thrombotic thrombocytic purpura? Pediatr Nephrol 26:1947–1956

    Article  PubMed  Google Scholar 

  26. Buder K, Latal B, Nef S, Neuhaus TJ, Laube GF, Sparta G (2015) Neurodevelopmental long-term outcome in children after hemolytic uremic syndrome. Pediatr Nephrol 30:503–513

    Article  PubMed  Google Scholar 

  27. Schwartz GJ, Munoz A, Schneider MF, Mak RH, Kaskel F, Warady BA, Furth SL (2009) New equations to estimate GFR in children with CKD. J Am Soc Nephrol 20:629–637

    Article  PubMed  PubMed Central  Google Scholar 

  28. Bullinger M, Kirchberger I (1998) SF-36 Fragebogen zum Gesundheitszustand. Handanweisung. Hogrefe Verlag, Göttingen. Available at: www.sf-36.org

  29. Ware J, Snow K, Kosinski M (2000) SF-36 Health survey: manual and interpretation guide. Quality Metric Inc., Lincoln. Available at: www.sf-36.org

  30. Ellert U, Bellach B (1999) The SF-36 in the federal health survey. Description of a current normal sample. Gesundheitswesen 61:Spec No.S184-90

  31. Ellert U, Kurth B (2004) Methodological views on the SF-36 summary scores based on the adult German population. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 47:1027–1032

    Article  CAS  Google Scholar 

  32. Derogatis L (1993) BSI brief symptom inventory: administration, scoring, and procedure manual. Minneapolis, National Computer System

    Google Scholar 

  33. Franke G (1997) Erste studien zur güte des brief symptom inventory (BSI). Z Med Psychol 6:159–166

    Google Scholar 

  34. Foa EB, Cashman L, Jaycox L, Perry K (1997) The validation of a self-report measure of posttraumatic stress disorder: the posttraumatic diagnostic scale. Psychol Assess 9:445–451

    Article  Google Scholar 

  35. Griesel D, Wessa M, Flor H (2006) Psychometric qualities of the German version of the posttraumatic diagnostic scale (PTDS). Psychol Assess 18:262–268

    Article  PubMed  Google Scholar 

  36. Stein MB, Walker JR, Hazen AL, Forde DR (1997) Full and partial posttraumatic stress disorder: findings from a community survey. Am J Psychiatry 154:1114–1119

    Article  CAS  PubMed  Google Scholar 

  37. Largo RH, Pfister D, Molinari L, Kundu S, Lipp A, Duc G (1989) Significance of prenatal, perinatal and postnatal factors in the development of AGA preterm infants at five to seven years. Dev Med Child Neurol 31:440–456

    Article  CAS  PubMed  Google Scholar 

  38. Cohen J (1992) A power primer. Psychol Bull 112:155–159

    Article  CAS  PubMed  Google Scholar 

  39. Tabachnik BG, Fidell LS (2005) Using multivariate statistics, 5th edn. Boston, Pearson International Edition

    Google Scholar 

  40. Field A (2009) Discovering statistics using SPSS. Sage Publications, London

    Google Scholar 

  41. Haverman L, van Oers HA, Maurice-Stam H, Kuijpers TW, Grootenhuis MA, van Rossum MA (2014) Health related quality of life and parental perceptions of child vulnerability among parents of a child with juvenile idiopathic arthritis: results from a web-based survey. Pediatr Rheumatol Online J 12:34

    Article  PubMed  PubMed Central  Google Scholar 

  42. Kazak AE, Kassam-Adams N, Schneider S, Zelikovsky N, Alderfer MA, Rourke M (2006) An integrative model of pediatric medical traumatic stress. J Pediatr Psychol 31:343–355

    Article  PubMed  Google Scholar 

  43. Price J, Kassam-Adams N, Alderfer MA, Christofferson J, Kazak AE (2015) Systematic review: a reevaluation and update of the integrative (trajectory) model of pediatric medical traumatic stress. J Pediatr Psychol. doi:10.1093/jpepsy/jsv074

    PubMed  Google Scholar 

  44. Lawoko S, Soares JJ (2003) Quality of life among parents of children with congenital heart disease, parents of children with other diseases and parents of healthy children. Qual Life Res 12:655–666

    Article  CAS  PubMed  Google Scholar 

  45. Sprangers MAG, Schwartz CE (1999) Integrating response shift into health-related quality of life research: a theoretical model. Soc Sci Med 48:1507–1515

    Article  CAS  PubMed  Google Scholar 

  46. Seligman ME, Csikszentmihalyi M (2000) Positive psychology. An introduction. Am Psychol 55:5–14

    Article  CAS  PubMed  Google Scholar 

  47. Picoraro JA, Womer JW, Kazak AE, Feudtner C (2014) Posttraumatic growth in parents and pediatric patients. J Palliat Med 17:209–218

    Article  PubMed  PubMed Central  Google Scholar 

  48. Cabizuca M, Marques-Portella C, Mendlowicz MV, Coutinho ES, Figueira I (2009) Posttraumatic stress disorder in parents of children with chronic illnesses: a meta-analysis. Health Psychol 28:379–388

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank all the parents who participated in this study. The study was supported by the Swiss Society of Nephrology and the “Kinder für Kinder” foundation.

Compliance with ethical standards

The study was approved by the Ethics Committee of the Canton of Zurich and registered at ClinicalTrials.gov (NCT 01666548). Written informed consent was received from parents.

Funding sources

The study was supported by the Swiss Society of Nephrology and by the “Kinder für Kinder” foundation.

Conflict of interest

The authors declare no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giuseppina Spartà.

Additional information

Kathrin Buder and Helene Werner contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Buder, K., Werner, H., Landolt, M.A. et al. Health-related quality of life and mental health in parents of children with hemolytic uremic syndrome. Pediatr Nephrol 31, 923–932 (2016). https://doi.org/10.1007/s00467-015-3294-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00467-015-3294-0

Keywords

Navigation