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Educational achievements of children of parents with multiple sclerosis: A nationwide register-based cohort study

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Abstract

Little is known about the impact of parental multiple sclerosis (MS) on offspring’s educational attainment. The objective of the study was to examine educational achievements in offspring of parents with MS compared with matched children of parents without MS in a nationwide register-based cohort study. Children of all Danish-born residents with onset between 1950 and 1986 were identified by linking the Danish Multiple Sclerosis Registry with the Civil Registration System. Twins, children with MS, and emigrated persons were excluded. The reference cohort consisted of randomly drawn individuals from the Civil Registration System without parental MS matched 8:1 to the MS offspring by sex and year of birth. Information about education was linked to the cohorts from nationwide educational registries. We included 4177 children of MS parents and 33,416 reference persons. Children of MS parents achieved statistically significant higher average grades than the reference cohort in their final exam of basic school with a mean grade difference of 0.46 (95 % CI 0.22–0.69; p = 0.0002). We found no difference in achievement of educational level above basic school (OR 1.04; 95 % CI 0.98–1.10; p = 0.20). There was a trend toward more MS offspring attaining health-related educations (OR 1.10; 95 % CI 1.00–1.21; p = 0.06). In conclusion, children of MS parents showed a small advantage in grade point average in final examinations in basic school, and they more often tended toward health-related educations. This study revealed no negative consequences of parental MS on grades and highest educational level achieved.

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References

  1. Compston A, Coles A (2008) Multiple sclerosis. Lancet 372(9648):1502–1517. doi:10.1016/s0140-6736(08)61620-7

    Article  CAS  PubMed  Google Scholar 

  2. Rejdak K, Jackson S, Giovannoni G (2010) Multiple sclerosis: a practical overview for clinicians. Br Med Bull 95:79–104. doi:10.1093/bmb/ldq017

    Article  PubMed  Google Scholar 

  3. Koch-Henriksen N, Sorensen PS (2010) The changing demographic pattern of multiple sclerosis epidemiology. Lancet Neurol 9(5):520–532. doi:10.1016/s1474-4422(10)70064-8

    Article  PubMed  Google Scholar 

  4. Lerdal A, Celius EG, Krupp L, Dahl AA (2007) A prospective study of patterns of fatigue in multiple sclerosis. Eur J Neurol 14(12):1338–1343. doi:10.1111/j.1468-1331.2007.01974.x

    Article  CAS  PubMed  Google Scholar 

  5. Hughes N, Locock L, Ziebland S (2013) Personal identity and the role of ‘carer’ among relatives and friends of people with multiple sclerosis. Soc Sci Med 96:78–85. doi:10.1016/j.socscimed.2013.07.023

    Article  PubMed  PubMed Central  Google Scholar 

  6. Horner R (2013) Interventions for children coping with parental multiple sclerosis: a systematic review. J Am Assoc Nurse Pract 25(6):309–313. doi:10.1111/j.1745-7599.2012.00795.x

    PubMed  Google Scholar 

  7. Pakenham KI, Cox S (2012) The nature of caregiving in children of a parent with multiple sclerosis from multiple sources and the associations between caregiving activities and youth adjustment overtime. Psychol Health 27(3):324–346. doi:10.1080/08870446.2011.563853

    Article  PubMed  Google Scholar 

  8. Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H (2014) Children and adolescents adjustment to parental multiple sclerosis: a systematic review. BMC Neurol 14(1):107. doi:10.1186/1471-2377-14-107

    Article  PubMed  PubMed Central  Google Scholar 

  9. Bogosian A, Hadwin J, Hankins M, Moss-Morris R (2015) Parents’ expressed emotion and mood, rather than their physical disability are associated with adolescent adjustment: a longitudinal study of families with a parent with multiple sclerosis. Clin Rehabil. doi:10.1177/0269215515580600

    PubMed  Google Scholar 

  10. Sieh DS, Visser-Meily JM, Oort FJ, Meijer AM (2012) Risk factors for problem behavior in adolescents of parents with a chronic medical condition. Eur Child Adolesc Psychiatry 21(8):459–471. doi:10.1007/s00787-012-0279-4

    Article  PubMed  PubMed Central  Google Scholar 

  11. Steck B, Amsler F, Grether A, Dillier AS, Baldus C, Haagen M, Diareme L, Tsiantis J, Kappos L, Burgin D, Romer G (2007) Mental health problems in children of somatically ill parents, e.g. multiple sclerosis. Eur Child Adolesc Psychiatry 16(3):199–207. doi:10.1007/s00787-006-0589-5

    Article  PubMed  Google Scholar 

  12. Bjorgvinsdottir K, Halldorsdottir S (2014) Silent, invisible and unacknowledged: experiences of young caregivers of single parents diagnosed with multiple sclerosis. Scand J Caring Sci 28(1):38–48. doi:10.1111/scs.12030

    Article  PubMed  Google Scholar 

  13. Sieh DS, Meijer AM, Oort FJ, Visser-Meily JM, Van der Leij DA (2010) Problem behavior in children of chronically ill parents: a meta-analysis. Clin Child Fam Psychol Rev 13(4):384–397. doi:10.1007/s10567-010-0074-z

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Uccelli MM (2014) The impact of multiple sclerosis on family members: a review of the literature. Neurodegener Dis Manag 4(2):177–185. doi:10.2217/nmt.14.6

    Article  PubMed  Google Scholar 

  15. Bogosian A, Moss-Morris R, Bishop FL, Hadwin J (2011) How do adolescents adjust to their parent’s multiple sclerosis? An interview study. Br J Health Psychol 16(Pt 2):430–444. doi:10.1348/135910710X521492

    Article  PubMed  Google Scholar 

  16. Frank J, Tatum C, Tucker S (1999) On small shoulders. Learning from the experiences of former young carers. The Children’s Society, London

    Google Scholar 

  17. Lackey NR, Gates MF (2001) Adults’ recollections of their experiences as young caregivers of family members with chronic physical illnesses. J Adv Nurs 34(3):320–328

    Article  CAS  PubMed  Google Scholar 

  18. Hoffmann R (2011) Socioeconomic inequalities in old-age mortality: a comparison of Denmark and the USA. Soc Sci Med 72(12):1986–1992. doi:10.1016/j.socscimed.2011.04.019

    Article  PubMed  Google Scholar 

  19. Huijts T, Eikemo TA, Skalicka V (2010) Income-related health inequalities in the Nordic countries: examining the role of education, occupational class, and age. Soc Sci Med 71(11):1964–1972. doi:10.1016/j.socscimed.2010.09.021

    Article  PubMed  Google Scholar 

  20. van Hedel K, Avendano M, Berkman LF, Bopp M, Deboosere P, Lundberg O, Martikainen P, Menvielle G, van Lenthe FJ, Mackenbach JP (2015) The contribution of national disparities to international differences in mortality between the US and 7 European countries. Am J Public Health 105(4):e112–e119. doi:10.2105/ajph.2014.302344

    Article  PubMed  PubMed Central  Google Scholar 

  21. Winding TN, Nohr EA, Labriola M, Biering K, Andersen JH (2013) Personal predictors of educational attainment after compulsory school: influence of measures of vulnerability, health, and school performance. Scand J Public Health 41(1):92–101. doi:10.1177/1403494812467713

    Article  PubMed  Google Scholar 

  22. Johnson W, Kyvik KO, Mortensen EL, Skytthe A, Batty GD, Deary IJ (2010) Education reduces the effects of genetic susceptibilities to poor physical health. Int J Epidemiol 39(2):406–414. doi:10.1093/ije/dyp314

    Article  PubMed  Google Scholar 

  23. Koch-Henriksen N, Magyari M, Laursen B (2015) Registers of multiple sclerosis in Denmark. Acta Neurol Scand Suppl 132(199):4–10. doi:10.1111/ane.12424

    Article  CAS  Google Scholar 

  24. Allison RS, Millar JHD (1954) Prevalence of disseminated sclerosis in Northern Ireland. Ulster Med J 23(Suppl 2):5–27

    PubMed Central  Google Scholar 

  25. Poser CM, Paty DW, Scheinberg L, McDonald WI, Davis FA, Ebers GC, Johnson KP, Sibley WA, Silberberg DH, Tourtellotte WW (1983) New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann Neurol 13(3):227–231. doi:10.1002/ana.410130302

    Article  CAS  PubMed  Google Scholar 

  26. McDonald WI, Compston A, Edan G, Goodkin D, Hartung H-P, Lublin FD, McFarland HF, Paty DW, Polman CH, Reingold SC, Sandberg-Wollheim M, Sibley W, Thompson A, Van Den Noort S, Weinshenker BY, Wolinsky JS (2001) Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann Neurol 50(1):121–127. doi:10.1002/ana.1032

    Article  CAS  PubMed  Google Scholar 

  27. Polman CH, Reingold SC, Edan G, Filippi M, Hartung H-P, Kappos L, Lublin FD, Metz LM, McFarland HF, O’Connor PW, Sandberg-Wollheim M, Thompson AJ, Weinshenker BG, Wolinsky JS (2005) Diagnostic criteria for multiple sclerosis: 2005 revisions to the “McDonald Criteria”. Ann Neurol 58(6):840–846. doi:10.1002/ana.20703

    Article  PubMed  Google Scholar 

  28. Schmidt M, Pedersen L, Sorensen HT (2014) The Danish Civil Registration System as a tool in epidemiology. Eur J Epidemiol 29(8):541–549. doi:10.1007/s10654-014-9930-3

    Article  PubMed  Google Scholar 

  29. Pedersen CB (2011) The Danish Civil Registration System. Scand J Public Health 39(7 Suppl):22–25. doi:10.1177/1403494810387965

    Article  PubMed  Google Scholar 

  30. Jensen VM, Rasmussen AW (2011) Danish education registers. Scand J Public Health 39(7 suppl):91–94. doi:10.1177/1403494810394715

    Article  PubMed  Google Scholar 

  31. Sieh DS, Visser-Meily JMA, Meijer AM (2013) Differential outcomes of adolescents with chronically ill and healthy parents. J Child Fam Stud 22(2):209–218. doi:10.1007/s10826-012-9570-8

    Article  PubMed  Google Scholar 

  32. Ringsmose C (2012) Social welfare and minding the achievement gap: a view from Denmark. Child Educ 88(3):185–188. doi:10.1080/00094056.2012.682552

    Article  Google Scholar 

  33. Olejaz M, Juul Nielsen A, Rudkjobing A, Okkels Birk H, Krasnik A, Hernandez-Quevedo C (2012) Denmark health system review. Health Syst Transit 14 (2):i–xxii, 1–192

  34. Pfleger CC, Flachs EM, Koch-Henriksen N (2010) Social consequences of multiple sclerosis (1): early pension and temporary unemployment-a historical prospective cohort study. Mult Scler 16(1):121–126. doi:10.1177/1352458509352196

    Article  PubMed  Google Scholar 

  35. Razaz N, Joseph KS, Boyce WT, Guhn M, Forer B, Carruthers R, Marrie RA, Tremlett H (2015) Children of chronically ill parents: relationship between parental multiple sclerosis and childhood developmental health. Mult Scler. doi:10.1177/1352458515621624

    PubMed Central  Google Scholar 

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Correspondence to J. Y. Moberg.

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Ethics

The personal identification numbers from the various registers were encrypted by Statistics Denmark where the datasets were stored, and we linked the datasets using the encrypted personal identification numbers. The study was approved by The Danish Data Protection Agency for research and statistical usage [reference numbers 30-1141 and 2008-54-0482]. Ethical committee approval was not necessary by Danish law, since the study was entirely register-based and non-interventional.

Conflicts of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Funding

This work was supported by The Danish Multiple Sclerosis Society [grant numbers A25533 and A27983] and The Karen A. Tolstrup Foundation [grant number 300.106–008].

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Moberg, J.Y., Magyari, M., Koch-Henriksen, N. et al. Educational achievements of children of parents with multiple sclerosis: A nationwide register-based cohort study. J Neurol 263, 2229–2237 (2016). https://doi.org/10.1007/s00415-016-8255-4

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  • DOI: https://doi.org/10.1007/s00415-016-8255-4

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