Parenting stress in parents of children with refractory epilepsy before and after vagus nerve stimulation implantation

Sung Tse Li, Nan Chang Chiu, Yung Ting Kuo, Ein Yiao Shen, Pei Chieh Tsai, Che Sheng Ho, Wen Hsiang Wu, Juei Chao Chen

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: The purpose of this study was to evaluate parenting stress in parents of children with refractory epilepsy before and after their children received vagus nerve stimulation (VNS) implantation. Methods: Parents of children with refractory epilepsy completed the Parenting Stress Index (PSI) under a psychologist's assessment before and at least 12 months after their children received VNS implantation. The PSI questionnaire measures parenting stress in two domains; a parent domain with seven subscales, and a child domain with six. Age, gender, epilepsy comorbidity, VNS implantation date, seizure frequency, and anticonvulsant history before and after VNS implantation were obtained from reviews of medical charts. Results: In total, 30 parents completed the first and follow-up PSI questionnaires. Seventeen of their children (56.7%) were boys. The children aged from 1 to 12 years (7.43 ± 3.59 years, mean ± SD). After VNS implantation, the mean total parenting stress scores decreased from 282.1 ± 38.0 to 272.4 ± 42.9. A significant decrease was found on the spouse subscale of the parent domain. For the parents of boys, the mean total parenting stress scores decreased significantly. The mean total parenting stress scores also decreased significantly for parents of epileptic children without autism and who did not taper off the number of different anticonvulsants used after VNS. Conclusions: VNS is an advisable choice to treat refractory epilepsy. Our study showed that 12 months or more after VNS implantation, seizure frequency and parenting stress typically decreased. However, in some special cases the parenting stress may increase, and external help may be required to support these patients and their parents.

Original languageEnglish
Pages (from-to)516-522
JournalPediatrics and Neonatology
Volume58
Issue number6
DOIs
Publication statusPublished - Dec 2017

Fingerprint

Vagus Nerve Stimulation
Parenting
Epilepsy
Parents
Anticonvulsants
Seizures
Autistic Disorder
Spouses
Comorbidity
History
Psychology

Keywords

  • Children
  • Parenting stress
  • Refractory epilepsy
  • Vagus nerve stimulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Parenting stress in parents of children with refractory epilepsy before and after vagus nerve stimulation implantation. / Li, Sung Tse; Chiu, Nan Chang; Kuo, Yung Ting; Shen, Ein Yiao; Tsai, Pei Chieh; Ho, Che Sheng; Wu, Wen Hsiang; Chen, Juei Chao.

In: Pediatrics and Neonatology, Vol. 58, No. 6, 12.2017, p. 516-522.

Research output: Contribution to journalArticle

Li, Sung Tse ; Chiu, Nan Chang ; Kuo, Yung Ting ; Shen, Ein Yiao ; Tsai, Pei Chieh ; Ho, Che Sheng ; Wu, Wen Hsiang ; Chen, Juei Chao. / Parenting stress in parents of children with refractory epilepsy before and after vagus nerve stimulation implantation. In: Pediatrics and Neonatology. 2017 ; Vol. 58, No. 6. pp. 516-522.
@article{ff9879d8c37d4c4a952c23377f65c790,
title = "Parenting stress in parents of children with refractory epilepsy before and after vagus nerve stimulation implantation",
abstract = "Objectives: The purpose of this study was to evaluate parenting stress in parents of children with refractory epilepsy before and after their children received vagus nerve stimulation (VNS) implantation. Methods: Parents of children with refractory epilepsy completed the Parenting Stress Index (PSI) under a psychologist's assessment before and at least 12 months after their children received VNS implantation. The PSI questionnaire measures parenting stress in two domains; a parent domain with seven subscales, and a child domain with six. Age, gender, epilepsy comorbidity, VNS implantation date, seizure frequency, and anticonvulsant history before and after VNS implantation were obtained from reviews of medical charts. Results: In total, 30 parents completed the first and follow-up PSI questionnaires. Seventeen of their children (56.7{\%}) were boys. The children aged from 1 to 12 years (7.43 ± 3.59 years, mean ± SD). After VNS implantation, the mean total parenting stress scores decreased from 282.1 ± 38.0 to 272.4 ± 42.9. A significant decrease was found on the spouse subscale of the parent domain. For the parents of boys, the mean total parenting stress scores decreased significantly. The mean total parenting stress scores also decreased significantly for parents of epileptic children without autism and who did not taper off the number of different anticonvulsants used after VNS. Conclusions: VNS is an advisable choice to treat refractory epilepsy. Our study showed that 12 months or more after VNS implantation, seizure frequency and parenting stress typically decreased. However, in some special cases the parenting stress may increase, and external help may be required to support these patients and their parents.",
keywords = "Children, Parenting stress, Refractory epilepsy, Vagus nerve stimulation",
author = "Li, {Sung Tse} and Chiu, {Nan Chang} and Kuo, {Yung Ting} and Shen, {Ein Yiao} and Tsai, {Pei Chieh} and Ho, {Che Sheng} and Wu, {Wen Hsiang} and Chen, {Juei Chao}",
year = "2017",
month = "12",
doi = "10.1016/j.pedneo.2017.03.001",
language = "English",
volume = "58",
pages = "516--522",
journal = "Pediatrics and Neonatology",
issn = "1875-9572",
publisher = "臺灣兒科醫學會",
number = "6",

}

TY - JOUR

T1 - Parenting stress in parents of children with refractory epilepsy before and after vagus nerve stimulation implantation

AU - Li, Sung Tse

AU - Chiu, Nan Chang

AU - Kuo, Yung Ting

AU - Shen, Ein Yiao

AU - Tsai, Pei Chieh

AU - Ho, Che Sheng

AU - Wu, Wen Hsiang

AU - Chen, Juei Chao

PY - 2017/12

Y1 - 2017/12

N2 - Objectives: The purpose of this study was to evaluate parenting stress in parents of children with refractory epilepsy before and after their children received vagus nerve stimulation (VNS) implantation. Methods: Parents of children with refractory epilepsy completed the Parenting Stress Index (PSI) under a psychologist's assessment before and at least 12 months after their children received VNS implantation. The PSI questionnaire measures parenting stress in two domains; a parent domain with seven subscales, and a child domain with six. Age, gender, epilepsy comorbidity, VNS implantation date, seizure frequency, and anticonvulsant history before and after VNS implantation were obtained from reviews of medical charts. Results: In total, 30 parents completed the first and follow-up PSI questionnaires. Seventeen of their children (56.7%) were boys. The children aged from 1 to 12 years (7.43 ± 3.59 years, mean ± SD). After VNS implantation, the mean total parenting stress scores decreased from 282.1 ± 38.0 to 272.4 ± 42.9. A significant decrease was found on the spouse subscale of the parent domain. For the parents of boys, the mean total parenting stress scores decreased significantly. The mean total parenting stress scores also decreased significantly for parents of epileptic children without autism and who did not taper off the number of different anticonvulsants used after VNS. Conclusions: VNS is an advisable choice to treat refractory epilepsy. Our study showed that 12 months or more after VNS implantation, seizure frequency and parenting stress typically decreased. However, in some special cases the parenting stress may increase, and external help may be required to support these patients and their parents.

AB - Objectives: The purpose of this study was to evaluate parenting stress in parents of children with refractory epilepsy before and after their children received vagus nerve stimulation (VNS) implantation. Methods: Parents of children with refractory epilepsy completed the Parenting Stress Index (PSI) under a psychologist's assessment before and at least 12 months after their children received VNS implantation. The PSI questionnaire measures parenting stress in two domains; a parent domain with seven subscales, and a child domain with six. Age, gender, epilepsy comorbidity, VNS implantation date, seizure frequency, and anticonvulsant history before and after VNS implantation were obtained from reviews of medical charts. Results: In total, 30 parents completed the first and follow-up PSI questionnaires. Seventeen of their children (56.7%) were boys. The children aged from 1 to 12 years (7.43 ± 3.59 years, mean ± SD). After VNS implantation, the mean total parenting stress scores decreased from 282.1 ± 38.0 to 272.4 ± 42.9. A significant decrease was found on the spouse subscale of the parent domain. For the parents of boys, the mean total parenting stress scores decreased significantly. The mean total parenting stress scores also decreased significantly for parents of epileptic children without autism and who did not taper off the number of different anticonvulsants used after VNS. Conclusions: VNS is an advisable choice to treat refractory epilepsy. Our study showed that 12 months or more after VNS implantation, seizure frequency and parenting stress typically decreased. However, in some special cases the parenting stress may increase, and external help may be required to support these patients and their parents.

KW - Children

KW - Parenting stress

KW - Refractory epilepsy

KW - Vagus nerve stimulation

UR - http://www.scopus.com/inward/record.url?scp=85019752835&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019752835&partnerID=8YFLogxK

U2 - 10.1016/j.pedneo.2017.03.001

DO - 10.1016/j.pedneo.2017.03.001

M3 - Article

AN - SCOPUS:85019752835

VL - 58

SP - 516

EP - 522

JO - Pediatrics and Neonatology

JF - Pediatrics and Neonatology

SN - 1875-9572

IS - 6

ER -