Experiences and changes in the parents of children with infant cerebral palsy: a qualitative study

Authors

  • M. Fernández-Alcántara
  • M.P. García-Caro
  • M. Berrocal-Castellano
  • Á. Benítez-Feliponi
  • C. Robles-Vizcaíno
  • C. Laynez-Rubio

Keywords:

Parálisis cerebral. Padres. Estudio cualitativo. Duelo.

Abstract

Background: The diagnosis of Infant Cerebral Palsy (ICP) is a traumatic event that can provoke multiples effects and changes in the family. The objective of the study is to discover the difficulties that parents face in the process of parenting, specially soon after the birth. Method: A qualitative study was carried out through semi-structured interviews. 16 mothers and fathers whose children were diagnosed with cerebral palsy participated in the study. Data analysis was performed with the software Atlas.ti 6.2 following a strategy of open coding. Results: The reception of the diagnosis is perceived as an unexpected event that makes parents to change the expectations and hopes related to their children. The mode of relation with the child with ICP is different from other children, because parents are more focused on the possibility of improvement and the prognosis for the future. Changes in different aspects of life of these parents are shown, as the demands of time, the economical and labour situation, as well as the couple relationship. Conclusions: Have into account the problematic of the parents, specially soon after the diagnosis is vital in the attention to children with cerebral palsy. The process of parenting a child with cerebral palsy has many changes in the family so a global perspective is needed to organize the interventions.

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References

1. MADRIGAL-MUÑOZ A. Familias ante la parálisis cerebral. Intervención Psicosocial 2007; 16: 55-68.

https://doi.org/10.4321/S1132-05592007000100005

2. ROBLES-VIZCAÍNO C, OCETE-HITA E, BENÍTEZ-FELIPONI A, RUIZ-EXTREMERA A. Parálisis Cerebral Infantil. En: Ruiz-Extremera A, Robles-Vizcaíno C, editores. Niños de Riesgo. Programas de Atención Temprana. Madrid: Norma-Capitel, 2004: 289-300.

3. DE LINARES C, RODRÍGUEZ-FERNÁNDEZ T. Bases de la intervención familiar en atención temprana. En: Pérez-López J, Brito de la Nuez AG, editores. Manual de Atención Temprana. Madrid: Ediciones Pirámide, 2004: 333-354.

4. CRUZ F, LAYNEZ C. Intervención psicológica centrada en la familia: las vivencias de los padres. De la vivencia a la representación. En: Ruiz-Extremera A, Robles-Vizcaíno C, Ocete-Hita E, editores. Temas Emergentes en Neonatología. Granada: Alhulia, 2000: 179-188.

5. SEN E, YURTSEVER S. Difficulties experienced by families with disabled children. J Spec Pediatr Nurs. 2006; 12: 238-252.

https://doi.org/10.1111/j.1744-6155.2007.00119.x

6. GUYARD A, FAUCONNIER J, MERMET MA, CANS C. Impact sur les parents de la paralysie cérébrale chez l'enfant: revue de la littérature. Arch Pediatr 2010; 18: 204-214.

https://doi.org/10.1016/j.arcped.2010.11.008

7. WITTINGHAM K, WEE D, SANDERS M, BOYD R. Responding to the challenges of parenting a child with cerebral palsy: a focus group. Disabil Rehabil 2011; 33: 1557-1567.

https://doi.org/10.3109/09638288.2010.535090

8. RENTINCK ICM, KETELAAR M, JONGMANS MJ, GORTER JW. Parents of children with cerebral palsy: a review of factors related to the process of adaptation. Child Care Health Dev 2006; 33: 161-169.

https://doi.org/10.1111/j.1365-2214.2006.00643.x

9. PARKES J, CARAVALE B, MARCELLI M, FRANCO F, COLVER A. Parenting stress and children with cerebral palsy: a European cross-sectional study. Dev Med Child Neurol 2011; 53: 815-821.

https://doi.org/10.1111/j.1469-8749.2011.04014.x

10. CRUZ F, LAYNEZ C, RUIZ A, JASPEZ C. Prematuridad, relaciones familiares y hospitalización. Scientia 1995; 1: 24-28.

11. ALMASRI NA, PALISANO RJ, DUNST CJ, CHIARELLO LA, O'NEILL ME, POLANSKY M. Profiles of needs of families of children and youth with cerebral palsy. Child Care Health Dev 2011; 40: 130-154.

https://doi.org/10.1080/02739615.2011.564568

12. GLASER BG, STRAUSS AL. The discovery of Grounded Theory: Strategies for qualitative research. 1sted. Nueva York: Aldine; 1967.

https://doi.org/10.4324/9780203793206-1

13. LEWIS B. NVivo 2.0 and Atlas.ti 5.0: A comparative review of two popular qualitative data-analysis programs. Field Meth 2004; 16: 439-469.

https://doi.org/10.1177/1525822X04269174

14. Scientific Software Development. Atlas.ti Scientific Software.[consultado 22-07-2012]: Disponible en http://www.atlasti.com/es/

15. STRAUSS AL, CORBIN J. Basics of qualitative research: techniques and procedures for developing grounded theory. 3rd. London: SAGE Publications; 2007.

16. MUHR T. Atlas.ti - A prototype for the support of text interpretation. Qual Soc 1991; 14: 349-371.

https://doi.org/10.1007/BF00989645

17. FERNÁNDEZ-ALCÁNTARA M, CRUZ-QUINTANA F, PÉREZ-MARFIL N, ROBLES-ORTEGA H. Factores psicológicos implicados en el duelo perinatal. Index Enferm 2012; 21: 48-52.

https://doi.org/10.4321/S1132-12962012000100011

18. BOSQUET-DEL MORAL L, CAMPOS-CALDERÓN C, HUESO-MONTORO C, PÉREZ-MARFIL N, HERNÁNDEZ-MOLINERO Á, ARCOS-OCÓN L et al. Vivencias y experiencias de duelo en madres tras un proceso de enfermedad oncológica de sus hijos. Med Pal 2012; 19: 64-72.

https://doi.org/10.1016/j.medipa.2010.11.003

19. RICHARDSON M, COBHAM V, MURRAY J, MCDERMOTT B. Parents' grief in the context of adult child mental illness: a qualitative review. Clin Child Fam Psychol Rev 2011; 14: 28-43.

https://doi.org/10.1007/s10567-010-0075-y

20. PIGGOT J, PATERSON J, HOCKING C. Participation in home therapy programs for children with cerebral palsy: A compelling challenge. Qual Health Res 2002; 12: 1112-1129.

https://doi.org/10.1177/104973202129120476

21. WITTINGHAM K, WEE D, SANDERS M, BOYD R. Predictors of psychological adjustment, experienced parenting burden and chronic sorrow symptoms in parents of children with cerebral palsy. Child Care Health Dev [En prensa].

22. DIRKS T, HADDERS-ALGRA M. The role of the family in intervention of infants at high risk of cerebral palsy: a systematic review. Dev Med Child Neurol 2011; 53 (Supl. 4): 62-67.

https://doi.org/10.1111/j.1469-8749.2011.04067.x

23. JEGLINSKY I, AUTTI-RÄMÖ I, BROGREN-CARLBERG E. Two sides of the mirror: parents' and service providers' view on the family-centredness of care for children with cerebral palsy. Child Care Health Dev 2011; 38: 79-86.

https://doi.org/10.1111/j.1365-2214.2011.01305.x

24. TONG HC, HAIG AJ, NELSON VS, YAMAKAWA KS, KANDALA G, SHIN KY. Low back pain in adult female caregivers of children with physical disabilities. Arch Pediatr Adolesc Med 2003; 157: 1128-1133.

https://doi.org/10.1001/archpedi.157.11.1128

25. SAWYER MG, BITTMAN M, LA GRECA AM, CRETTENDEN A, BOROJEVIC N, RAGHAVENDRA P et al. Time demands of caring for people with cerebral palsy: what are the implications for maternal mental health? Dev Med Child Neurol 2011; 53: 338-343.

https://doi.org/10.1111/j.1469-8749.2010.03848.x

26. PARKINSON KN, RICE H, YOUNG B. Incorporating children's and their parents' perspectives into condition-specific quality-of-life instruments for children with cerebral palsy: a qualitative study. Value Health 2011; 14: 705-711.

https://doi.org/10.1016/j.jval.2010.12.003

Published

2013-04-03

How to Cite

1.
Fernández-Alcántara M, García-Caro M, Berrocal-Castellano M, Benítez-Feliponi Á., Robles-Vizcaíno C, Laynez-Rubio C. Experiences and changes in the parents of children with infant cerebral palsy: a qualitative study. An Sist Sanit Navar [Internet]. 2013 Apr. 3 [cited 2026 Feb. 21];36(1):9-20. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/18165

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Section

Research articles

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