Parental stress parameter difference after caring for congenital adrenal hyperplasia children with genital ambiguity

Author:

Saktini Fanti12,Fitrikasari Alifiati3,Asikin Hang Gunawan4,Noerhidajati Elly5,Utari Agustini67

Affiliation:

1. Psychiatrist, Diponegoro National Hospital, Diponegoro University, Semarang, Indonesia

2. Member of Genetic Counselling Division, Centre for Biomedical Research, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

3. Head of Department of Psychiatry, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

4. Academic Staff of Department of Psychiatry, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

5. Head of Department of Psychiatry, Faculty of Medicine, Sultan Agung Islamic Hospital, Universitas Sultan Agung, Semarang, Indonesia

6. Head of Genetic Counselling Division, Centre for Biomedical Research, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

7. Head of Paediatric Endocrinology Division, Department of Paediatrics, Faculty of Medicine Diponegoro National Hospital, Diponegoro University, Semarang, Indonesia

Abstract

Abstract Introduction: Congenital adrenal hyperplasia (CAH) disrupts cortisol biosynthesis, which may cause genital ambiguity in females. Caring for children with genital ambiguity creates parental distress. Common stress parameters include biological (e.g., serotonin cortisol) and psychological (e.g., Depression, Anxiety, and Stress Scale [DASS] scores). This study elaborated parental stress parameter differences among parents of CAH children with and without genital ambiguity. Methods: This cross-sectional study included 34 fathers and 44 mothers of children with CAH. All participants agreed to fill in the DASS-42 and socioeconomic questionnaire. Morning serum serotonin and cortisol samples were examined using the enzyme-linked immune-absorbent assay technique. Results: The median (minimum–maximum) value of serotonin concentration was lower in fathers compared to mothers (281.18 [78.44–122.91] ng/ml vs. 399.78 [122.91–1050.0] ng/ml, P = 0.11); in parents of children with genital ambiguity (292.22 [78.44–1050.00] ng/ml vs. 426.71 [150.78–1050.00] ng/ml, P = 0.01); and in parents of children with a diagnosis time <1 year (225.00 [93.41–570.33] ng/ml vs. 371.815 [78.44–1050.00] ng/ml, P = 0.046). Higher cortisol concentration was observed in parents of children with diagnosis time <1 year (78.65 [50.89–126.89] ng/ml vs. 63.33 [6.14–283.67] ng/ml, P = 0.046). The proportion of depression was 24.4%, anxiety 45.1%, and stress 21.8%. Conclusion: Fathers, parents of children with genital ambiguity, and being recently diagnosed had lower serum serotonin levels. Parents of recently diagnosed children had higher cortisol levels. Anxiety was more common than depression and stress.

Publisher

Medknow

Subject

Psychiatry and Mental health,Clinical Psychology

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3