Assessment of anxiety and depression levels in parents of children presenting to the orthopedics outpatient clinic with the complaint of in-toeing

Authors

Keywords:

In-toeing, anxiety, parents, depression

Abstract

Aim: In-toeing, a variant of normal growth and development of children, is an important reason of referral to the orthopedics outpatient clinics. The aim of the present study is to determine the anxiety, depression, and trait anxiety levels in parents of children presenting to orthopedics and traumatology outpatient clinic with the complaint of in-toeing. In addition, the study aims to investigate the conditions that might be associated with the anxiety level of parents. Methods: This cross-sectional study included parents of 58 children who presented with the complaint of in-toeing (study group) and those of 40 healthy children (control group). The parents were required to fill in the sociodemographic data collection form, State-Trait Anxiety Inventory (STAI-II), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). The scale scores were compared statistically. Results: The Beck Anxiety Inventory and STAI-II scores of parents of children presenting with in-toeing were statistically significantly higher compared to the control group (P=0.002, P=0.046, respectively). Spearman’s correlation analysis revealed a strong correlation between BDI and BAI, STAI-II and BDI, BAI and STAI-II in the study group (r=0.518, P=0.001; r=0.546, P=0.001; r=0.566, P=0.001; respectively). In the control group, there was a weak correlation between BDI and BAI (r=0.346, P=0.029). An analysis of anxiety levels of the mothers in the study group revealed significantly higher scores of BAI and STAI-II compared to the fathers (P=0.025, P=0.001, respectively). The BAI, BDI and STAI-II scores of parents taking the child to the physician more than once a month, the BDI scores of parents having a history of psychiatric treatment and the BAI scores of parents aged between 20-40 were significantly higher in the study group (P=0.001, P=0.001, P=0.001, P=0.001, P=0.033, respectively). Conclusion: The present study determined that anxiety levels were high in parents, especially mothers, who take their children to the physician frequently despite the absence of physical impairment. In addition, anxiety levels of parents were associated with taking the child to the physician more than once a month, having a history of psychiatric treatment and being aged between 20-40 years.

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References

Hsu EY, Schwend RM, Julia L. How many referrals to a pediatric orthopaedic hospital specialty clinic are primary care problems? J Pediatr Orthop. 2012;32(7):732-6.

Molony D, Hefferman G, Dodds M, McCormack D. Normal variants in the paediatric orthopaedic population. Ir Med J. 2006;99(1):13-4.

Digge V, Desai J, Das S. Expanded Age Indication for Ponseti Method for Correction of Congenital Idiopathic Talipes Equinovarus: A Systematic Review. J Foot Ankle Surg. 2018;57(1):155-8.

Dietz FR. Intoeing--fact, fiction and opinion. Am Fam Physician. 1994;50(6):1249-59, 62-4.

Kong M, Jo H, Lee CH, Chun SW, Yoon C, Shin H. Change of Femoral Anteversion Angle in Children With Intoeing Gait Measured by Three-Dimensional Computed Tomography Reconstruction: One-Year Follow-Up Study. Ann Rehabil Med. 2018;42(1):137-44.

Blackmur JP, Murray AW. Do children who in-toe need to be referred to an orthopaedic clinic? J Pediatr Orthop B. 2010;19(5):415-7.

Sajedi F, Alizad V, Malekkhosravi G, Karimlou M, Vameghi R. Depression in mothers of children with cerebral palsy and its relation to severity and type of cerebral palsy. Acta Med Iran. 2010;48(4):250-4.

Yilmaz H, Erkin G, Nalbant L. Depression and anxiety levels in mothers of children with cerebral palsy: a controlled study. Eur J Phys Rehabil Med. 2013;49(6):823-7.

Anıl H, Sahbudak B. Parental anxiety and depression levels associated with challenge tests in children with suspected drug and food allergies. Journal of Surgery and Medicine. 2020;4(8):669-73.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.

Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi. 1988;6:118-22.

Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7.

Ulusoy M. Beck anksiyete ölçeğinin psikometrik özellikleri. Uzmanlık Tezi, Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul. 1993.

Spielberger C, Gorsuch RL, Lushene R. STAI manual for the State-Trait Inventory. Palo Alto. 1970.

Öner N, Le Compte A. Durumluk ve sürekli kaygi envanteri el kitabi. Bogaziçi Üniversitesi Yayınları, İstanbul. 1983.

Helbig S, Lampert T, Klose M, Jacobi F. Is parenthood associated with mental health? Findings from an epidemiological community survey. Soc Psychiatry Psychiatr Epidemiol. 2006;41(11):889-96.

Koropeckyj‐Cox T. Beyond parental status: Psychological well‐being in middle and old age. Journal of Marriage and Family. 2002;64(4):957-71.

McDonough P, Walters V, Strohschein L. Chronic stress and the social patterning of women's health in Canada. Soc Sci Med. 2002;54(5):767-82.

McQuillan J, Torres Stone RA, Greil AL. Infertility and life satisfaction among women. Journal of Family Issues. 2007;28(7):955-81.

Settersten Jr RA, Cancel-Tirado D. Fatherhood as a hidden variable in men's development and life courses. Research in human development. 2010;7(2):83-102.

Goldberg W. Father time: The social clock and the timing of fatherhood: Springer; 2014.

Furstenberg FF, Jr., Brooks-Gunn J, Chase-Lansdale L. Teenaged pregnancy and childbearing. Am Psychol. 1989;44(2):313-20.

Keown LJ, Woodward LJ, Field J. Language development of pre‐school children born to teenage mothers. Infant and Child Development: An International Journal of Research and Practice. 2001;10(3):129-45.

Secco ML, Moffatt ME. Situational, maternal, and infant influences on parenting stress among adolescent mothers. Issues Compr Pediatr Nurs. 2003;26(2):103-22.

Sommer KS, Whitman TL, Borkowski JG, Gondoli DM, Burke J, Maxwell SE, et al. Prenatal maternal predictors of cognitive and emotional delays in children of adolescent mothers. Adolescence. 2000;35(137):87-112.

Carlson DL. Explaining the curvilinear relationship between age at first birth and depression among women. Soc Sci Med. 2011;72(4):494-503.

Helms‐Erikson H. Marital quality ten years after the transition to parenthood: Implications of the timing of parenthood and the division of housework. Journal of Marriage and Family. 2001;63(4):1099-110.

Benzies K, Tough S, Tofflemire K, Frick C, Faber A, Newburn-Cook C. Factors influencing women's decisions about timing of motherhood. J Obstet Gynecol Neonatal Nurs. 2006;35(5):625-33.

Amuedo-Dorantes C, Kimmel J. The motherhood wage gap for women in the United States: The importance of college and fertility delay. Review of Economics of the Household. 2005;3(1):17-48.

Trute B, Hiebert-Murphy D. Family adjustment to childhood developmental disability: a measure of parent appraisal of family impacts. J Pediatr Psychol. 2002;27(3):271-80.

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Published

2020-11-01

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Research Article

How to Cite

1.
Haberal B, Altıntaş E, Beyaz S. Assessment of anxiety and depression levels in parents of children presenting to the orthopedics outpatient clinic with the complaint of in-toeing. J Surg Med [Internet]. 2020 Nov. 1 [cited 2024 Dec. 13];4(11):920-4. Available from: https://jsurgmed.com/article/view/803731