Childhood intellectual disability and parents' mental health: integrating social, psychological and genetic influences.
The British journal of psychiatry : the journal of mental science
Royal College of Psychiatrists
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Baker, K., Devine, R. T., Ng-Cordell, E., Raymond, L., IMAGINE-ID consortium,, & Hughes, C. (2020). Childhood intellectual disability and parents' mental health: integrating social, psychological and genetic influences.. The British journal of psychiatry : the journal of mental science, 1-8. https://doi.org/10.1192/bjp.2020.38
Background Intellectual disability (ID) has a complex effect on the wellbeing of affected individuals and their families. Previous research has identified multiple risk and protective factors for parental mental health, including socioeconomic circumstances and child behaviour. This study explored whether genetic cause of childhood ID contributes to parental wellbeing. Methods Children from across the UK with ID due to diverse genetic causes were recruited to the IMAGINEID study. Primary carers completed the DAWBA online, including a measure of parental distress (Emotions and Feelings Questionnaire). Genetic diagnoses were broadly categorised into aneuploidy, chromosomal rearrangements, copy number variants (CNVs) and single nucleotide variants (SNVs). Results Compared with the UK general population, IMAGINE-ID parents (n=888) reported significantly elevated emotional distress (Cohen’s d = 0.546). Within-sample variation was related to recent life events and the perceived impact of children’s difficulties. Impact was predicted by child age, physical disability, autistic characteristics and other behavioural difficulties. Genetic diagnosis also predicted impact, indirectly influencing parental well-being. Specifically, CNVs were associated with higher impact, not explained by CNV inheritance, neighbourhood deprivation, or family structure. Conclusions The mental health of parents caring for a child with ID is influenced by child and family factors, converging on parental appraisal of impact. We found that genetic aetiologies, broadly categorised, also influence impact and thereby family risks. Recognition of these risk factors could improve access to support for parents, reduce their long-term mental health needs, and improve well-being of individuals with ID.
This work was supported by the UK Medical Research Council (grant number G101400 to K.B.), UK Medical Research Council and Medical Research Foundation (grant number MR-N022572-1 to the IMAGINE-ID study; Principle Investigators: David H. Skuse, F Lucy Raymond, Jeremy Hall, Marianne Van den Bree, Michael J. Hall) and the Baily Thomas Charitable Trust (to K.B.).
External DOI: https://doi.org/10.1192/bjp.2020.38
This record's URL: https://www.repository.cam.ac.uk/handle/1810/302670
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