Effects on Parental Mental Health after Diagnosis and Treatment of Developmental Dysplasia of the Hip (DDH)
Keywords:
Developmental Dysplasia of the Hip (DDH), Parental Mental Health, Psychological Distress, Anxiety and Depression, Treatment Impact.Abstract
Objective: This study aimed to assess the psychological well-being of parents of children with Developmental Dysplasia of the Hip (DDH) and the impact of anxiety, depression, and mental health on families during and after treatment.
Methodology: Fifty parents from pediatric orthopedic clinics were included, focusing on those whose children were diagnosed with DDH within the past year and had no severe comorbidities. Psychological distress was measured using the General Health Questionnaire (GHQ-28), State-Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). Data were collected at diagnosis and six months into treatment. Statistical analyses, including paired sample t-tests and regression, were used to track changes and identify predictors.
Results: Parents experienced significant improvement in mental health during treatment. GHQ-28 scores decreased from 22.70 at diagnosis to 19.24 post-treatment, reflecting reduced psychological distress. State and trait anxiety (STAI) scores also declined significantly, from 23.34 to 19.60 and 21.66 to 18.62, respectively. BDI scores dropped from 14.28 to 11.20, indicating fewer depressive symptoms. Follow-up analyses confirmed significant improvement across all psychological measures, particularly in GHQ-28 and state anxiety. These changes were independent of socioeconomic status.
Conclusion: While the initial diagnosis and treatment of DDH elevate psychological distress among parents, mental health improves over time. This underscores the need for targeted psychological support and interventions for parents throughout their child's treatment journey.
References
1. Abd Elkhair, S., Mohamed, A. R., Mohamed, S. A., & Elbarabary, H. M. (2020). Effect of Protocol of Care for Mothers on Selected Postoperative Outcomes among their Children with Developmental Dysplasia of the Hip. Indian Journal of Public Health Research & Development, 11(3).
2. Bozkurt, C., Sar?kaya, B., Sipahio?lu, S., Altay, M. A., Çetin, B. V., & Bekin Sar?kaya, P. Z. (2021). Effects of developmental dysplasia of the hip screening program on the treatment strategies: A retrospective study from a tertiary care hospital in the southeast region of Turkey. Acta Orthop Traumatol Turc, 55(5), 396-401.
3. Deurloo, J. A., Konijnendijk, A. A. J., Lanting, C. I., & Boere-Boonekamp, M. M. (2019). Developmental Dysplasia of the Hip-a Guideline for Dutch Youth Health Care. Youth Health Care in Europe: Changing contexts Influencing youth and their surroundings, 20th European Union for School and University Health and Medicine (EUSUHM) 11-13 September Rotterdam, Netherland, 50.
4. Gambling, T. S., & Long, A. (2019). Psycho-social impact of developmental dysplasia of the hip and differential access to early diagnosis and treatment: a narrative study of young adults. SAGE open medicine, 7, 2050312119836010.
5. Gibbard, M., Zivkovic, I., Jivraj, B., Schaeffer, E., Robillard, J. M., & Mulpuri, K. (2021). A global survey of patient and caregiver experiences throughout care for developmental dysplasia of the hip. Journal of Pediatric Orthopaedics, 41(6), e392-e397.
6. Gyurkovits, Z., Sohár, G., Baricsa, A., Németh, G., Orvos, H., & Dubs, B. (2021). Early detection of developmental dysplasia of hip by ultrasound. Hip International, 31(3), 424-429.
7. Harry, A., Johnston, C., Twomey, S., & Wakely, L. (2022). A Survey of Parents' and Carers' Perceptions of Parenting a Child With Developmental Dysplasia of the Hip. Pediatric Physical Therapy, 34(3), 328-333.
8. Roposch, A., Warsame, K., Chater, A., Green, J., Hunter, R., Wood, J., ... & Nazareth, I. (2020). Study protocol for evaluating aid to diagnosis for developmental dysplasia of the hip in general practice: controlled trial randomized by practice. BMJ open, 10(12), e041837.
9. Sadeq, H. B., & Al-Dujaili, A. H. (2023). Psychological distress among caregivers of children with developmental dysplasia of the hip. Remittances Review, 8(4).
10. Sadeq, H. B., & Al-Dujaili, A. H. (2023). Self-Esteem Of Caregivers Of Children with Developmental Dysplasia Of The Hip. Kufa Medical Journal, 19(2).
11. Sawamura, K., Kitoh, H., Matsushita, M., Mishima, K., Kamiya, Y., & Imagama, S. (2024). Quality of life in adult patients with developmental dysplasia of the hip who were treated for hip dislocation during childhood. Journal of Pediatric Orthopaedics B, 10-1097.
12. Tao, Z., Wang, J., Li, Y., Zhou, Y., Yan, X., Yang, J., ... & Li, Y. (2023). Prevalence of developmental dysplasia of the hip (DDH) in infants: a systematic review and meta-analysis. BMJ Paediatrics Open, 7(1).
13. Theunissen, W. W. E. S., van der Steen, M. C., van Veen, M. R., van Douveren, F. Q. M. P., Witlox, M. A., & Tolk, J. J. (2022). Parental experiences of children with developmental dysplasia of the hip: a qualitative study. BMJ open, 12(9), e062585.
14. Theunissen, W. W., Van der Steen, M. C., Van Veen, M. R., Van Douveren, F. Q., Witlox, M. A., & Tolk, J. J. (2023). Strategies to optimize the information provision for parents of children with developmental dysplasia of the hip: a qualitative study. Bone & Joint Open, 4(7), 496-506.
15. Topak, D., Turgut, C., Kuscu, B., & Dogar, F. (2022). Pre-and post-treatment comparison of the anxiety, depression, and stress conditions of fathers with children with developmental dysplasia of the hip in early childhood. Med Science, 11, 289-293.
16. Vatansever, E., Altay, M. A., Çetin, B. V., Kaptan, A. Y., & Ok, M. (2022). The Effect of the Parents' Socioeconomic Status on the Treatment Process With the Orthopedic Approach in Developmental Dysplasia of the Hip. Harran Üniversitesi T?p Fakültesi Dergisi, 19(3), 499-504.
17. Wakely, L., Easey, P., Leys, J., & Johnston, C. (2021). Exploring the lived experience of parenting a child with developmental dysplasia of the hip. Physical & Occupational Therapy In Pediatrics, 41(5), 503-514.