Parents' expressed emotion and mood, rather than their physical disability are associated with adolescent adjustment: a longitudinal study of families with a parent with multiple sclerosis.

Abstract:

OBJECTIVE:This study investigated the impact of the severity of parental multiple sclerosis, parents' expressed emotion and psychological well-being on offspring's psychological difficulties. DESIGN:A longitudinal study including baseline and 6-month follow-up data collected from parents and children. SUBJECTS:Adolescents (n=75), their parents with multiple sclerosis (n=56) and the partner without multiple sclerosis (n=40). MAIN MEASURES:Parents completed the Hospital Anxiety and Depression Scale and the Five Minutes Speech Sample, a standardised interview of expressed emotion towards their child. Parents with multiple sclerosis also completed the Expanded Disability Status Scale, a measure of illness severity. Adolescents completed the Strength and Difficulties Questionnaire, a self-report measure of psychological difficulties. RESULTS:Higher depression scores of the parents with multiple sclerosis at baseline correlated with increased adolescents' internalising symptoms at 6-month follow-up (γdep=0.31, P=.004). Higher expressed emotion scores of parents with multiple sclerosis at baseline were associated with increased adolescent externalising symptoms at 6-month follow-up (γEE=4.35, P=.052). There was no direct effect of severity, duration or type of multiple sclerosis on adolescents' adjustment at baseline or follow-up. CONCLUSIONS:Emotional distress and expressed emotion in parents with multiple sclerosis, rather than the severity and type of multiple sclerosis had an impact on adolescents' psychological difficulties.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Bogosian A,Hadwin J,Hankins M,Moss-Morris R

doi

10.1177/0269215515580600

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

303-11

issue

3

eissn

0269-2155

issn

1477-0873

pii

0269215515580600

journal_volume

30

pub_type

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