Quality of life and associated factors in parents of children with late diagnosed phenylketonuria. A cross sectional study in a developing country (Tunisia).

Journal: Journal of pediatric endocrinology & metabolism : JPEM

Volume: 33

Issue: 7

Year of Publication: 2021

Affiliated Institutions:  Department of Pediatrics, La Rabta Hospital, Jabbari, , Tunis, Tunisia. Research Laboratory LRSPO, University Tunis El Manar, Tunis, Tunisia.

Abstract summary 

Objectives We investigated the quality of life (QOL) in parents of children with late treated phenylketonuria (PKU) and its associated factors. Methods We conducted a cross sectional study in the reference center of inherited metabolic disease in Tunisia. We used the Tunisian version of the 36-item short-form health survey questionnaire (SF-36). We compared variables in the groups with and without impaired QOL and the SF-36 scores between subgroups of parents and children and between our sample and the Tunisian general population based on published data. We looked for associations between SF-36 scores and quantitative variables. Linear regression and logistic binary regression were used for multivariate analysis. Results Sixty-five parents from 42 families participated. QOL was impaired in 61% of them. The mean SF-36 score was 55.3 ± 25.07. The physical component sub-score was higher than that reported in the Tunisian general population (63.66 ± 27.77 vs. 50.11 ± 8.53; p<0.001). The mental component sub-score was comparable to that reported in the Tunisian general population (46.99 ± 25.94 vs. 47.96 ± 9.82; p=0.830). Gender (mothers) (p=0.008), low monthly income (p = 0.027), low education (p=0.011), and autism in PKU children (p = 0.001) were associated with impaired QOL. Conclusions We identified at risk parents for altered quality of life among parents of PKU children. Our findings were used to develop a psychological and social support strategy for at-risk parents and to promote the implementation of newborn screening of this treatable disease in our low-income country.

Authors & Co-authors:  Ben Abdelaziz Rim R Ben Chehida Amel A Kachouri Henda H Ben Messaoud Sana S Ferchichi Maherzia M Ben Ameur Zeineb Z Sassi Yosra Y Abdelmoula Mohamed Slim MS Azzouz Hatem H Tebib Néji N

Study Outcome 

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Citations : 
Authors :  10
Identifiers
Doi : 10.1515/jpem-2020-0035
SSN : 2191-0251
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
SF-36;Tunisia;autism;children;parents;phenylketonuria;quality of life
Study Design
Cross Sectional Study,
Study Approach
Quantitative
Country of Study
Tunisia
Publication Country
Germany