Mental Health of Parents as Caregivers of Children with Disabilities

Based on Japanese Nationwide Survey

Yui Yamaoka, Nanako Tamiya, Yoko Moriyama, Felipe Alfonso Sandoval Garrido, Ryo Sumazaki, Haruko Noguchi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The number of children with disability is increasing gradually in Japan. Previous researches in other countries have reported that parents as caregivers (CGs) of children with disability have mental health problems, but the actual situation has not been examined nationwide in Japan so far. The aim of this study was to evaluate the association between mental health of CGs who had children with disability and characteristics of children, CGs, and household based on the nation-wide survey. This study utilized data from 2010 Comprehensive Survey of the Living Conditions, and defined children with disability aged 6 to 17. Individual data of children and CGs were linked, and 549 pairs of them were extracted. The Japanese version of Kessler 6 (K6) was used to assess mental health status of caregiver, scored 5 and over represented to general psychological distress. Logistic regression was used to evaluate the associations of interest. The almost half (44.4%) of CGs had psychological distress (k6 score; 5 +) in nationwide, and 8.9% of CGs might have serious mental illness (K6 score; 13 +). After adjusting covariates of child, CG, and household factors, CG having a current symptom (OR, 95% CI: 3.26, 1.97-5.39), CG's activity restriction (OR, 95% CI: 2.95, 1.38- 6.32), low social support (OR, 95%CI: 9.31, 1.85-46.8), three generation family (OR, 95% CI: 0.49, 0.26-0.92), and lower 25% tile group of monthly household expenditure (OR, 95% CI:1.92, 1.05-3.54), were significantly associated with psychological distress of CGs. This study encourages health care providers to pay more attentions toward parent's mental health, especially for in case of having low social support, and lower income family. Further research should examine the detailed information of child's disease and disability, medical service use, and quality and quantity of social support in nationwide to straighten the system for supporting services of both children with disabilities and their CGs.

Original languageEnglish
Article numbere0145200
JournalPLoS One
Volume10
Issue number12
DOIs
Publication statusPublished - 2015 Dec 1

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children with disabilities
caregivers
mental health
national surveys
Disabled Children
Caregivers
health care workers
Mental Health
Parents
Health
distress
Medical problems
Tile
households
Health care
Logistics
Japan
low income households
household expenditure
Social Support

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Mental Health of Parents as Caregivers of Children with Disabilities : Based on Japanese Nationwide Survey. / Yamaoka, Yui; Tamiya, Nanako; Moriyama, Yoko; Garrido, Felipe Alfonso Sandoval; Sumazaki, Ryo; Noguchi, Haruko.

In: PLoS One, Vol. 10, No. 12, e0145200, 01.12.2015.

Research output: Contribution to journalArticle

Yamaoka, Yui ; Tamiya, Nanako ; Moriyama, Yoko ; Garrido, Felipe Alfonso Sandoval ; Sumazaki, Ryo ; Noguchi, Haruko. / Mental Health of Parents as Caregivers of Children with Disabilities : Based on Japanese Nationwide Survey. In: PLoS One. 2015 ; Vol. 10, No. 12.
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abstract = "The number of children with disability is increasing gradually in Japan. Previous researches in other countries have reported that parents as caregivers (CGs) of children with disability have mental health problems, but the actual situation has not been examined nationwide in Japan so far. The aim of this study was to evaluate the association between mental health of CGs who had children with disability and characteristics of children, CGs, and household based on the nation-wide survey. This study utilized data from 2010 Comprehensive Survey of the Living Conditions, and defined children with disability aged 6 to 17. Individual data of children and CGs were linked, and 549 pairs of them were extracted. The Japanese version of Kessler 6 (K6) was used to assess mental health status of caregiver, scored 5 and over represented to general psychological distress. Logistic regression was used to evaluate the associations of interest. The almost half (44.4{\%}) of CGs had psychological distress (k6 score; 5 +) in nationwide, and 8.9{\%} of CGs might have serious mental illness (K6 score; 13 +). After adjusting covariates of child, CG, and household factors, CG having a current symptom (OR, 95{\%} CI: 3.26, 1.97-5.39), CG's activity restriction (OR, 95{\%} CI: 2.95, 1.38- 6.32), low social support (OR, 95{\%}CI: 9.31, 1.85-46.8), three generation family (OR, 95{\%} CI: 0.49, 0.26-0.92), and lower 25{\%} tile group of monthly household expenditure (OR, 95{\%} CI:1.92, 1.05-3.54), were significantly associated with psychological distress of CGs. This study encourages health care providers to pay more attentions toward parent's mental health, especially for in case of having low social support, and lower income family. Further research should examine the detailed information of child's disease and disability, medical service use, and quality and quantity of social support in nationwide to straighten the system for supporting services of both children with disabilities and their CGs.",
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