Utility-based quality of life in mothers of children with behaviour problems: a population-based study
Journal of Paediatrics and Child Health
This is the author accepted manuscript. The final version is available from Wiley via the DOI in this record.
Reason for embargo
Objectives: 1. To examine the relationship between mothers’ health-related quality of life (HRQoL) and child behaviour problems at age 2 years. 2. To investigate whether the relationship between maternal HRQoL and child behaviour problems is independent of maternal mental health. Methods: Design: Cross-sectional survey nested within a population-level, cluster randomised trial which aims to prevent early child behaviour problems. Participants: 1160 mothers of two year old children, in nine Local Government Areas in Victoria, Australia. Measures: HRQoL was measured using the Assessment of Quality of Life (AQoL-6D) and child behaviour was measured using the Child Behavior Checklist (CBCL/1.5-5 years). Maternal mental health was measured using the Depression Anxiety Stress Scale (DASS). Data were collected at child age 2 years; demographic data were collected at child age 8 months. Results: HRQoL was lower for mothers with children that had borderline/clinical behaviour problems compared to those with children without problems (mean difference -0.14, 95% CI: -0.16 to -0.12, p<0.001). The finding did not markedly change when adjusting for household income, financial security, child gender, child temperament and intervention group status at child age 8 months (mean difference -0.12, 95% CI: -0.15 to -0.09, p<0.001), but did attenuate when additionally adjusting for concurrent maternal mental health (mean difference -0.03, 95% CI: -0.05 to -0.02, p<0.001). Conclusions: Child behaviour problems were associated with lower maternal HRQoL. Child behaviour problems prevention programmes could consider this association with maternal HRQoL and be designed to improve and report both mothers’ and their child’s health and wellbeing.
We would like to acknowledge Professor Daniel Shaw, Bibi Gerner, Amelia Hicks, Daisy Grinter, Amy Loughman and Kate Lycett for their help to commence this study in 2010, and their contribution to data collection and intervention delivery. We would also like to thank all the maternal child health nurses from the nine participating LGAs (City of Casey, Bayside City Council, Darebin City Council, Hobsons Bay City Council, City of Port Phillip, Mornington Peninsula Shire, Manningham City Council, Knox City Council and Yarra Ranges Shire Council) and the families taking part. We would like to thank the parenting experts at the Parenting Research Centre who co-facilitate the Toddlers Without Tears parenting groups. Murdoch Childrens Research Institute research is supported by the Victorian Government's Operational Infrastructure Support Programme and funded by Australian National Health and Medical Research Council (NHMRC) Partnership 46525 and community partners: Victorian Department of Education and Early Childhood, Victorian Department of Health and the Municipal Associations of Victoria. The researchers acknowledge support of the Australian NHMRC for salary support through Early Career Fellowship 1035100 (LG), Career Development Awards 607351 (HH) and 546405 (MW) and Capacity Building Grants 425855 (LG) and 436914 (HH, JB and OU). OU is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsula at the Royal Devon and Exeter NHS Foundation Trust. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health in England.
Available online 6th September 2016