Health-related quality of life of parents of children with phenylketonuria in Tehran Province, Islamic Republic of Iran.

Background Parents of children with phenylketonuria are at risk of reduced quality of life. Aims This study determined the quality of life of parents of children with phenylketonuria in Tehran Province. Methods The study was conducted in 2015 and included parents of children with phenylketonuria referred to three government children's hospitals in Tehran Province that provide phenylketonuria services. Data were collected using the Farsi version of the World Health Organization Quality of Life-Bref questionnaire. Analysis of variance, t-test, Pearson correlation coefficient and multiple linear regression were used to assess the relationship between quality of life domains and sociodemographic characteristics of the parent and child. Results The study included 240 parents; 55% were mothers. Quality of life of parents in psychological, social relationships and environment domains was low. Significant relationships were found between: physical domain and age of child at phenylketonuria diagnosis (P = 0.044); psychological domain and parent's age (P = 0.019), child's age (P = 0.007) and parent's education (P = 0.015); social relationships domain and parent's age (P = 0.003), and education (P = 0.002), household income (P = 0.025) and child's age (P = 0.004; and environmental domain and residence (P = 0.034), parent's education (P = 0.007), household income (P = 0.002) and child's age (P = 0.049). In the multivariable analysis, parent's age and education, child's age, and household income were significantly associated with parent's quality of life. Conclusion Given the low levels of quality of life in the parents, education and more financial support are recommended.

[1]  A. Ebadi,et al.  Quality of Life among Family Caregivers of Patients on Hemodialysis and its Relevant Factors: A Systematic Review , 2017, International journal of community based nursing and midwifery.

[2]  O. Unal,et al.  Depression and anxiety among parents of phenylketonuria children , 2015, Neurosciences.

[3]  E. Bettiol,et al.  Assessment of the impact of phenylketonuria and its treatment on quality of life of patients and parents from seven European countries , 2015, Orphanet Journal of Rare Diseases.

[4]  S. Jalaei,et al.  Factors influencing verbal intelligence and spoken language in children with phenylketonuria , 2015, Indian Pediatrics.

[5]  E. Bettiol,et al.  Development and psychometric validation of measures to assess the impact of phenylketonuria and its dietary treatment on patients’ and parents’ quality of life: the phenylketonuria – quality of life (PKU-QOL) questionnaires , 2015, Orphanet Journal of Rare Diseases.

[6]  A. Biglarian,et al.  Motor development skills of 1- to 4-year-old Iranian children with early treated phenylketonuria. , 2014, JIMD reports.

[7]  I. Eijgelshoven,et al.  The time consuming nature of phenylketonuria: a cross-sectional study investigating time burden and costs of phenylketonuria in the Netherlands. , 2013, Molecular genetics and metabolism.

[8]  L. Goldbeck,et al.  Quality of life among parents of children with phenylketonuria (PKU) , 2013, Health and Quality of Life Outcomes.

[9]  K. Heldt,et al.  Health-related quality of life in children and adolescents with phenylketonuria: unimpaired HRQoL in patients but feared school failure in parents , 2013, Journal of Inherited Metabolic Disease.

[10]  Y. Mohammadi,et al.  Quality of life in the patients with coronary bypass graft , 2012 .

[11]  A. Jahanlou,et al.  WHO quality of life-BREF 26 questionnaire: reliability and validity of the Persian version and compare it with Iranian diabetics quality of life questionnaire in diabetic patients. , 2011, Primary care diabetes.

[12]  L. Vilarinho,et al.  Neuroradiological findings of an adolescent with early treated phenylketonuria: is phenylalanine restriction enough? , 2011, Clinics and practice.

[13]  H. Maurice‐Stam,et al.  Parenting a child with phenylketonuria or galactosemia: implications for health-related quality of life , 2011, Journal of Inherited Metabolic Disease.

[14]  K. Rabiei,et al.  Psychometric Properties of the WHOQOL-BREF in an Iranian Adult Sample , 2010, Community Mental Health Journal.

[15]  M. Mahani A comparative Study about quality of life in Mothers of children with cerebral palsy, mental retardation and mothers of normal children , 2009 .

[16]  H. Heymans,et al.  Predicting health‐related quality of life of parents of children with inherited metabolic diseases , 2009, Acta paediatrica.

[17]  H. Heymans,et al.  Hidden Consequences of Success in Pediatrics: Parental Health-Related Quality of Life—Results From the Care Project , 2008, Pediatrics.

[18]  C. Hendriksz,et al.  Does maternal knowledge and parent education affect blood phenylalanine control in phenylketonuria? , 2008, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[19]  Yung-Jaan Lee,et al.  Subjective quality of life measurement in Taipei , 2008 .

[20]  R. Majdzadeh,et al.  Psychometric properties of the Iranian interview-administered version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF): A population-based study , 2008, BMC health services research.

[21]  H. Dickinson,et al.  Parent-Reported Quality of Life of Children With Cerebral Palsy in Europe , 2008, Pediatrics.

[22]  S. Montgomery,et al.  Family conditions and dietary control in phenylketonuria , 2007, Journal of Inherited Metabolic Disease.

[23]  V. Kučinskas,et al.  Familial variables as predictors of psychological maladjustment in Lithuanian children with phenylketonuria. , 2004, Medical science monitor : international medical journal of experimental and clinical research.

[24]  R. Steiner,et al.  Challenges to breastfeeding infants with phenylketonuria. , 2015, Journal of pediatric nursing.

[25]  Seyedan Fariba,et al.  EVALUATING THE RELATIONSHIP BETWEEN ACCESS TO COMMUNITY SERVICES AND FACILITIES, NEIGHBORHOOD SAFETY AND HEALTH, AND LIFE QUALITY OF WOMEN LIVING IN TEHRAN (WITH AN EMPHASIS ON SPECIAL NEEDS OF WOMEN IN DISTRICT 2 OF TEHRAN) , 2014 .

[26]  Javad Mahmoudi‐Gharaei,et al.  Quality of Life and the Associated Psychological Factors in Caregivers of Children with PKU , 2011, Iranian journal of psychiatry.

[27]  Holakouei Naeini Kourosh,et al.  QUALITY OF LIFE OF TEHRAN'S POPULATION BY WHOQOL-BREF QUESTIONNAIRE IN 2005 , 2007 .