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Burden,professional support,and social network in families of children and young adults with muscular dystrophies
Authors:Lorenza Magliano MD  PhD  Melania Patalano MS  Alessandra Sagliocchi MD  Marianna Scutifero MD  Antonella Zaccaro Psych  PhD  Maria Grazia D'angelo MD  PhD  Federica Civati Psych  Erika Brighina MD  Giuseppe Vita MD  Gian Luca Vita MD  PhD  Sonia Messina MD  PhD  Maria Sframeli MD  Marika Pane MD  PhD  Maria Elena Lombardo MD  Roberta Scalise MD  Adele D'amico MD  PhD  Giulia Colia MD  Michela Catteruccia PT  Umberto Balottin MD  Angela Berardinelli MD  Maria Chiara Motta MD  Corrado Angelini MD  Alessandra Gaiani MD  Claudio Semplicini MD  Luca Bello MD  Roberta Battini MD  PhD  Guja Astrea MD  PhD  Luisa Politano MD
Affiliation:1. Department of Psychology, Second University of Naples, Viale Ellittico, 31, I‐81100 Caserta, Italy;2. Cardiomyology and Medical Genetics, Department of Experimental Medicine, Second University of Naples (SUN), Italy;3. NeuroMuscular Unit, Department of NeuroRehabilitation, IRCCS “E. Medea”, Bosisio Parini (Lc), Italy;4. Department of Neurosciences, University of Messina, Rome, Italy;5. Department of Paediatric Neurology, Catholic University, Rome, Italy;6. Unit of Neuromuscular and Neurodegenerative Diseases, Bambin Gesù Children's Hospital, Rome, Italy;7. Department of Brain and Behavioural Sciences ‐ Child Neuropsychiatry Unit, University of Pavia, Italy;8. Child Neuropsychiatry, IRCCS “C. Mondino” Foundation, Pavia, Italy;9. IRCSS San Camillo, Lido, Venice, Italy;10. Department of Neurosciences, University of Padova, Italy;11. Developmental Neuroscience, IRCCS Stella Maris, Pisa, Italy
Abstract:Introduction: This study explores burden and social and professional support in families of young patients with muscular dystrophies (MDs) in Italy. Methods: The study was carried out on 502 key relatives of 4‐ to 25‐year‐old patients suffering from Duchenne, Becker, or Limb‐Girdle MD who were living with at least 1 adult relative. Results: A total of 77.1% of relatives reported feelings of loss, 74.0% had feelings of sadness, and 59.1% had constraints in leisure activities. Burden was higher among relatives of patients with higher disability and who spent more daily hours in caregiving. Practical difficulties were higher among relatives who perceived lower help in patient emergencies and less practical support by their social network. Psychological burden was higher in those relatives who were unemployed, those with poorer support in emergencies, and those with lower social contacts. Conclusions: Caring for patients with MDs may be demanding for relatives even in the early stages of these disorders, especially when social support is poor and the patient's disability increases. Muscle Nerve 52 : 13–21, 2015
Keywords:caregiving  family burden  muscular dystrophy  professional support  social network
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