Tegegne Kaleab Tesfaye, Chalachew Aemero Asmamaw, Abebe Moges Tadesse, Wudu Tadele Kassahun, Melese Abrham Degu, Tegegne Eleni Tesfaye, Tessema Mekibib Kassa, Kelkay Jenberu Mekurianew
Department of Public Health, College of Health Science, Debark University, Debark, Ethiopia.
College of Social Sciences and Humanities, University of Gondar, Gondar, Ethiopia.
BMC Neurol. 2025 Sep 1;25(1):369. doi: 10.1186/s12883-025-04397-w.
Cerebral palsy (CP) is a complex and lifelong neurological disorder that affects movement, muscle tone, and coordination, often leading to significant physical and cognitive impairments in children. CP has significant long-term consequences not only for the child but also for their family, particularly parents who are responsible for the child's care and development.
The objective of the present study was to explicitly explore the psychosocial effects, challenges faced, coping mechanisms, and the nature of mother-child relationships among parents raising children with cerebral palsy in North West Ethiopia.
The study employed a qualitative approach with a phenomenological research design. The researchers recruited ten biological mothers of children, eight biological fathers of children and selected them using purposive sampling method. Eight fathers of children with cerebral palsy participated in an in-depth interview and ten mothers of children with CP participated in focus group discussion. The data was collected through semi-structured interview and FGD. Then analyzed qualitatively, using thematic analysis approach.
Fathers experienced shock, grief, worry, and isolation, often struggling with depression and fears about their child's future. Despite these challenges, both parents showed resilience, finding strength in faith, spirituality, and community support. Mothers emphasized the emotional and physical demands of caregiving, the deep bonds with their children, and the importance of coping mechanisms like patience and religious practices in managing daily struggles.
Parenting children with cerebral palsy (CP) entails significant psychosocial challenges, including grief, anxiety, and caregiving stress. Despite this, parents demonstrate resilience through community and spiritual support. Our findings underscore the need for culturally sensitive interventions, such as accessible mental health services integrated into maternal and child health care, peer-led support groups, and mobile mental health units to reach underserved areas. Incorporating disability awareness and psychosocial support into physiotherapy, maternal health, and religious programs offers practical, culturally grounded strategies to enhance coping and promote family well-being.
脑瘫(CP)是一种复杂的终身性神经疾病,会影响运动、肌肉张力和协调能力,常常导致儿童出现严重的身体和认知障碍。脑瘫不仅对儿童本身,而且对其家庭,尤其是负责孩子照料和成长的父母,都有着重大的长期影响。
本研究的目的是明确探讨埃塞俄比亚西北部抚养脑瘫患儿的父母所面临的心理社会影响、挑战、应对机制以及母子关系的性质。
本研究采用定性研究方法和现象学研究设计。研究人员招募了10名患儿的亲生母亲、8名患儿的亲生父亲,并采用目的抽样法进行选择。8名脑瘫患儿的父亲参与了深入访谈,10名脑瘫患儿的母亲参与了焦点小组讨论。数据通过半结构化访谈和焦点小组讨论收集。然后采用主题分析法进行定性分析。
父亲们经历了震惊、悲伤、担忧和孤立,常常与抑郁和对孩子未来的恐惧作斗争。尽管面临这些挑战,父母双方都表现出了韧性,从信仰、精神寄托和社区支持中找到了力量。母亲们强调了照顾孩子在情感和身体上的需求、与孩子的深厚情感纽带,以及耐心和宗教活动等应对机制在应对日常困难中的重要性。
抚养脑瘫患儿会带来重大的心理社会挑战,包括悲伤、焦虑和照顾压力。尽管如此,父母通过社区和精神支持展现出了韧性。我们的研究结果强调了需要开展具有文化敏感性的干预措施,例如将可获得的心理健康服务纳入母婴保健、同伴主导的支持小组以及移动心理健康单位以覆盖服务不足的地区。将残疾意识和心理社会支持纳入物理治疗、孕产妇健康和宗教项目中,提供了切实可行的、基于文化的策略来增强应对能力并促进家庭福祉。