J Pediatr Neurol 2019; 17(01): 013-021
DOI: 10.1055/s-0037-1612639
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Levels, Correlates, and Predictors of Stress and Caregiver Burden among Caregivers of Children with Cerebral Palsy in Nigeria

John O. Omole
1  Department of Physiotherapy, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
,
Samuel A. Adegoke
2  Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Nigeria
3  Department of Paediatrics, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Unit, Ilesha, Nigeria
,
Kehinde O. Omole
3  Department of Paediatrics, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Unit, Ilesha, Nigeria
,
Chidozie E. Mbada
4  Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
,
Ganiyu A. Adedeji
1  Department of Physiotherapy, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
,
Olanrewaju A. Adeyemi
5  Department of Physiotherapy, Ladoke Akintola University Teaching Hospital, Osogbo, Osun State, Nigeria
› Author Affiliations
Further Information

Publication History

12 September 2017

17 November 2017

Publication Date:
13 December 2017 (eFirst)

Abstract

Cerebral palsy (CP) is a major cause of physical disability in childhood. Caregivers are often subjected to both stress and burden due to prolonged care. This article assesses levels, correlates, and predictive factors of stress and caregiver burden among primary caregivers of children with CP. A hospital-based descriptive cross-sectional study was conducted in three tertiary hospitals within the Osun State, Nigeria. Two hundred and nine caregivers were interviewed with both the Parental Stress Scale and Caregiver Difficulty Scale to assess for stress and burden of caregivers, respectively. Data were collected and analyzed using Statistical Program for Social Sciences for Windows version 22 (SPSS Inc., Chicago, Illinois, United States) with alpha set at p < 0.05. Two hundred and nine children with CP aged 12 months to 12 years were seen during the 6-month period. Mothers constituted 87.1% of the total caregivers. The mean (standard deviation [SD]) stress seen in caregivers was 44.8 ± 10.1, while the mean (SD) caregiver burden was 45.2 ± 13.4. Both these scores were above the minimum score of 42, which signifies high psychosocial stress and burden. Multivariate linear regression was used to assess associations between clinical and sociodemographic and each of stress and caregivers' burden. Severity of CP and level of education were the most important predictors of stress, while severity of CP, level of education, and male child were the most important predictors of caregivers' burden. Caregivers' burden and stress are known to result in negative outcomes. Identifying factors that can predict caregivers' burden and stress could help develop an early intervention strategy to minimize these negative effects while promoting caregivers' psychosocial well-being.

Funding

None.