Most families with familial hypercholesterolaemia do not experience significant psychosocial problems due to the diagnosis, though parental ratings of behavioral adjustment may help identify vulnerable children.
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Low psychosocial burden from FH diagnosis in most families; leaves open targeted screening of vulnerable children via parental behavioral ratings.
OBJECTIVE: To assess psychosocial concerns of families with familial hypercholesterolaemia. METHODS: One-hundred-and-fifty-four single or pairs of parents of children age 6 - 16 years responded to a specifically designed questionnaire. One child from each family was interviewed. RESULTS: Eleven percent of parents thought that their quality of life would have been better had they not known about the disease. None agreed totally that they wished the diagnosis had not been made. However, 20% reported familial conflicts and 8% that their child's emotional or social life had been adversely affected. Conflicts and adverse effects were associated with higher scores on the Child Behaviour Checklist (CBCL). Among the children, worry about cardiovascular disease (affirmed by 22%) was related to male sex and CBCL score. RELEVANCE: Most families do not indicate that they have experienced psychosocial problems due to familial hypercholesterolaemia. Parental ratings of the child's behavioural adjustment may identify vulnerable children.
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Serena Tonstad (1996) studied this question.
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