[Critical factors for subjective burden of mothers of children with developmental language disorders].
BACKGROUND
In earlier studies, it was found that mothers of children with developmental language disorders had a higher incidence of anxiety and depression in comparison to the normal population. This study concentrated on the following questions: is the perceived stress, anxiety and depression of mothers with children with developmental language disorders higher than in the normal population, even for those mothers who are not exposed to any further stressors? and what environmental factors play an important role in the mental health of the mothers?


METHODS
A total of 90 mothers (aged 32.9+/-4.7 years) of preschoolers diagnosed with a developmental language disorder, but with otherwise normal development, participated in the study. The mental health of the mothers was assessed using the Perceived Stress Scale (PSS) and the German version of the Hospital Anxiety and Depression Scale (HASD-D). Environmental factors were captured by a structured anamnestic procedure. Predictors of mental health were determined using multivariate regression analysis.


RESULTS
The entire sample demonstrated significant levels of stress, anxiety and depression. In comparison to the standardized values, those mothers of children with developmental language disorders who were not exposed to any further stressors, were also shown to have significantly higher rates of stress and depression on the scales used, although not significantly higher levels of anxiety. A significant predictor of positive overall mental health of the mothers was the extent of adequate support in child rearing.


CONCLUSIONS
Health professionals dealing with children with developmental language disorders must reckon with a considerable number of mothers whose mental health is negatively affected. When treating a child with a developmental language disorder, measures to improve the mother's state of well-being should be considered, including counseling and self-help groups.
Grässel
E
E
Bereich Medizinische Psychologie und Medizinische Soziologie der psychiatrischen und psychotherapeutischen Klinik, Universitätsklinikum Erlangen, Erlangen, Germany.
Bock
V
V
Rosanowski
F
F
D000328:Adult; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D002675:Child, Preschool; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007805:Language Development Disorders / Q000453:epidemiology* / Q000523:psychology; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology / Q000706:statistics & numerical data*; D015995:Prevalence; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D018434:Sickness Impact Profile; D013312:Stress, Physiological / Q000453:epidemiology* / Q000523:psychology