title: Burnout, depression and anxiety levels in mothers of infants with brachial plexus injury and the effects of recovery on mothers' mental health.
abstract: OBJECTIVE
  To evaluate depression, anxiety and burnout in mothers of infants with brachial plexus injury and assess the effects of the severity of injury on the mothers' mental health, as the literature provides no information on this topic.
  
  
  METHODS
  The study was based on eighteen mothers without psychiatric antecedents who had infants with perinatal brachial plexus paralysis (PBPP). The severity of the brachial plexus injury was classified according to the Narakas classification system. The recovery rate following conservative treatment was classified according to the Modified Mallet Classification System. The Maslach burnout inventory, Beck depression inventory, and Beck anxiety inventory were administered to the mothers.
  
  
  RESULTS
  The mothers whose infants were in the third Narakas group were mildly depressed and the depression scores of the mothers in Narakas groups II and III were regularly increased. Mothers in the first and second groups reported a minimal level of anxiety scores. There was no statistically significant difference between the depression, anxiety, emotional exhaustion, depersonalization, and personal accomplishment scores of the mothers in relation to the severity of the injury in the child (p=0.218, p=0.078, p=0.149, p=0.138, and p=0.246). In addition, the depression and anxiety levels of the mothers whose infants recovered fully or partially showed a statistically significant decrease when compared to the mothers of infants with no recovery (p=0.003, p=0.015). There was, however, no statistically significant difference between the emotional exhaustion, depersonalization, and personal accomplishment scores of the mothers of infants with full recovery, partial recovery and no recovery (p=0.591, p=0591, p=0.062).
  
  
  CONCLUSIONS
  Infants' disability may cause psychological distress in their mothers. When brachial plexus injury is predicted in infants, more mothers may become depressed.
authors.affiliation: Dr. Sami Ulus Pediatric Health and Research Hospital, Physical Medicine and Rehabilitation Clinic, Turkey. kiymetkaradavut@gmail.com
authors.forename: Kiymet Ikbal
authors.initials: KI
authors.lastname: Karadavut
authors.forename: Sukran Ozden
authors.initials: SO
authors.lastname: Uneri
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D001720:Birth Injuries / Q000523:psychology / Q000534:rehabilitation*; D001917:Brachial Plexus / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D002668:Child Rearing / Q000523:psychology; D003863:Depression / Q000453:epidemiology*; D019988:Children with Disabilities / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008297:Male; D009035:Mothers / Q000523:psychology*; D010865:Pilot Projects; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000453:epidemiology*; D014421:Turkey / Q000453:epidemiology