Young Adults and Parents’ Coping With Duchenne/Becker Muscular Dystrophy: A Focus Group Study

Siwar Makhoul Khoury, Hadas Rosenne, Netanya Mischel, Talia Dor-Wollman, Michal Gudinski-Elyshiv, L. Hamama
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Abstract

Duchenne and Becker muscular dystrophy (DBMD) are genetic disorders that are characterized by progressive muscle weakness. As such, individuals with DBMD may need constant assistance with medical and physical care, which is oftenE provided by their family members. An essential part of patients’ medical management and their parents’ care is to develop appropriate coping strategies. This study focuses on young adults in the developmental period of emerging adulthood and parents, aiming to obtain an in-depth understanding of their coping strategies with DBMD. Qualitative methodology was employed and implemented within three focus groups: one group of young adults (ages 18–23) and two groups of parents. The findings of themes related to young adults and parents coping with DBMD included negative emotions alongside positive perceptions, hope, coping with loneliness in the context of being different, and familial adjustments. Our findings revealed similarities and differences in relation to both young adults’ and parents’ coping strategies, referred to in this study as “adjustments”. It may be advantageous to have an interdisciplinary professional team (i.e., physicians, nurses, and psychologists/social workers) intervene with young adults and parents to get a comprehensive understanding of the impact DBMD has on the multidimensional aspects of their daily functioning and the “adjustments” they employ to cope with DBMD.
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年轻人和父母如何应对杜兴/贝克型肌肉萎缩症:焦点小组研究
杜兴氏和贝克氏肌营养不良症(DBMD)是一种遗传性疾病,其特征是进行性肌无力。因此,DBMD 患者可能需要持续的医疗和身体护理帮助,而这通常是由其家人提供的。制定适当的应对策略是患者医疗管理及其父母护理的重要组成部分。本研究以处于成长期的青壮年及其父母为研究对象,旨在深入了解他们应对 DBMD 的策略。本研究采用了定性方法,并在三个焦点小组中实施:一组为青壮年(18-23 岁),两组为父母。与年轻人和父母应对 DBMD 相关的主题包括消极情绪和积极看法、希望、在与众不同的背景下应对孤独以及家庭调整。我们的研究结果表明,年轻人和父母的应对策略(本研究称之为 "调整")既有相似之处,也有不同之处。让一个跨学科的专业团队(即医生、护士和心理学家/社会工作者)对年轻人和家长进行干预,以全面了解 DBMD 对他们日常功能的多方面影响,以及他们为应对 DBMD 而采取的 "调整 "措施,可能会有所裨益。
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