New research reveals psychological distress experienced by families caring for a child with Dravet Syndrome

New research has shed light on the enormous psychological impact on families caring for a child or adult living with Dravet Syndrome, a devastating and complex form of epilepsy that occurs in around 1 in 15,000 births.

Conducted by researchers at University of Glasgow in partnership with Dravet Syndrome UK, the resulting study, published in the European Journal of Paediatric Neurology, provides important new insight into the ways in which parents cope and adjust to caring for a child with Dravet Syndrome, with a focus on adapting to trauma.

The study highlights the challenges families face and reveals an urgent need for better informed professional practice, and the development of packages of support, including targeted therapeutic interventions for parents of children with Dravet Syndrome and similar developmental epilepsies.

Parents taking part in the study described significant symptoms of psychological distress and PTSD. Parents also describe how the lack of support needed to care for those affected by Dravet Syndrome (which includes epilepsy, intellectual disability and a range difficulties with mobility, speech, behaviour, eating and sleeping) presents a continual struggle for them with costs to their mental health. The risk of Sudden Unexpected Death in Epilepsy (SUDEP) in Dravet Syndrome is up to 15 times higher than in other epilepsies that start in childhood and almost 1 in 5 children don’t make it into adulthood.

The new research comprised of five focus groups with a total of 24 parents of children with Dravet Syndrome who shared insights into diagnosis, medical care, relationships, and the emotional and financial strains of caregiving. The majority of those taking part in the focus groups were women.

Among the parents taking part in the focus groups was Jennifer Allen, mum to nine year old Beth who has Dravet Syndrome: Jennifer says: “For the first year of Beth’s life, I slept in hospital more than my own bed. The frequency of her seizures was huge, and they often lasted over an hour, they are horrific, very traumatic to see. I felt like I’d lost her so many times, she has been intubated twice.

“PTSD is definitely something I have suffered. A while ago, over a period of ten days, I was in ambulances with Beth being blue lighted to hospital four times. And we’d had this spell of not being in them. And her consultant walked in, and I said ‘I can’t do this anymore, I cannot go back to being here. I almost felt like I was rocking.”

 

Beth with her parents Tom and Jen
“I was offered counselling through the GP, but they don’t know what it’s like to have a child with a complex condition, they don’t have that understanding. There needs to be greater access to support for parents.”
Jen Allen, mum to Beth who is living with Dravet Syndrome

Dr Anthony Mercier who conducted the study as part of his doctorate in clinical psychology at the University of Glasgow and is the lead author, says: “Parents and carers taking part in our study shared that they have experienced major psychological distress due to the repeated trauma of dealing with seizures, emergency hospital admissions and the fear of SUDEP. And almost all said they had experienced symptoms of PTSD as a result of the repeated trauma.”

Lead researcher Professor Liam Dorris, who is also the lead clinician for the
neuropsychology service at the Royal Hospital for Children in Glasgow, said “We hope that
this study can be used to inform professional practice, and to develop packages of support,
including targeted therapeutic interventions for parents of children with Dravet Syndrome
and similar developmental epilepsies.”

Galia Wilson, Chair of Trustees for Dravet Syndrome UK, says: “Dravet Syndrome is a devastating, life-long and life-changing condition that affects the emotional well-being of all
the family, but all too often this is overlooked. Someone with Dravet Syndrome needs 24/7 care for life. Severe and life-threatening seizures mean parents must constantly be on alert, while the developmental, behavioural and mobility aspects of the condition require constant support and care.

“This research serves as a call to action for greater awareness among all professionals involved in the care of families affected by Dravet Syndrome – to be mindful of signs of psychological distress and trauma, and importance of offering therapeutic interventions, such as talking therapies.

“By empowering parents like Jennifer to share their experiences, Dravet Syndrome UK hopes to bridge the gaps in understanding and help drive meaningful change.”

Dravet Syndrome UK would like thank Dr Anthony Mercier, Professor Liam Dorris, Dr Joseph Symonds, Professor Andreas Brunklaus, and Professor Sameer Zuberi at the Paediatric
Neurosciences Research Group, Royal Hospital for Children, Glasgow, for partnering with DSUK on this study.

Read more about Beth’s Story

Beth’s mum, Jen, speaks more about Beth’s journey and why there is a need for greater support for parents who are caring for a child with Dravet Syndrome.

Parent and child holding hands

How to seek support

A guide for parents and carers based on the latest research about impact of caring for someone with Dravet Syndrome and how to access support.

Support to offer families

A guide for professionals based on the latest research about the mental health toll it takes to care for someone with Dravet Syndrome and how professionals such as GPs, neurologists, epilepsy nurses or social care workers can support families.