Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1990 Nov;65(11):1240–1244. doi: 10.1136/adc.65.11.1240

Effects of newborn screening of cystic fibrosis on reported maternal behaviour.

C Boland 1, N L Thompson 1
PMCID: PMC1792618  PMID: 2248536

Abstract

Screening for cystic fibrosis is highly controversial. Concerns have been expressed that newborn screening may cause mothers, who had considered their child to be healthy before diagnosis, to overprotect their child. Some critics of screening also suggest that a period of delay from onset of symptoms to diagnosis may help a mother adjust to the reality of the child's lethal condition. This study compared the strength of overprotective child rearing attitudes of 29 mothers whose children were screened (13 had symptomatic children and 16 asymptomatic children) with the attitudes of 29 mothers whose children were diagnosed after the onset of symptoms. Results indicate that newborn screening had not increased a mother's tendency to overprotect her child with cystic fibrosis and in some cases the tendency had decreased. Further, delay in diagnosis when screening was not conducted usually caused mothers considerable personal distress.

Full text

PDF
1243

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cassio A., Bernardi F., Piazzi S., Capelli M., Frejaville E., Villa M. P., Martelli E., Balsamo A., Salardi S., Merighi R. Neonatal screening for cystic fibrosis by dried blood spot trypsin assay. Results in 47 127 newborn infants from a homogeneous population. Acta Paediatr Scand. 1984 Jul;73(4):554–558. doi: 10.1111/j.1651-2227.1984.tb09970.x. [DOI] [PubMed] [Google Scholar]
  2. David T. J., Phillips B. M. Overdiagnosis of cystic fibrosis. Lancet. 1982 Nov 27;2(8309):1204–1206. doi: 10.1016/s0140-6736(82)91213-2. [DOI] [PubMed] [Google Scholar]
  3. Dodge J. A., Ryley H. C. Screening for cystic fibrosis. Arch Dis Child. 1982 Oct;57(10):774–780. doi: 10.1136/adc.57.10.774. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Farrell P. M. Early diagnosis of cystic fibrosis: to screen or not to screen--an important question. Pediatrics. 1984 Jan;73(1):115–117. [PubMed] [Google Scholar]
  5. Gitzelmann R. Why we should not screen our newborns for cystic fibrosis. Helv Paediatr Acta. 1981;36(6):493–494. [PubMed] [Google Scholar]
  6. Holtzman N. A. Routine screening of newborns for cystic fibrosis: not yet. Pediatrics. 1984 Jan;73(1):98–99. [PubMed] [Google Scholar]
  7. Mastella G., Pederzini F., Girella E., Righetti G., Zanchetta M., Rizzotti P. Cystic fibrosis screening policy. Lancet. 1984 Sep 8;2(8402):575–576. doi: 10.1016/s0140-6736(84)90786-4. [DOI] [PubMed] [Google Scholar]
  8. Myers M. G. Hepatic cellular injury during varicella. Arch Dis Child. 1982 Apr;57(4):317–319. doi: 10.1136/adc.57.4.317. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rosenstein B. J., Langbaum T. S. Diagnostic delay in Duchenne s muscular dystrophy and cystic fibrosis. JAMA. 1982 Jun 25;247(24):3313–3313. [PubMed] [Google Scholar]
  10. SCHAEFER E. S., BELL R. Q. Development of a parental attitude research instrument. Child Dev. 1958 Sep;29(3):339–361. doi: 10.1111/j.1467-8624.1958.tb04891.x. [DOI] [PubMed] [Google Scholar]
  11. Solnit A. J. Editorial: The risks of screening. Pediatrics. 1976 May;57(5):646–647. [PubMed] [Google Scholar]
  12. Sorenson J. R., Levy H. L., Mangione T. W., Sepe S. J. Parental response to repeat testing of infants with 'false-positive' results in a newborn screening program. Pediatrics. 1984 Feb;73(2):183–187. [PubMed] [Google Scholar]
  13. Wilcken B., Brown A. R., Urwin R., Brown D. A. Cystic fibrosis screening by dried blood spot trypsin assay: results in 75,000 newborn infants. J Pediatr. 1983 Mar;102(3):383–387. doi: 10.1016/s0022-3476(83)80653-2. [DOI] [PubMed] [Google Scholar]
  14. Wilcken B., Towns S. J., Mellis C. M. Diagnostic delay in cystic fibrosis: lessons from newborn screening. Arch Dis Child. 1983 Nov;58(11):863–866. doi: 10.1136/adc.58.11.863. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES