We aimed to determine the levels of anxiety and depression in mothers and fathers of a chronically ill child (0-18 years) and to study which parental and child variables are associated with anxiety and depression. In a cross-sectional design, anxiety and depression were assessed with the Hospital Anxiety and Depression Scale. Scores were compared to a Dutch reference group by analysis of variance and logistic regression analysis. Linear regression analyses were performed to examine which variables were associated with anxiety and depression. Mothers of a chronically ill child (n = 566) scored significantly higher than the reference group (p < .001) on anxiety (Mean 5.9 vs 4.8) and depression (Mean 4.5 vs 3.1). Fathers (n = 123) had higher depression scores (Mean 4.5 vs 3.6; p < .05), but fathers' anxiety scores were comparable to the reference group. The percentages of mothers in the clinical range of anxiety (31.8 vs 20.7 %, OR 2.03, 95 % CI 1.46-2.83) and depression (23.0 vs 12.0 %, OR 2.76, 95 % CI 1.84-4.13) were higher (p < .001) than in the reference group. No differences were found for fathers in the clinical range for anxiety and depression. Practical problems in daily life (a: β = .33, d: β = .25) and parenting stress (a: β = .30, d: β = .32) showed the strongest association with anxiety and depression for parents as a group. Illness-related characteristics of the child were not related. Parents of a chronically ill child, especially mothers, reported high levels of anxiety and depression. Awareness about parental anxiety and depression in pediatrics is important as well as targeted interventions.

译文

:我们旨在确定一名慢性病儿童(0-18岁)的父母的焦虑和抑郁水平,并研究哪些父母和孩子变量与焦虑和抑郁相关。在横断面设计中,用医院焦虑和抑郁量表评估焦虑和抑郁。通过方差分析和逻辑回归分析将得分与荷兰参考组进行比较。进行线性回归分析以检查哪些变量与焦虑和抑郁相关。患有慢性病的孩子(n = 566)的母亲在焦虑(分别为5.9和4.8)和抑郁(分别为4.5和3.1)方面的得分明显高于参考组(p <.001)。父亲(n = 123)的抑郁评分较高(平均4.5 vs 3.6; p <.05),但父亲的焦虑评分与参考组相当。母亲在焦虑(31.8 vs 20.7%,OR 2.03,95%CI 1.46-2.83)和抑郁症(23.0 vs 12.0%,2.76,95%CI 1.84-4.13)的临床范围内的百分比更高(p <。 001)。在焦虑和抑郁的临床范围内,父亲没有发现差异。日常生活中的实际问题(a:β= .33,d:β= .25)和育儿压力(a:β= .30,d:β= .32)显示父母与父母的焦虑和抑郁之间的联系最紧密团体。与孩子的疾病相关的特征无关。患有慢性病的孩子的父母,尤其是母亲,报告称焦虑和抑郁情绪高发。关于儿科父母的焦虑和抑郁的意识以及有针对性的干预措施很重要。

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