El Hamaoui Y, Yaalaoui S, Chihabeddine K, Boukind E, Moussaoui D
Ibn Rushd University Psychiatric Center, Casablanca, Morocco.
Arch Womens Ment Health. 2006 May;9(3):117-9. doi: 10.1007/s00737-006-0124-1. Epub 2006 Apr 3.
The treatment of burned children needs to address also their psychic state. Since the child's emotional state depends heavily on the emotional state of its parents, especially the mother's, interest should also be focused on diagnosing and treating secondary psychiatric disorders in mothers of burned children. The AIM of this work was to study the prevalence of depression in mothers of burned children and its predicting factors.
The enrolment of mothers of burned children was done in the Burns Department, Ibn Rushd University Hospital in Casablanca, Morocco. Twenty-eight mothers of seriously burned children agreed to participate in this study. A psychiatric interview was conducted after informed consent was obtained. The mothers completed a questionnaire; the diagnosis was made according to DSM IV criteria using the Mini International Neuro-psychiatric Interview (MINI). The Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were used to evaluate respectively the intensity of depression and the level of anxiety. Social functioning was assessed by the Global Assessment of Functioning scale (GAF). The minimum time interval between the child's being burned and the interview with the mother was one month.
The prevalence of depression was 35.7%, which is much higher in the mothers of burned children as compared to the general population. Several risk factors were found such as: several burned children or burn of the only child, severity and complications of burn, and the socio-economic level.
Depression is a common disorder in mothers of burned children. Thus early screening for depression in mothers and psychological and psychiatric support must be provided in conjunction with the treatment of the burned child.
烧伤儿童的治疗还需要关注他们的心理状态。由于儿童的情绪状态在很大程度上取决于其父母尤其是母亲的情绪状态，因此也应关注诊断和治疗烧伤儿童母亲的继发性精神障碍。这项工作的目的是研究烧伤儿童母亲中抑郁症的患病率及其预测因素。
在摩洛哥卡萨布兰卡伊本·鲁世德大学医院烧伤科招募烧伤儿童的母亲。28位严重烧伤儿童的母亲同意参与本研究。在获得知情同意后进行了精神科访谈。母亲们完成了一份问卷；根据《精神疾病诊断与统计手册》第四版标准，使用简明国际神经精神访谈量表（MINI）进行诊断。汉密尔顿抑郁评定量表和汉密尔顿焦虑评定量表分别用于评估抑郁强度和焦虑水平。社会功能通过功能总体评定量表（GAF）进行评估。儿童烧伤与对母亲进行访谈之间的最短时间间隔为1个月。
抑郁症患病率为35.7%，与一般人群相比，烧伤儿童母亲中的患病率要高得多。发现了几个危险因素，如：多个孩子烧伤或独子烧伤、烧伤的严重程度和并发症以及社会经济水平。
抑郁症在烧伤儿童母亲中是一种常见疾病。因此，在治疗烧伤儿童的同时，必须对母亲进行抑郁症的早期筛查，并提供心理和精神支持。
