Diareme Stavroula, Tsiantis John, Kolaitis Gerasimos, Ferentinos Spyros, Tsalamanios Emmanuel, Paliokosta Elena, Anasontzi Sophia, Lympinaki Eirini, Anagnostopoulos Dimitris C, Voumvourakis Costas, Romer Georg
Child and Adolescent Mental Health Unit Dept. of Psychiatry, Medical School University of Athens, Athens, Greece.
Eur Child Adolesc Psychiatry. 2006 Sep;15(6):309-18. doi: 10.1007/s00787-006-0534-7. Epub 2006 Apr 13.
Emotional and behavioural problems were investigated in children who have a parent with multiple sclerosis (MS), in relation to factors such as family dysfunction, parental depression and illness-related characteristics. The participants were 56 MS patients, their spouses and one randomly selected child aged 4-17 years, and a comparison group of 64 children and both their parents, none of whom reported somatic illness. Emotional and behavioural problems in the children were identified by reporting of both parents and self-report using the Achenbach's Child Behaviour Checklist and Youth Self Report respectively. Parental depression and family dysfunction were explored using the Beck Depression Inventory and Family Assessment Device, respectively. The data were analysed using independent samples t-tests for between-group comparisons, Pearson r correlations between children's problems and family dysfunction or parental depression, and multiple regression analyses for identifying predictors for children's problems. Children whose parents, especially mothers, had MS presented greater emotional and behavioural problems than comparison children. Children's problems were positively associated with maternal depression and family dysfunction. Family dysfunction predicted children's overall and externalizing problems, while the severity of impairment of the ill mother predicted children's internalizing problems. Implications of these findings for clinical practice are discussed.
研究了父母一方患有多发性硬化症（MS）的儿童的情绪和行为问题，并探讨了家庭功能障碍、父母抑郁以及疾病相关特征等因素与这些问题的关系。研究对象包括56名MS患者、他们的配偶以及一名随机选取的4至17岁儿童，还有一个由64名儿童及其父母组成的对照组，对照组中无人报告患有躯体疾病。分别通过父母双方的报告以及使用阿肯巴克儿童行为量表和青少年自评量表进行自评，来确定儿童的情绪和行为问题。分别使用贝克抑郁量表和家庭评估工具来探究父母抑郁和家庭功能障碍情况。采用独立样本t检验进行组间比较，通过皮尔逊r相关分析儿童问题与家庭功能障碍或父母抑郁之间的关系，并进行多元回归分析以确定儿童问题的预测因素。父母患有MS的儿童，尤其是母亲患有MS的儿童，比对照组儿童表现出更多的情绪和行为问题。儿童问题与母亲抑郁和家庭功能障碍呈正相关。家庭功能障碍可预测儿童的总体问题和外化问题，而患病母亲的功能受损严重程度可预测儿童的内化问题。文中讨论了这些研究结果对临床实践的意义。
