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癫痫患儿家庭中的慢性悲伤与应对方式

Chronic sorrow and coping in families of children with epilepsy.

作者信息

Hobdell Elizabeth F, Grant Mitzie L, Valencia Ignacio, Mare Jane, Kothare Sanjeev V, Legido Agustin, Khurana Divya S

机构信息

St. Christopher's Hospital for Children, Philadelphia, PA, USA.

出版信息

J Neurosci Nurs. 2007 Apr;39(2):76-82. doi: 10.1097/01376517-200704000-00003.

Abstract

Epilepsy, a common problem in child neurology, affects the entire family. There is a potential for such psychosocial consequences as parental chronic sorrow and alterations in coping. In this study, 67 parents completed brief questionnaires about their sorrow and coping styles. Results demonstrated chronic sorrow as measured by the Adapted Burke Questionnaire (10.45 +/- 7.9). Interestingly, the total score was not significantly different between parents of children with refractory and nonrefractory epilepsy or parents of children with comorbid or without comorbid conditions. Selection of the individual item disbelief, however, was significantly increased in parents of children with nonrefractory epilepsy, and selection of the item anger was significantly increased in parents of children with comorbid conditions. Parental coping styles were similar to those reported in the normative data for the instrument used, the Coping Health Inventory for Parents (CHIP). The correlation between chronic sorrow and coping was significant between the grief component of sorrow and Coping Pattern II of the CHIP. Implications for practice include earlier identification of parental feelings of sorrow and coping styles, which may contribute to a positive outcome.

摘要

癫痫是儿童神经病学中的常见问题,会影响整个家庭。存在诸如父母长期悲伤和应对方式改变等心理社会后果的可能性。在本研究中,67位家长完成了关于他们悲伤情绪和应对方式的简短问卷。结果显示,通过改编后的伯克问卷测量的长期悲伤程度为(10.45±7.9)。有趣的是,难治性癫痫患儿的父母与非难治性癫痫患儿的父母之间,以及有合并症患儿的父母与无合并症患儿的父母之间,总分没有显著差异。然而,在非难治性癫痫患儿的父母中,“怀疑”这一个别项目的选择显著增加,在有合并症患儿的父母中,“愤怒”项目的选择显著增加。父母的应对方式与所用工具——《父母应对健康量表》(CHIP)的标准数据中报告的方式相似。悲伤情绪中的悲痛成分与CHIP的应对模式II之间,长期悲伤与应对之间存在显著相关性。对实践的启示包括更早地识别父母的悲伤情绪和应对方式,这可能有助于取得积极的结果。

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