Spijkerboer Alinda W, Helbing Willem A, Bogers Ad J J C, Van Domburg Ron T, Verhulst Frank C, Utens Elisabeth M W J
Department of Child and Adolescent Psychiatry, Erasmus Medical Centre, Rotterdam, The Netherlands.
Cardiol Young. 2007 Dec;17(6):638-45. doi: 10.1017/S1047951107001333. Epub 2007 Oct 22.
To assess the level of psychological distress and styles of coping in both mothers and fathers of children who underwent invasive treatment for congenital cardiac disease at least 7 years and 6 months ago.
The General Health Questionnaire and the Utrecht Coping List were completed by parents of children with 4 different cardiac diagnoses.
Overall, in comparison with reference groups, parents of children treated for congenital heart disease showed lower levels of distress, manifested as lower levels of somatic symptoms, anxiety and sleeplessness and serious depression. Mothers of children with congenital heart disease reported significantly more somatic symptoms than fathers.Further, compared to reference groups more favourable outcomes on coping were found; parents in our sample showed a weaker tendency to use styles of coping such as reassuring thoughts and less often expressed negative emotions (anger, annoyance). Mothers in our sample appeared to seek social support more often compared to fathers.
Overall, lower levels of psychological distress and few differences in styles of coping compared to reference groups were found in parents of children treated for congenital heart disease. We need to remain alert however, for individual parents at risk of adjusting poorly.
评估至少在7年零6个月前为患有先天性心脏病的孩子接受侵入性治疗的父母的心理困扰程度及应对方式。
4种不同心脏诊断患儿的父母完成了一般健康问卷和乌得勒支应对清单。
总体而言，与参照组相比，接受先天性心脏病治疗患儿的父母表现出较低的困扰水平，表现为较低的躯体症状、焦虑、失眠及严重抑郁水平。先天性心脏病患儿的母亲报告的躯体症状明显多于父亲。此外，与参照组相比，应对方面有更有利的结果；我们样本中的父母使用诸如安慰性想法等应对方式的倾向较弱，且较少表达负面情绪（愤怒、烦恼）。与父亲相比，我们样本中的母亲似乎更常寻求社会支持。
总体而言，接受先天性心脏病治疗患儿的父母心理困扰水平较低，与参照组相比应对方式差异不大。然而，我们需要对适应不良风险较高的个别父母保持警惕。
