Chiou Hua-Huei, Hsieh Liang-Po
Department of Child Care and Education, HungKuang University, Taichung, Taiwan.
J Child Neurol. 2008 Mar;23(3):301-6. doi: 10.1177/0883073807308712. Epub 2008 Jan 8.
The purposes of this study were to identify differences in parenting stress between 2 samples and examine the factors associated with parenting stress. An asthma sample was selected to contrast with the epilepsy sample because both medical conditions are chronic episodic conditions that require daily medication. Data from 49 parents of epileptic children and 54 parents of asthmatic children were examined in this study. Samples were conducted in a hospital pediatric clinic. Parental stress was measured using Abidin's Parenting Stress Index-long form. There were 2 major domains in the Parenting Stress Index: parent domain and child domain. The parent domain included 7 subscales, and the child domain included 6 subscales. Overall, results showed that parental stress was higher in the epilepsy group. Significant differences were found in 7 subscales: adaptability, demanding, hyperactivity/distractibility, role restrictions, depression, relationship to spouse, and parental health. Possible explanations for a higher level of parenting stress in the epilepsy group were discrimination, poor child adaptation, the threat of unpredictability of the seizures, and neurological dysfunction. The causes of higher levels of parenting stress in the asthma group were limitation of activities and parental health condition. These differences should be considered when psychosocial care is offered. Results also showed that demographic variables (gender, age, and family social economic status), age at onset, and condition severity were not effective predictors for parenting stress.
本研究的目的是确定两个样本在育儿压力方面的差异,并研究与育儿压力相关的因素。选择哮喘样本与癫痫样本进行对比,因为这两种疾病都是需要每日用药的慢性发作性疾病。本研究对49名癫痫患儿的父母和54名哮喘患儿的父母的数据进行了分析。样本采集于一家医院的儿科诊所。使用阿比丁的《育儿压力指数》长版来测量父母压力。《育儿压力指数》有两个主要领域:父母领域和儿童领域。父母领域包括7个分量表,儿童领域包括6个分量表。总体而言,结果显示癫痫组的父母压力更高。在7个分量表中发现了显著差异:适应性、要求、多动/注意力分散、角色限制、抑郁、与配偶的关系以及父母健康状况。癫痫组育儿压力水平较高的可能原因是歧视、孩子适应不良、癫痫发作不可预测的威胁以及神经功能障碍。哮喘组育儿压力水平较高的原因是活动受限和父母健康状况。在提供心理社会护理时应考虑这些差异。结果还表明,人口统计学变量(性别、年龄和家庭社会经济地位)、发病年龄和病情严重程度并不是育儿压力的有效预测指标。