Cushner-Weinstein Sandra, Dassoulas Kasandra, Salpekar Jay A, Henderson Sarah E, Pearl Phillip L, Gaillard William D, Weinstein Steven L
Center for Neuroscience and Behavioral Medicine, Children's National Medical Center, Department of Neurology, George Washington University School of Medicine and Health Sciences, Washington, DC 20010-2970, USA.
Epilepsy Behav. 2008 Jul;13(1):109-14. doi: 10.1016/j.yebeh.2008.03.010. Epub 2008 Apr 28.
The purpose of this study was to evaluate stress in parents of children with epilepsy relative to the impact of childhood depression, learning disorders, and seizure-related risk factors.
Sixty-five parents and their children completed the Parenting Stress Index, Child Depression Inventory, and behavior and demographic forms. Kruska-Wallis ANOVAs and Spearman's rank correlations were used in a cross-sectional study design.
High levels of stress were found among the parents (45%). Overall, child depression (23%) was found to significantly increase the distress parents experienced in their role (P<0.05). Another risk factor found to impact parenting stress was learning disabilities (P<0.01). The seizure-related factors of polytherapy, duration, and age at onset were correlated with depression (P<0.05).
To effectively manage children with epilepsy, assessments of depression and learning must be considered because of their potential impact on parenting stress and the child's overall quality of life.
本研究旨在评估癫痫患儿父母的压力，以及童年抑郁、学习障碍和癫痫相关风险因素的影响。
65对父母及其子女完成了育儿压力指数、儿童抑郁量表以及行为和人口统计学表格。在横断面研究设计中使用了克鲁斯卡尔-沃利斯方差分析和斯皮尔曼等级相关性分析。
发现父母中压力水平较高的占45%。总体而言，发现儿童抑郁（23%）会显著增加父母在其角色中所经历的痛苦（P<0.05）。另一个被发现会影响育儿压力的风险因素是学习障碍（P<0.01）。联合治疗、病程和发病年龄等癫痫相关因素与抑郁相关（P<0.05）。
为有效管理癫痫患儿，必须考虑对抑郁和学习情况进行评估，因为它们可能会对育儿压力和孩子的整体生活质量产生影响。
