育儿压力与儿童癫痫：抑郁、学习及癫痫相关因素的影响
Parenting stress and childhood epilepsy: the impact of depression, learning, and seizure-related factors.
作者信息
Cushner-Weinstein Sandra, Dassoulas Kasandra, Salpekar Jay A, Henderson Sarah E, Pearl Phillip L, Gaillard William D, Weinstein Steven L
机构信息
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.
出版信息
Epilepsy Behav. 2008 Jul;13(1):109-14. doi: 10.1016/j.yebeh.2008.03.010. Epub 2008 Apr 28.
OBJECTIVE
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.
METHODS
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.
RESULTS
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).
CONCLUSION
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.
目的
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。
方法
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。
结果
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）。
结论
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。
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