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哮喘患儿母亲中抑郁症的高患病率。

High prevalence of depression amongst mothers of children with asthma.

作者信息

Leão Letícia L, Zhang Linjie, Sousa Paulo L R, Mendoza-Sassi Raul, Chadha Rashmi, Lovatel Raquel, Lincho Carla S, Leal Renata D J, Sinzkel Etiene, Nicoletti Dilvânia, Martiello Juliana

机构信息

Postgraduate Program on Health and Behavior, Catholic University of Pelotas, Brazil.

出版信息

J Asthma. 2009 May;46(4):388-91. doi: 10.1080/02770900802444237.

Abstract

OBJECTIVE

To compare the prevalence of depression among mothers of children with asthma and mothers of children without asthma and to investigate the influence of severity and duration of childhood asthma on maternal depression.

METHOD

A cross-sectional study including 80 mothers of children with asthma and 160 mothers of children without asthma who attended the pediatric outpatient clinics of a teaching hospital in Southern Brazil. The main outcome measure was the presence of depression in these mothers, measured by the Beck Depression Inventory.

RESULTS

The prevalence of depression was higher among mothers of asthmatic children compared with mothers of non-asthmatic children (43.8% vs. 17.5%, p < 0.001), with an adjusted prevalence ratio of 2.74 (95% confidence interval [CI] 1.76-4.25). Mothers of children with persistent asthma had a higher prevalence of depression than mothers of children with intermittent asthma (62.8% vs. 21.6%, p < 0.001), with an adjusted prevalence ratio of 2.77 (95% CI: 1.46-5.27). No significant association was observed between duration of childhood asthma and maternal depression.

CONCLUSION

Mothers of children with asthma have a higher prevalence of depression than mothers of children without asthma. The severity but not duration of childhood asthma is associated with maternal depression.

摘要

目的

比较哮喘患儿母亲与非哮喘患儿母亲的抑郁症患病率,并探讨儿童哮喘的严重程度和病程对母亲抑郁的影响。

方法

一项横断面研究,纳入了巴西南部一家教学医院儿科门诊的80名哮喘患儿母亲和160名非哮喘患儿母亲。主要结局指标是这些母亲中抑郁症的存在情况,通过贝克抑郁量表进行测量。

结果

哮喘患儿母亲的抑郁症患病率高于非哮喘患儿母亲(43.8%对17.5%,p<0.001),调整后的患病率比为2.74(95%置信区间[CI]1.76 - 4.25)。持续性哮喘患儿的母亲抑郁症患病率高于间歇性哮喘患儿的母亲(62.8%对21.6%,p<0.001),调整后的患病率比为2.77(95%CI:1.46 - 5.27)。未观察到儿童哮喘病程与母亲抑郁之间存在显著关联。

结论

哮喘患儿母亲的抑郁症患病率高于非哮喘患儿母亲。儿童哮喘的严重程度而非病程与母亲抑郁有关。

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