与 1 型糖尿病或囊性纤维化患儿照顾者抑郁症状相关的风险因素。
Risk factors associated with depressive symptoms in caregivers of children with type 1 diabetes or cystic fibrosis.
机构信息
Florida State University College of Medicine, Department of Medical Humanities and Social Sciences, Tallahassee, FL 32306, USA.
出版信息
J Pediatr Psychol. 2010 Sep;35(8):814-22. doi: 10.1093/jpepsy/jsp138. Epub 2010 Jan 22.
Abstract
OBJECTIVE
Evaluate depressive symptoms in caregivers of children with type 1 diabetes (T1D) or cystic fibrosis (CF) and identify associated risk factors.
METHODS
A total of 195 caregivers completed demographic, stress, and depressive symptoms questionnaires. Children's health status was obtained from medical records.
RESULTS
Approximately 33% of caregivers reported elevated symptoms of depression (i.e., exceeded clinical cutoff of 16 on the Center for Epidemiological Studies-Depression Scale). For caregivers of children with T1D, elevations were associated with less caregiver education, more family stress, older child age, and worse glycemic control. For caregivers of children with CF, more family stress and lack of employment outside of the home were associated with elevated depressive symptoms.
CONCLUSIONS
Many caregivers of children with T1D or CF experience depressive symptoms, although risk factors may differ in these two populations. Screening of caregiver depressive symptoms as part of routine clinic visits may provide opportunities for needed intervention.
摘要
目的
评估 1 型糖尿病（T1D）或囊性纤维化（CF）患儿照料者的抑郁症状，并确定相关的危险因素。
方法
共有 195 名照料者完成了人口统计学、压力和抑郁症状问卷。从病历中获取儿童的健康状况。
结果
约 33%的照料者报告有抑郁症状升高（即，在流行病学研究中心抑郁量表上超过 16 的临床截止值）。对于 T1D 患儿的照料者，升高与较低的照料者教育程度、更多的家庭压力、较大的儿童年龄和较差的血糖控制有关。对于 CF 患儿的照料者，更多的家庭压力和没有家庭以外的工作与抑郁症状升高有关。
结论
许多 T1D 或 CF 患儿的照料者都有抑郁症状，尽管这两种人群的危险因素可能不同。作为常规诊所就诊的一部分，对照料者抑郁症状进行筛查可能为需要的干预提供机会。
相似文献
1
Risk factors associated with depressive symptoms in caregivers of children with type 1 diabetes or cystic fibrosis.与 1 型糖尿病或囊性纤维化患儿照顾者抑郁症状相关的风险因素。
J Pediatr Psychol. 2010 Sep;35(8):814-22. doi: 10.1093/jpepsy/jsp138. Epub 2010 Jan 22.
2
Relations between depressive and anxious symptoms and quality of life in caregivers of children with cystic fibrosis.囊性纤维化患儿照料者的抑郁和焦虑症状与生活质量之间的关系。
Pediatr Pulmonol. 2009 Aug;44(8):784-92. doi: 10.1002/ppul.21057.
3
Prevalence of depression and anxiety in patients with cystic fibrosis and parent caregivers: results of The International Depression Epidemiological Study across nine countries.囊性纤维化患者及其家长中抑郁和焦虑的患病率：跨越九个国家的国际抑郁流行病学研究结果。
Thorax. 2014 Dec;69(12):1090-7. doi: 10.1136/thoraxjnl-2014-205983. Epub 2014 Sep 21.
4
The influence of caregiver depressive symptoms on proxy report of youth depressive symptoms: a test of the depression-distortion hypothesis in pediatric type 1 diabetes.照顾者抑郁症状对青少年抑郁症状代理报告的影响：1型糖尿病患儿抑郁扭曲假说的检验
J Pediatr Psychol. 2009 Apr;34(3):294-303. doi: 10.1093/jpepsy/jsn090. Epub 2008 Sep 6.
5
Burden and depressive symptoms associated with adult-child caregiving for individuals with heart failure.心力衰竭患者成人照顾儿童所带来的负担及抑郁症状。
ScientificWorldJournal. 2014;2014:641817. doi: 10.1155/2014/641817. Epub 2014 Nov 5.
6
Screening for symptoms of depression and anxiety in adolescents and young adults with cystic fibrosis.对囊性纤维化的青少年和年轻成人进行抑郁和焦虑症状筛查。
Pediatr Pulmonol. 2011 Feb;46(2):153-9. doi: 10.1002/ppul.21334. Epub 2010 Nov 17.
7
Caregiver coping, mental health and child problem behaviours in cystic fibrosis: a cross-sectional study.囊性纤维化患者照护者应对方式、心理健康与儿童问题行为：一项横断面研究。
Int J Behav Med. 2014 Apr;21(2):211-20. doi: 10.1007/s12529-013-9289-y.
8
CAREGIVER'S DEPRESSIVE SYMPTOMS AND YOUNG CHILDREN'S SOCIOEMOTIONAL DEVELOPMENT DELAYS: A CROSS-SECTIONAL STUDY IN POOR RURAL AREAS OF CHINA.照顾者的抑郁症状与幼儿社会情感发展迟缓：中国农村贫困地区的横断面研究
Infant Ment Health J. 2018 Mar;39(2):209-219. doi: 10.1002/imhj.21699. Epub 2018 Feb 27.
9
Prevalence of Depression among Caregivers of Indian Children with Cystic Fibrosis.印度囊性纤维化患儿照顾者抑郁的患病率。
Indian J Pediatr. 2018 Nov;85(11):974-977. doi: 10.1007/s12098-018-2695-z. Epub 2018 May 19.
10
Trajectories of caregiver burden in families of adult cystic fibrosis patients.成人囊性纤维化患者家庭照顾者负担的轨迹。
Palliat Support Care. 2018 Dec;16(6):732-740. doi: 10.1017/S1478951517000918. Epub 2017 Oct 17.
引用本文的文献
1
Objective Burden and Emotional Distress of Parents of Children with Type 1 Diabetes.目的 1 型糖尿病患儿父母的负担和情绪困扰。
Horm Res Paediatr. 2024;97(3):225-232. doi: 10.1159/000531885. Epub 2023 Jul 13.
2
The prevalence of depression among parents of children/adolescents with type 1 diabetes: A systematic review and meta-analysis.1 型糖尿病患儿/青少年父母中抑郁的患病率：系统评价和荟萃分析。
Front Endocrinol (Lausanne). 2023 Mar 1;14:1095729. doi: 10.3389/fendo.2023.1095729. eCollection 2023.
3
Caregiver burden in cystic fibrosis: a systematic literature review.囊性纤维化患者照顾者负担的系统评价
Ther Adv Respir Dis. 2022 Jan-Dec;16:17534666221086416. doi: 10.1177/17534666221086416.
4
Prevalence Trends and Influencing Factors of Post-Stroke Depression: A Study Based on the National Health and Nutrition Examination Survey.基于全国健康与营养调查的卒中后抑郁发生率趋势及影响因素研究。
Med Sci Monit. 2022 Feb 16;28:e933367. doi: 10.12659/MSM.933367.
5
Ethical Considerations for Assessing Parent Mental Health during Child Assessment Services.儿童评估服务中评估家长心理健康的伦理考量
Ethics Behav. 2019;29(2):87-100. doi: 10.1080/10508422.2018.1482746. Epub 2018 Jun 5.
6
Congenital Adrenal Hyperplasia-Current Insights in Pathophysiology, Diagnostics, and Management.先天性肾上腺皮质增生症-病理生理学、诊断和治疗的最新见解。
Endocr Rev. 2022 Jan 12;43(1):91-159. doi: 10.1210/endrev/bnab016.
7
Paediatric Type1 Diabetes Management and Mothers' Emotional Intelligence Interactions.儿科 1 型糖尿病管理与母亲情绪智力的相互作用。
Int J Environ Res Public Health. 2021 Mar 18;18(6):3117. doi: 10.3390/ijerph18063117.
8
Parental Stress, Anxiety and Depression Symptoms Associated with Self-Efficacy in Paediatric Type 1 Diabetes: A Literature Review.1型糖尿病患儿父母的压力、焦虑和抑郁症状与自我效能感的关系：文献综述
Int J Environ Res Public Health. 2020 Dec 28;18(1):152. doi: 10.3390/ijerph18010152.
9
Drug treatments for managing cystic fibrosis-related diabetes.用于治疗囊性纤维化相关糖尿病的药物疗法。
Cochrane Database Syst Rev. 2020 Oct 19;10(10):CD004730. doi: 10.1002/14651858.CD004730.pub5.
10
How to collect non-medical data in a pediatric trial: diaries or interviews.如何在儿科试验中收集非医学数据：日记或访谈。
Trials. 2020 Jan 7;21(1):36. doi: 10.1186/s13063-019-3997-9.
本文引用的文献
1
Relations between depressive and anxious symptoms and quality of life in caregivers of children with cystic fibrosis.囊性纤维化患儿照料者的抑郁和焦虑症状与生活质量之间的关系。
Pediatr Pulmonol. 2009 Aug;44(8):784-92. doi: 10.1002/ppul.21057.
2
Standards of medical care in diabetes--2009.《糖尿病医疗护理标准——2009》
Diabetes Care. 2009 Jan;32 Suppl 1(Suppl 1):S13-61. doi: 10.2337/dc09-S013.
3
Fear of hypoglycemia in parents of young children with type 1 diabetes mellitus.1型糖尿病幼儿家长对低血糖的恐惧
J Clin Psychol Med Settings. 2008 Sep;15(3):252-9. doi: 10.1007/s10880-008-9123-x. Epub 2008 Jul 26.
4
Family factors, emotional functioning, and functional impairment in juvenile fibromyalgia syndrome.青少年纤维肌痛综合征中的家庭因素、情绪功能及功能障碍
Arthritis Rheum. 2008 Oct 15;59(10):1392-8. doi: 10.1002/art.24099.
5
Sleep quality and depression-anxiety in mothers of children with two chronic respiratory diseases: asthma and cystic fibrosis.患有两种慢性呼吸道疾病（哮喘和囊性纤维化）儿童的母亲的睡眠质量与抑郁焦虑状况
J Cyst Fibros. 2008 Nov;7(6):495-500. doi: 10.1016/j.jcf.2008.05.002. Epub 2008 Jun 27.
6
Evidence-based practice recommendations for nutrition-related management of children and adults with cystic fibrosis and pancreatic insufficiency: results of a systematic review.囊性纤维化和胰腺功能不全儿童及成人营养相关管理的循证实践建议：一项系统综述的结果
J Am Diet Assoc. 2008 May;108(5):832-9. doi: 10.1016/j.jada.2008.02.020.
7
The relationship between stress and depression in first onsets versus recurrences: a meta-analytic review.首发与复发中应激与抑郁的关系：一项荟萃分析综述
J Abnorm Psychol. 2008 Feb;117(1):206-13. doi: 10.1037/0021-843X.117.1.206.
8
Mediators of depressive symptoms in children with type 1 diabetes and their mothers.1型糖尿病患儿及其母亲抑郁症状的调节因素
J Pediatr Psychol. 2008 Jun;33(5):509-19. doi: 10.1093/jpepsy/jsm104. Epub 2007 Nov 8.
9
Anxiety, depressive, and posttraumatic stress symptoms in mothers of children with type 1 diabetes.1型糖尿病患儿母亲的焦虑、抑郁和创伤后应激症状。
J Trauma Stress. 2007 Oct;20(5):881-91. doi: 10.1002/jts.20247.
10
Prevalence, correlates, and persistence of maternal depression.产后抑郁的患病率、相关因素及持续情况。
J Womens Health (Larchmt). 2007 Jun;16(5):678-91. doi: 10.1089/jwh.2006.0185.
Zotero 插件