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.
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.
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。
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