Sajedi Firoozeh, Alizad Vida, Malekkhosravi Ghafar, Karimlou Masoud, Vameghi Roshanak
Department of Clinical Sciences, Pediatric Neurorehabilitation Research Center, University of Welfare & Rehabilitation, Tehran, Iran.
Acta Med Iran. 2010 Jul-Aug;48(4):250-4.
Children with cerebral palsy (CP) suffer from several problems, so the family especially the mothers undertake a lot of social and emotional difficulties. The purpose of this study was to determine the severity of depression in mothers of children with CP in comparison with mothers who have normal children and its relation to the type of CP and severity of the disability. During this descriptive-analytic study, 43 mothers who had younger than 8 year-old children with CP under rehabilitation services in SABA clinic, related to the University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran, were selected as the case group by simple sampling. A data registration form and the Beck Depression Inventory II were completed by them. The type of CP and the severity of disability were determined by a pediatrician and an occupational therapist respectively, using the Gross Motor Function Classification System (GMFCS). Seventy-seven mothers of normal children, serving as the control group for comparing with case group, filled in the same questionnaires. There were significant differences in the mean depression scores (P=0.003) between the two groups. Having a child with CP also increases the risk of developing depression in mothers as much as 2.26 times (OR=2.26). There were no statistically significant differences in depression scores and the severity of disability and also among the five types of CP. It seems that having a child with CP is probably associated with higher prevalence and severity of depression in mothers. So treatment or prevention of depression in mothers of children with CP is highly recommended for improving the rehabilitation process and achieve better results in these children.
脑瘫患儿会面临多种问题,因此其家庭尤其是母亲会承受诸多社会和情感方面的困难。本研究的目的是确定脑瘫患儿母亲相较于正常儿童母亲的抑郁严重程度,以及其与脑瘫类型和残疾严重程度的关系。在这项描述性分析研究中,通过简单抽样选取了43名母亲作为病例组,她们的8岁以下子女在伊朗德黑兰社会福利与康复科学大学(USWR)下属的SABA诊所接受康复服务。她们填写了一份数据登记表和贝克抑郁量表第二版。分别由一名儿科医生和一名职业治疗师使用粗大运动功能分类系统(GMFCS)确定脑瘫类型和残疾严重程度。77名正常儿童的母亲作为对照组,填写了相同的问卷。两组之间的平均抑郁得分存在显著差异(P = 0.003)。生育脑瘫患儿的母亲患抑郁症的风险也会增加2.26倍(OR = 2.26)。抑郁得分、残疾严重程度以及五种脑瘫类型之间均无统计学上的显著差异。生育脑瘫患儿似乎可能与母亲中更高的抑郁症患病率和严重程度相关。因此,强烈建议对脑瘫患儿母亲进行抑郁症治疗或预防,以改善康复过程并使这些儿童取得更好的康复效果。