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卡塔尔照顾智障儿童母亲的心理健康状况

Psychological health of mothers caring for mentally disabled children in Qatar.

作者信息

Al-Kuwari Mohamed G

机构信息

Public Health, Wandsworth Primary Care Trust, Lupin Ward, Jasmine Tower, 61 Glenburnie Road, London SW17 7DJ, United Kingdom. Tel. +44 (208) 6825967. Fax. +44 (208) 6825936. E-mail:

出版信息

Neurosciences (Riyadh). 2007 Oct;12(4):312-7.

Abstract

OBJECTIVE

To compare the prevalence of psychiatric morbidity among mothers of mentally disabled children and mothers of non-disabled children, and to identify the determinants associated with psychiatric morbidity.

METHODS

A comparative cross-sectional study was conducted in Qatar from January to June 2005 to compare the prevalence psychiatric morbidity by using the General Health Questionnaire (GHQ-12) among 195 mothers of mentally disabled children selected as a study group, and 139 mothers with non-disabled children as a comparison group.

RESULTS

The prevalence of psychiatric morbidity was higher among mothers caring for mentally disabled children than mothers of non-disabled children in the comparison group. The study found the following predictors for developing psychiatric morbidity: having more than one disabled child, mentally disabled child less than 5 years of age, disabled child is first in order of birth, presence of chronic illness in addition to the mental disability, and presence of other type of disability besides the mental one. We also found that educating mothers in caring for a disabled child has a protective effect on developing psychiatric morbidity.

CONCLUSION

Mothers of mentally disabled children have poorer psychological health than mothers of non-disabled children. Shifting the rehabilitation services from child-centered to family-centered services through providing supportive services is recommended.

摘要

目的

比较智障儿童母亲与非智障儿童母亲的精神疾病患病率,并确定与精神疾病相关的决定因素。

方法

2005年1月至6月在卡塔尔进行了一项比较性横断面研究,通过使用一般健康问卷(GHQ-12)比较195名被选为研究组的智障儿童母亲和139名非智障儿童母亲的精神疾病患病率。

结果

与对照组中非智障儿童的母亲相比,照顾智障儿童的母亲中精神疾病患病率更高。该研究发现了以下精神疾病发病的预测因素:有不止一个残疾儿童、智障儿童年龄小于5岁、残疾儿童是头胎、除精神残疾外还患有慢性病以及除精神残疾外还存在其他类型的残疾。我们还发现,对母亲进行照顾残疾儿童方面的教育对精神疾病发病有保护作用。

结论

智障儿童的母亲心理健康状况比非智障儿童的母亲更差。建议通过提供支持性服务将康复服务从以儿童为中心转变为以家庭为中心的服务。

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