Lerthattasilp Tiraya, Charernboon Thammanard, Chunsuwan Issarapa, Siriumpunkul Panida
J Med Assoc Thai. 2015 Mar;98 Suppl 2:S45-52.
To study depression prevalence and burden among caregivers of children with autistic spectrum disorder and the related factors.
This is a cross-sectional descriptive study. Measures included questionnaires, CES-D and burden interview. Patients' diagnoses andfunctions were obtainedfrom childpsychiatrists and developmental pediatricians responsible for the patients.
There were 51 participants. The depression prevalence was 5.9%. Concerning the burden, 45.1% ofthe participants reported little or no burden, and 45.1% reported mild to moderate burden. Only 7.8% and 2.0% experienced moderate to severe and severe burdens, respectively. There was a significant positive correlation between depression and burden (p = 0.012). Significant correlations were also observed between burden and months after diagnosed, the number ofpatient' problems and the number of hours that caregiver spent with patient per day. Moreover the burden was significantly associated with patient's communication problems and patient's inappropriate odd repetitive behaviors (p<0. 05).
The prevalence of depression in and severe burden on caregivers of autistic childrenfrom the present study was low. Factors related to the burden were months after diagnosed, the number of patient's problems, the number of hours that caregiver spent with patient, patient's communication problems and inappropriate or odd repetitive behaviors.
研究自闭症谱系障碍患儿照料者的抑郁患病率、负担情况及相关因素。
这是一项横断面描述性研究。测量方法包括问卷调查、流调中心抑郁量表(CES-D)和负担访谈。患者的诊断和功能信息由负责这些患者的儿童精神科医生和发育儿科医生提供。
共有51名参与者。抑郁患病率为5.9%。关于负担,45.1%的参与者报告负担很小或没有负担,45.1%报告有轻度至中度负担。分别只有7.8%和2.0%的人经历了中度至重度和重度负担。抑郁与负担之间存在显著正相关(p = 0.012)。在负担与确诊后的月数、患者问题数量以及照料者每天与患者相处的小时数之间也观察到显著相关性。此外,负担与患者的沟通问题以及患者不适当的奇怪重复行为显著相关(p<0.05)。
本研究中自闭症儿童照料者的抑郁患病率和重度负担较低。与负担相关的因素有确诊后的月数、患者问题数量、照料者与患者相处的小时数、患者的沟通问题以及不适当或奇怪的重复行为。