母亲患 1 型糖尿病儿童的压力和创伤后应激
Stress and Posttraumatic Stress in Mothers of Children With Type 1 Diabetes.
机构信息
1 Yale School of Nursing, Orange, CT, USA.
出版信息
J Fam Nurs. 2017 May;23(2):201-225. doi: 10.1177/1074840716687543. Epub 2017 Jan 10.
Abstract
The onset of acute and chronic illness in children frequently triggers episodes of stress and posttraumatic stress symptoms (PTSS) in mothers. Mothers of children with type 1 diabetes (T1D) consistently report high levels of stress and PTSS. The purpose of this integrative review was to review and synthesize the published empirical research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to conduct this integrative literature review. A total of 19 studies were identified from a sample of 128. Stress and PTSS were prevalent in mothers of youth with T1D. While PTSS was most severe at disease onset, symptoms often persisted 1 to 5 years after diagnosis. The diagnosis of T1D in a child was traumatic for mothers. Stress and PTSS in mothers adversely affected children's health. Management of stress symptoms in mothers may lead to improved behavioral and metabolic outcomes in children.
摘要
儿童急性和慢性疾病的发作常常引发母亲出现应激和创伤后应激症状（PTSS）。1 型糖尿病（T1D）患儿的母亲普遍报告存在高水平的压力和 PTSS。本综合综述的目的是回顾和综合已发表的实证研究。使用系统评价和荟萃分析的首选报告项目（PRISMA）指南进行了这项综合文献综述。从 128 个样本中确定了 19 项研究。青少年 T1D 患儿的母亲普遍存在压力和 PTSS。虽然 PTSS 在疾病发作时最为严重，但症状通常在诊断后 1 至 5 年内持续存在。儿童 T1D 的诊断对母亲来说是创伤性的。母亲的压力和 PTSS 会对孩子的健康产生不利影响。母亲的应激症状管理可能会导致孩子的行为和代谢结果得到改善。
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