Department of Psychiatry, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Soratha Mawatha, Nugegoda, Sri Lanka.
Department of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Soratha Mawatha, Nugegoda, Sri Lanka.
Asian J Psychiatr. 2018 Mar;33:74-77. doi: 10.1016/j.ajp.2018.03.014. Epub 2018 Mar 3.
Maternal depression has been shown to be associated with neurodevelopmental, emotional and behavioural disorders in offspring. We aimed to describe the proportion of psychological problems among children of mothers with depression in Sri Lanka and to describe the association with the characteristics of the mothers' illness.
A cross-sectional descriptive study was conducted on 100 children and adolescents between 4-16 years whose mother has a diagnosis of depression and currently in remission. Specifically designed instruments were used to extract socio-demographic details and data on mother's illness. Strengths and Difficulties Questionnaire (SDQ) was used to detect psychological problems in children.
14 % of the children scored abnormally high in hyperactivity, 13 % in conduct problems, 12 % in emotional problems, 9 % in peer problems. Hyperactivity, internalizing problems, and total difficulties were significantly higher in where mothers' had a history of a moderate depressive episode and recurrent depressive disorder. Children whose mothers had no attempts of self-harm scored significantly higher in both emotional problems and internalizing problems. Children whose mothers have comorbid illness scored significantly higher in hyperactivity, conduct problems, emotional problems, externalizing problems, internalizing problems and total difficulties.
Screening for psychological problems in children and developing a holistic management plan which include steps to ensure the well-being of the children is important in managing mothers with depression.
已有研究表明，母亲抑郁与后代的神经发育、情绪和行为障碍有关。本研究旨在描述斯里兰卡患有抑郁症的母亲的子女中存在心理问题的比例，并描述其与母亲疾病特征的关系。
本横断面描述性研究纳入了 100 名年龄在 4-16 岁之间的儿童和青少年，其母亲被诊断患有抑郁症且目前已缓解。使用专门设计的工具来提取社会人口统计学细节和母亲疾病数据。使用长处和困难问卷（SDQ）来检测儿童的心理问题。
14%的儿童表现出明显的多动问题，13%的儿童有品行问题，12%的儿童有情绪问题，9%的儿童有同伴问题。在母亲有中度抑郁发作和复发性抑郁障碍病史的情况下，多动、内化问题和总困难显著更高。母亲没有自杀企图的儿童在情绪问题和内化问题上的得分显著更高。患有共病的母亲的儿童在多动、品行问题、情绪问题、外化问题、内化问题和总困难方面的得分显著更高。
对患有抑郁症的母亲的子女进行心理问题筛查，并制定全面的管理计划，包括确保儿童福祉的措施，这对管理患有抑郁症的母亲非常重要。
