Özgür Börte Gürbüz, Aksu Hatice, Eser Erhan
Department of Child and Adolescent Psychiatry, Mugla Sitki Kocman University Training and Research Hospital, Mugla, Turkey.
Department of Child and Adolescent Psychiatry, Adnan Menderes University, 09010 Efeler/Aydin, Turkey.
Indian J Psychiatry. 2018 Jul-Sep;60(3):278-285. doi: 10.4103/psychiatry.IndianJPsychiatry_300_17.
Since autism spectrum disorder (ASD) is a lifelong disease and because of its nature, the negative effects of the disease on the quality of life (QoL) of caregivers as well as patients are incontrovertible.
It was aimed to evaluate the effect of the variables related to both parents and children on the QoL scores of the parents of the children with ASD.
This is a causality analysis study.
Questionnaire on sociodemographic/disease-related variables, QoL in Autism Questionnaire-Parent Version (QoLA-P), autism behavior checklist and Clinical Global Impression scale were assessed of 162 patients with ASD.
Unpaired t- test, Mann-Whitney U test, Kruskal-Wallis test, and one-way ANOVA test were used for comparing groups. The parameters found to be statistically significant for QoLA-P in different analyses were included as the independent variable in the logistic regression analysis. The backward (variable elimination) model was selected as the model in the analysis.
The causality has been established may be stated as the severity of autism, the presence of psychiatric disorder in the mother/father, attendance of the child at school, duration since the diagnosis of autism, and the child's medication use.
Autism affects the QoL of caregivers. The intervention of treatment by considering the factors that affect the QoL positively or negatively may increase the QoL of caregivers.
由于自闭症谱系障碍(ASD)是一种终身疾病,鉴于其本质,该疾病对照顾者以及患者生活质量(QoL)的负面影响是无可争议的。
旨在评估与父母和孩子相关的变量对ASD患儿父母生活质量得分的影响。
这是一项因果关系分析研究。
对162例ASD患者评估了社会人口统计学/疾病相关变量问卷、《自闭症生活质量问卷-家长版》(QoLA-P)、自闭症行为检查表和临床总体印象量表。
采用独立样本t检验、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和单因素方差分析进行组间比较。在不同分析中发现对QoLA-P有统计学意义的参数作为自变量纳入逻辑回归分析。分析中选择向后(变量剔除)模型作为模型。
已确定的因果关系可表述为自闭症的严重程度、母亲/父亲是否存在精神障碍、孩子是否上学、自闭症诊断后的时长以及孩子的用药情况。
自闭症会影响照顾者的生活质量。通过考虑对生活质量有正面或负面影响的因素进行治疗干预,可能会提高照顾者的生活质量。