Tak Nandkisor K, Mahawer Brajesh Kumar, Sushil Chandra Shekhar, Sanadhya Rashmi
Department of Psychiatry, Mahatma Gandhi Medical College, Jaipur, Rajasthan, India.
Department of Psychiatry, Pacific Medical College, Udaipur, Rajasthan, India.
Ind Psychiatry J. 2018 Jul-Dec;27(2):197-200. doi: 10.4103/ipj.ipj_39_18.
Intellectual disability is a permanent disabling condition, and caregivers are more vulnerable to develop mental illness. There is little data in developing countries, such as India, concerning about psychological issues in caregivers of intellectually disabled children.
The objective of this study was to find the prevalence of psychiatric morbidity and correlation between sociodemographic factors and psychiatric morbidity in parents of children with intellectual disability.
This study was carried out among 60 parents of children with intellectual disability at the outpatient Department of Psychiatry, Tertiary Care Centre, India. Parents, who fulfill the inclusion and exclusion criteria of the study, were interviewed by using semi-structured pro forma, International Disease Classification-10 criteria for mental illness, Beck Depression Inventory and Hamilton Anxiety Rating Scale, Brief Psychiatric Rating Scale, and Alcohol Use Disorder Identification Test.
The prevalence of depressive disorder was 28.33%, anxiety disorder was 18.33%, and other psychiatric disorders was 8.33% (psychotic disorder 3.33%, insomnia 1.66%, and alcohol use disorder 3.33%) and total psychiatric morbidity was about 55% in parents of children with intellectual disability.
The study shows high psychiatric morbidity in parents of children with intellectual disability, and psychiatric screening should be considered among parents of children with intellectual disability.
智力残疾是一种永久性致残状况,照顾者更容易患上精神疾病。在印度等发展中国家,关于智障儿童照顾者心理问题的数据很少。
本研究的目的是找出智障儿童父母中精神疾病的患病率以及社会人口学因素与精神疾病之间的相关性。
本研究在印度三级护理中心精神病科门诊对60名智障儿童的父母进行。符合研究纳入和排除标准的父母通过使用半结构化表格、国际疾病分类第10版精神疾病标准、贝克抑郁量表、汉密尔顿焦虑量表、简明精神病评定量表和酒精使用障碍识别测试进行访谈。
智障儿童父母中抑郁症患病率为28.33%,焦虑症患病率为18.33%,其他精神疾病患病率为8.33%(精神障碍3.33%,失眠1.66%,酒精使用障碍3.33%),总精神疾病患病率约为55%。
该研究表明智障儿童父母中精神疾病患病率较高,对智障儿童父母应考虑进行精神疾病筛查。