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压力下的家庭:智障儿童父母的压力与生活质量

Families under pressure: stress and quality of life in parents of children with an intellectual disability.

作者信息

Staunton Emma, Kehoe Claire, Sharkey Louise

机构信息

Linn Dara CAMHS ID, Cherry Orchard Hospital Campus, Dublin 10, Ireland.

Linn Dara CAMHS North Kildare, Celbridge, Co. Kildare, Ireland.

出版信息

Ir J Psychol Med. 2023 Jun;40(2):192-199. doi: 10.1017/ipm.2020.4. Epub 2020 Feb 28.

Abstract

OBJECTIVE

To evaluate stress and quality of life in parents of children with an intellectual disability (moderate-severe-profound), who attend a Child and Adolescent Mental Health Intellectual Disability Service (CAMHS ID), and to estimate the perceived levels of challenging behaviour and satisfaction with supports.

METHODS

Data from children attending the service from 2014 to 2017, along with clinician and parent rating scales were collected.

RESULTS

Most children had medical comorbidities, autism spectrum disorder (ASD), and challenging behaviours. Half had a diagnosis of a mental health disorder. Less than half received respite care. Challenging behaviours and ASD were found to be correlated with increased parental stress while perception of support was inversely correlated with stress. Intellectual disability, ASD, and parental stress were correlated with a decrease in perceived family quality of life.

CONCLUSIONS

This study concurs with previous studies, outlining that parents of children with intellectual disability, in particular, where there is a diagnosis of comorbid ASD and challenging behaviour, experience increased psychological distress and lower quality of life.

摘要

目的

评估参加儿童与青少年心理健康智力障碍服务(CAMHS ID)的中重度至极重度智力障碍儿童的父母的压力和生活质量,并估计他们所感受到的具有挑战性的行为水平以及对支持的满意度。

方法

收集了2014年至2017年参加该服务的儿童的数据,以及临床医生和家长评定量表。

结果

大多数儿童患有合并症、自闭症谱系障碍(ASD)以及具有挑战性的行为。半数儿童被诊断患有精神健康障碍。不到半数的儿童接受了临时护理。发现具有挑战性的行为和ASD与父母压力增加相关,而对支持的感知与压力呈负相关。智力障碍、ASD和父母压力与感知到的家庭生活质量下降相关。

结论

本研究与先前的研究一致,概述了智力障碍儿童的父母,特别是那些诊断出患有合并ASD和具有挑战性的行为的父母,经历了更多的心理困扰和更低的生活质量。

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