Dışkapı Yıldırım Beyazıt Research and Training Hospital, Psychiatry Clinic, University of Health Sciences, Ankara, Turkey.
Polatlı Duatepe State Hospital, Physical Medicine and Rehabilitation Clinic, Ankara, Turkey.
Ir J Med Sci. 2020 Nov;189(4):1413-1419. doi: 10.1007/s11845-020-02214-6. Epub 2020 Mar 17.
The aim of this study was to investigate the relation between the physical problems of children with CP and caregiving burden and the emotional expression characteristics of caregivers.
The study included 144 caregivers of child with cerebral palsy and Zarit Burden Interview (ZBI) and Expressed Emotion Scale (EES) will be applied to the caregivers who will participate in the study. Disease severity of children with cerebral palsy will be evaluated by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) in children with cerebral palsy. Communication Function Classification System (CFCS) will be used to examine the communication of children with their families.
Accordingly, a positive, statistically significant, moderate correlation was found between the GMFCS, MACS, and CFCS scores and ZBI scores in patients with cerebral palsy (r ~ 0.50; p < 0.01). In this study, a positive, statistically significant but weak correlation was found between GMFCS, MACS, and CFCS scores and EES scores in patients with cerebral palsy (r ~ 0.30; p < 0.01). A statistically significant, moderate correlation was found between ZBI and EES (r ~ 0.50; p < 0.01).
According to the results of our study, as motor skills and communication skills decrease, especially the burden of caregivers increases and the family's emotional expression processes are related to these variables. We think that in the long-term follow-up of children with CP, it may be useful to provide appropriate psychiatric support by evaluating caregivers appropriately.
本研究旨在探讨脑瘫患儿的身体问题与照顾者负担及照顾者情绪表达特征之间的关系。
本研究纳入了 144 名脑瘫患儿的照顾者,将对参与研究的照顾者应用 Zarit 负担量表(ZBI)和情绪表达量表(EES)。脑瘫患儿的疾病严重程度将采用粗大运动功能分级系统(GMFCS)和手动能力分级系统(MACS)进行评估,脑瘫患儿与家庭的沟通功能将采用沟通功能分级系统(CFCS)进行检查。
因此,脑瘫患儿的 GMFCS、MACS 和 CFCS 评分与 ZBI 评分之间存在正相关,且具有统计学意义(r0.50;p<0.01)。在本研究中,脑瘫患儿的 GMFCS、MACS 和 CFCS 评分与 EES 评分之间存在正相关,但具有统计学意义且较弱(r0.30;p<0.01)。ZBI 与 EES 之间存在统计学显著的中度相关性(r~0.50;p<0.01)。
根据我们的研究结果,随着运动技能和沟通技能的下降,尤其是照顾者的负担增加,家庭的情绪表达过程与这些变量相关。我们认为,在脑瘫患儿的长期随访中,通过适当评估照顾者,提供适当的精神科支持可能会有所帮助。