Department of Child and Adolescent Psychiatry, Mongi-Slim Hospital, La Marsa, Tunisia.
Department of Pediatric and Neonatology, Mongi-Slim Hospital, La Marsa, Tunisia.
Arch Pediatr. 2020 Jul;27(5):265-269. doi: 10.1016/j.arcped.2020.05.001. Epub 2020 May 14.
To evaluate the impact that type 1 diabetes mellitus (T1DM) in children has on parents' mental health and parents' coping with this condition.
A cross-sectional study involving, at the outpatient examination, 41 caregivers of T1DM patients who had been diagnosed for at least 6 months. We evaluated the parents' coping strategies with the Brief COPE and their depressive and anxiety symptoms with the Hospital Anxiety and Depression Scale (HADS). Glycemic control of patients was assessed using the last glycated hemoglobin (HbA1c) values.
The average total score at HADS was 17.62 (SD=6.98). Half of the parents had an anxious score over the cut-off. The more parents were depressed or anxious, the more they used emotion-focused coping (P=0.002 and P=0.00, respectively). The more parents were anxious or depressed, the more they used maladaptive coping strategies such as avoidance and distraction.
These findings emphasise the key role of healthcare providers in assessing parents' difficulties and taking special care of those who have the most problems.
评估儿童 1 型糖尿病（T1DM）对父母心理健康的影响，以及父母对该疾病的应对方式。
这是一项横断面研究，纳入了 41 名 T1DM 患儿的照顾者，这些患儿的诊断时间至少为 6 个月。我们使用Brief COPE 评估了父母的应对策略，使用医院焦虑抑郁量表（HADS）评估了他们的抑郁和焦虑症状。通过最后一次糖化血红蛋白（HbA1c）值评估患者的血糖控制情况。
HADS 的平均总分为 17.62（SD=6.98）。有一半的父母的焦虑评分超过了临界值。父母越抑郁或焦虑，他们越倾向于使用情绪聚焦的应对方式（P=0.002 和 P=0.00，分别）。父母越抑郁或焦虑，他们越倾向于使用回避和分心等适应不良的应对策略。
这些发现强调了医疗保健提供者在评估父母困难方面的关键作用，并特别关注那些问题最多的父母。
