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智障儿童家庭照顾者的负担:特殊学校教育有帮助吗?

Caregiver burden in children with intellectual disability: Does special school education help?

作者信息

Ramasubramanian Vikhram, Chellamuthu Ramasubramanian, Selvikumari R, Pandian P Raja Soundara, Gopi R

机构信息

Department of Psychiatry, Ahana Hospitals LLP, Madurai, Tamil Nadu, India.

Department of Psychiatry, M. S Chellamuthu Trust and Research Foundation, Madurai, Tamil Nadu, India.

出版信息

Ind Psychiatry J. 2019 Jul-Dec;28(2):176-184. doi: 10.4103/ipj.ipj_7_15. Epub 2020 Aug 14.

Abstract

BACKGROUND

Caregivers are playing a vital role in mentally ill patients in India. Families of children with intellectual disability encounter a high degree of stress such as physical, emotional, and financial.

AIM

The aim of this study was to compare and evaluate the caregiver burden and depression between the special school-going children and nonschool-going children with intellectual disability.

MATERIALS AND METHODS

The present study was conducted on caregivers of patients with intellectual disability at Radianz Health Care and Research Private Limited, Ahana Hospitals, Akash Special School, and M. S. Chellamuthu Trust and Research Foundation, Madurai. The Zarit Burden Interview scale was utilized to assess the level of burden experienced by the caregivers. The Major Depression Inventory scale was utilized to assess the severity of depression experienced by the caregivers. The Binet Kamat Test of Intelligence was administered by a psychologist to assess the IQ level of the children.

RESULTS

Totally 80 caregivers were participated in the study. The mothers of children with intellectual disability suffered from burden and depression when compared to the fathers ( < 0.0001). The parents of nonschool-going children had a higher level of burden and depression as compared to the parents of special school-going children ( < 0.0001).

CONCLUSION

Special school is playing a vital role for children with intellectual disability. It can be reasonably concluded from the study that both the groups face burden and depression. However, the severity of burden and depression is comparatively higher among parents of nonschool-going children.

摘要

背景

在印度,照顾者对精神病患者起着至关重要的作用。智障儿童的家庭面临着高度的压力,如身体、情感和经济方面的压力。

目的

本研究的目的是比较和评估在特殊学校就读的智障儿童和未上学的智障儿童的照顾者负担及抑郁情况。

材料与方法

本研究在拉迪安兹医疗保健与研究私人有限公司、阿哈纳医院、阿卡什特殊学校以及马杜赖的M.S.切拉穆图信托与研究基金会对智障患者的照顾者进行。使用扎里特负担访谈量表评估照顾者所经历的负担程度。使用贝克抑郁量表评估照顾者所经历的抑郁严重程度。由一名心理学家实施比奈 - 卡马特智力测验以评估儿童的智商水平。

结果

共有80名照顾者参与了该研究。与父亲相比,智障儿童的母亲承受着负担和抑郁(<0.0001)。与在特殊学校就读儿童的父母相比,未上学儿童的父母负担和抑郁水平更高(<0.0001)。

结论

特殊学校对智障儿童起着至关重要的作用。从该研究可以合理推断,两组照顾者都面临负担和抑郁。然而,未上学儿童的父母中负担和抑郁的严重程度相对较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2f4/7660008/25a5983965c8/IPJ-28-176-g001.jpg

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