Kallianezos P, Sinopidis X, Petropoulos C, Gkentzi D, Plotas P, Fouzas S, Karatza A, Jelastopulu E
Department of Pediatric Surgery, Patras Children's Hospital, Patras, Greece.
Eur Rev Med Pharmacol Sci. 2021 Feb;25(3):1530-1535. doi: 10.26355/eurrev_202102_24861.
Parents who escort their children in hospital may present emotional disorders. Personnel pressure and reduced time availability often prevent their detection, reducing the efficacy of parental support. We aimed to identify the prevalence and assess the severity of anxiety and depression among parents of children with mild head injuries who were admitted for a 24-hour observation period in a pediatric hospital, and to detect possible determinants for the severe forms of the two emotional disorders.
A cohort of 163 parents participated in our survey for anxiety and depression with the Hospital Anxiety and Depression Scale (HADS). Associations of the two disorders with factors of possible prognostic significance, such as gender, age, family status, residence, education, employment, and income were studied. Multinomial logistic regression analysis, with anxiety and depression of the parents as dependent variables, was performed.
More than half of parents presented clinical scores for both disorders. Female gender, distant residence, high school level education, unstable employment, and low income were determinants for severe anxiety. Depression in fathers was five times more likely to be severe than subclinical compared to mothers.
Psychological support and guidance of parents who escort their children with mild head injuries are mandatory. When accredited trauma support is not available, it is the hospital personnel who must identify and support these parents.
陪同孩子住院的家长可能会出现情绪障碍。人员压力和可利用时间的减少常常阻碍对这些情绪障碍的发现，从而降低了对家长支持的效果。我们旨在确定在一家儿科医院接受24小时观察的轻度头部受伤儿童的家长中焦虑和抑郁的患病率，并评估其严重程度，同时检测这两种情绪障碍严重形式的可能决定因素。
一组163名家长参与了我们使用医院焦虑抑郁量表（HADS）进行的焦虑和抑郁调查。研究了这两种障碍与可能具有预后意义的因素之间的关联，如性别、年龄、家庭状况、居住情况、教育程度、就业情况和收入。以家长的焦虑和抑郁为因变量进行了多项逻辑回归分析。
超过一半的家长两种障碍的临床评分均呈阳性。女性、居住距离远、高中文化程度、工作不稳定和低收入是严重焦虑的决定因素。与母亲相比，父亲的抑郁严重程度比亚临床水平高出五倍。
对于陪同轻度头部受伤孩子的家长，必须提供心理支持和指导。当没有认可的创伤支持时，医院工作人员必须识别并支持这些家长。
