Mahatme Nupur Shashank, Kakunje Anil, Karkal Ravichandra
Department of Psychiatry, Yenepoya Medical College, Yenepoya (Deemed to be University), Mangalore, Karnataka, India.
Indian J Psychiatry. 2020 Nov-Dec;62(6):707-712. doi: 10.4103/psychiatry.IndianJPsychiatry_733_19. Epub 2020 Dec 12.
Motherhood is regarded to be stressful, but when the child has a psychiatric illness, the mother is affected more than the father since she is the primary caregiver. She gets affected not only emotionally but also psychologically. Increasing severity of stress in mothers may lead to negative outcome on a child's care.
The aim of this study was to evaluate the stress levels in mothers of children diagnosed with psychiatric disorder and to study the association between children having a psychiatric disorder and the psychiatric morbidity in their mothers.
This was a case-control study with a total of 150 participants, in which 75 consecutive mothers of children were diagnosed with any psychiatric illness using ICD-10 criteria and compared to 75 mothers of typically developing children. The study was approved by the Institutional Ethics Committee. The Parental Stress Scale and the Mini-International Neuropsychiatric Interview-Plus questionnaire were used for assessments.
The study showed statistically significant stress scores (49.54) in mothers having children diagnosed with psychiatric illnesses as compared to scores (30.98) in mothers of normally developing children. Psychiatric morbidity in cases ( = 58; 77.3%) was statistically significant as compared to controls ( = 23; 30.6%). Depression and anxiety were among the most common psychiatric morbidities evaluated, and the highest was for mothers having children with severe mental retardation.
In all children with psychiatric disorders, mothers have to be screened for psychiatric morbidity to prevent, detect, and manage it at the earliest.
为人母被认为压力重重，但当孩子患有精神疾病时，母亲受到的影响比父亲更大，因为她是主要照料者。她不仅在情感上受到影响，心理上也会受到影响。母亲压力的不断增加可能会对孩子的照料产生负面结果。
本研究的目的是评估被诊断患有精神疾病的孩子的母亲的压力水平，并研究患有精神疾病的孩子与他们母亲的精神疾病发病率之间的关联。
这是一项病例对照研究，共有150名参与者，其中75名连续的孩子母亲根据国际疾病分类第十版（ICD - 10）标准被诊断患有任何精神疾病，并与75名发育正常孩子的母亲进行比较。该研究获得了机构伦理委员会的批准。使用父母压力量表和迷你国际神经精神病学访谈加问卷进行评估。
研究表明，与发育正常孩子的母亲的得分（30.98）相比，被诊断患有精神疾病的孩子的母亲的压力得分（49.54）在统计学上具有显著差异。病例组的精神疾病发病率（ = 58；77.3%）与对照组（ = 23；30.6%）相比在统计学上具有显著差异。抑郁和焦虑是评估的最常见的精神疾病，患有严重智力障碍孩子的母亲的发病率最高。
对于所有患有精神疾病的孩子，都必须对其母亲进行精神疾病发病率筛查，以便尽早预防、检测和管理。
