卢旺达的父母精神疾病及其子女的精神健康：卢旺达神经精神病医院。
Parental mental illness and their offspring's mental health in Rwanda: neuropsychiatric hospital of Rwanda.
机构信息
Department of Clinical Psychology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Pogramme of Sociotherapy, Prison Fellowship Rwanda (PFR), Member of Prison Fellowship International, Kigali, Rwanda.
出版信息
BMC Psychol. 2021 Sep 4;9(1):135. doi: 10.1186/s40359-021-00633-3.
BACKGROUND
Offspring of the parents with mental disorders are at higher risk to have the mental diseases throughout the world. This study examined the association between psychopathology of parents and the mental health of their offspring in Neuropsychiatric Hospital of Rwanda, Butare Branch.
METHODS
A cross-sectional study made up of case and control offspring was conducted on the case group made up of 80 offspring born to parents with mental diseases and a control group of 80 offspring from parents without mental disease. Hamilton Rating Scale for Depression (HRSD, α = 0.82), Posttraumatic stress disorders scale (PTSD, α = 0.73) and the Test of Psychological Problems (TPP, α = 0.93) were used. STATISTICA version 8 was used for statistical analysis.
RESULTS
Results indicated a significance difference between the two groups on depressive symptoms, psychological problems and PTSD symptomatology. The case group seemed to experience high level symptoms than the control group. Results indicated that, among the offspring born to parents with mental disease, there was a significant correlation between anxiety and depression symptoms (r = 0.71, p < .001), PTSD and eating disorder (r = 0.75, p < .001), domestic violence and PTSD (r = 0.78, p < .001), aggressive behavior and PTSD (r = 0.79, p < .001), somatoform disorders and PTSD (r = 0.98, p < .001). No significant association between the low self-esteem, depression, anxiety, mental disorders induced drug abuse and PTSD was found.
CONCLUSION
Offspring of the parents with mental disorders had higher risk to develop mental diseases than the offspring born to the parents without mental diseases. Taking into account the assessment of parents' mental illness when taking care of the offspring's psychological disorders is needed in the neuropsychiatric hospital.
背景
全世界范围内，父母患有精神障碍的子女患精神疾病的风险更高。本研究在卢旺达布塔雷分支机构的神经精神病医院，检查了父母的精神病理学与子女心理健康之间的关联。
方法
本研究为病例对照的横断面研究，病例组由 80 名父母患有精神疾病的子女组成，对照组由 80 名父母无精神疾病的子女组成。采用汉密尔顿抑郁量表（HRSD，α=0.82）、创伤后应激障碍量表（PTSD，α=0.73）和心理问题测试（TPP，α=0.93）进行评估。采用 STATISTICA 8 进行统计分析。
结果
两组在抑郁症状、心理问题和 PTSD 症状学方面存在显著差异。病例组似乎比对照组经历了更高水平的症状。结果表明，在父母患有精神疾病的子女中，焦虑和抑郁症状之间存在显著相关性（r=0.71，p<0.001），PTSD 和饮食障碍之间（r=0.75，p<0.001），家庭暴力和 PTSD 之间（r=0.78，p<0.001），攻击行为和 PTSD 之间（r=0.79，p<0.001），躯体形式障碍和 PTSD 之间（r=0.98，p<0.001）。未发现低自尊、抑郁、焦虑、精神障碍引起的药物滥用和 PTSD 之间存在显著关联。
结论
父母患有精神障碍的子女比父母无精神障碍的子女患精神疾病的风险更高。在神经精神病医院，需要考虑父母精神疾病的评估，以照顾子女的心理障碍。
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