Sharma Rajni, Kumar Krishan, Pilania Rakesh, Dawman Lesa, Kaur Navpreet, Sharma Rahul, Tiewsoh Karalanglin
Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ind Psychiatry J. 2021 Jan-Jun;30(1):84-89. doi: 10.4103/ipj.ipj_237_20. Epub 2021 Jun 17.
Caregivers of children with comorbidities suffer from various psychological problems. We envisage more such complications during this COVID-19 pandemic.
A cross-sectional study to assess psychological issues in caregivers of children with kidney diseases, admitted during lockdown period in India was done. Psychological tools including Peritraumatic Distress Inventory (PDI), Insomnia Severity Index, Depression Anxiety Stress Scale (DASS II), Positive and Negative Affect Schedule (PANAS) and a new "COVID Stress Survey Questionnaire" were used. Standard statistical analysis using SPSS Statistic 23 (IBM SPSS Statistics, New York, United States) was done.
Forty-seven caregivers (33 mothers; 14 fathers) were included. Of these, 33 (70.2%) experienced psychological distress. On PANAS, 45 (95.7%) scored below cut off on a positive affect and 42 (89.4%) scored above cut off on a negative effect. The DASS II score revealed that 38 (80.9%) reported mild stress, 23 (48.9%) severe anxiety, and 37 (78.7%) had moderate depression. Upper middle socioeconomic status caregivers reported more insomnia. Further, parents of children with acute kidney injury (AKI) or prolonged hospital stay scored higher on subjective distress and aversive feelings.
We observed an alarming level of distress, insomnia, and anxiety among caregivers, more so in upper middle socioeconomic status, children with AKI and prolonged hospital stay. We suggest due counseling should be done.
患有合并症儿童的照顾者会遭受各种心理问题。我们预计在此次新冠疫情期间会出现更多此类并发症。
开展了一项横断面研究，以评估印度封锁期间收治的肾病患儿照顾者的心理问题。使用了包括创伤后应激量表（PDI）、失眠严重程度指数、抑郁焦虑压力量表（DASS II）、正负性情绪量表（PANAS）以及一份新的“新冠压力调查问卷”等心理工具。使用SPSS Statistic 23（IBM SPSS Statistics，美国纽约）进行标准统计分析。
纳入了47名照顾者（33名母亲；14名父亲）。其中，33名（70.2%）经历了心理困扰。在PANAS量表上，45名（95.7%）在积极情绪方面得分低于临界值，42名（89.4%）在消极情绪方面得分高于临界值。DASS II得分显示，38名（80.9%）报告有轻度压力，23名（48.9%）有严重焦虑，37名（78.7%）有中度抑郁。中高社会经济地位的照顾者报告有更多失眠情况。此外，急性肾损伤（AKI）患儿或住院时间较长患儿的父母在主观困扰和厌恶情绪方面得分更高。
我们观察到照顾者中存在令人担忧的困扰、失眠和焦虑水平，在中高社会经济地位、患有AKI以及住院时间较长的儿童的照顾者中更为明显。我们建议应进行适当的咨询。
