Sharma Rachit, Singh Harpreet, Murti Mangal, Chatterjee Kaushik, Rakkar Jaspreet Singh
Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.
Department of Psychiatry, Command Hospital Southern Command, Pune, Maharashtra, India.
Ind Psychiatry J. 2021 Jul-Dec;30(2):291-298. doi: 10.4103/ipj.ipj_216_20. Epub 2021 Jul 20.
Parents of Intellectual Disabled (ID) children and adolescents are subjected to higher caregiver burden which is associated with Depression and Anxiety. There are very few studies which have assessed these morbidities in an industrial population.
The aim of this study was to explore the prevalence of Depression and Anxiety and its psychosocial correlates among these parents.
The study was a Cross-sectional observational study, conducted at the Psychiatry unit of a tertiary care multi-specialty hospital in Maharashtra. It examined 99 parents (99 fathers and 98 mothers) of 99 children and adolescents (up to 18 yrs of age) with Intellectual Disability for Depression and Anxiety. Assessment was done using Hospital Anxiety and Depression Scale (HADS).
94% of mothers and 66.7% of fathers were found to have either anxiety or depressive symptoms, or both. Among mothers, 91.8% had scores suggestive of anxiety, 66.3% for depression and 64.3% for both anxiety and depression. Among fathers 57.6% had had scores suggestive of anxiety, 35.4% for depression and 26.3% for both. The association was significant between HADS Depression sub-scores of parents and child's ID severity, diagnosis of Down's syndrome and lack of family support (-value <0.05). In addition significant association was also found between father's anxiety and depression scores and age of father and medical co-morbidities in the child (-value <0.05).
Significantly high proportions of parents were found to have anxiety /depressive symptoms or both. These symptoms appear to be associated with severity of ID and lack of family support and were significantly more in the primary care giver (mothers).
智障儿童和青少年的父母承受着更高的照料负担，这与抑郁和焦虑相关。很少有研究评估工业人群中的这些疾病。
本研究的目的是探讨这些父母中抑郁和焦虑的患病率及其社会心理相关因素。
本研究为横断面观察性研究，在马哈拉施特拉邦一家三级多专科医院的精神科进行。研究调查了99名患有智力障碍的儿童和青少年（年龄在18岁以下）的99名父母（99名父亲和98名母亲）的抑郁和焦虑情况。使用医院焦虑抑郁量表（HADS）进行评估。
发现94%的母亲和66.7%的父亲有焦虑或抑郁症状，或两者皆有。在母亲中，91.8%的得分提示有焦虑，66.3%提示有抑郁，64.3%提示两者皆有。在父亲中，57.6%的得分提示有焦虑，35.4%提示有抑郁，26.3%提示两者皆有。父母的HADS抑郁子得分与孩子的智障严重程度、唐氏综合征诊断以及缺乏家庭支持之间存在显著关联（P值<0.05）。此外，还发现父亲的焦虑和抑郁得分与父亲年龄以及孩子的合并症之间存在显著关联（P值<0.05）。
发现相当高比例的父母有焦虑/抑郁症状或两者皆有。这些症状似乎与智障严重程度和缺乏家庭支持有关，并且在主要照料者（母亲）中更为显著。
