Ljubičić Marija, Delin Sanja, Kolčić Ivana
Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia.
Department of Pediatrics, General Hospital Zadar, Bože Peričića 5, 23000 Zadar, Croatia.
J Clin Med. 2022 May 19;11(10):2861. doi: 10.3390/jcm11102861.
This cross-sectional study assessed both family and individual quality of life (QOL), and their association with self-esteem, optimism, chronic psychological stress, anxiety, and depression in parents of children with chronic conditions.
Parents of children with Down syndrome (DS), autistic spectrum disorder (ASD), cerebral palsy (CP), diabetes mellitus type 1 (DMT1), and parents of children without chronic diseases with typical development (TD) were included. Multivariate linear regression analysis was used to assess parental characteristics associated with the domains of individual and family QOL.
Compared to the parents of TD children, parents of children with ASD and DS were more likely to report reduced family QOL in all domains, while parents of children with DMT1 had lower parental perception. Self-esteem was positively associated with all domains of individual QOL, while optimism was associated with the overall individual QOL perception and health. Higher stress perception was negatively associated with most of the domains of individual and family QOL.
This study confirmed that parents of children with chronic conditions are more likely to have lower perception of both individual and family QOL, which were associated with self-esteem, chronic stress, anxiety, and depression. Interventions should focus not only on the child with a chronic condition but on parents too.
这项横断面研究评估了慢性病患儿父母的家庭和个人生活质量(QOL),以及它们与自尊、乐观、慢性心理压力、焦虑和抑郁之间的关联。
纳入了患有唐氏综合征(DS)、自闭症谱系障碍(ASD)、脑瘫(CP)、1型糖尿病(DMT1)患儿的父母,以及发育正常且无慢性病患儿的父母。采用多元线性回归分析来评估与个人和家庭生活质量各领域相关的父母特征。
与发育正常儿童的父母相比,自闭症谱系障碍和唐氏综合征患儿的父母更有可能报告所有领域的家庭生活质量下降,而1型糖尿病患儿的父母的父母认知较低。自尊与个人生活质量的所有领域呈正相关,而乐观与个人生活质量的总体认知和健康相关。更高的压力认知与个人和家庭生活质量的大多数领域呈负相关。
本研究证实,慢性病患儿的父母更有可能对个人和家庭生活质量的认知较低,这与自尊、慢性压力、焦虑和抑郁有关。干预措施不仅应关注患有慢性病的儿童,也应关注其父母。