Podda Jessica, Uccelli Michele Messmer, Tacchino Andrea, Pedullà Ludovico, Bragadin Margherita Monti, Battaglia Mario Alberto, Brichetto Giampaolo, Ponzio Michela
Scientific Research Area, Italian Multiple Sclerosis Foundation, Genoa, Italy (JP, MMU, AT, LP, MMB, GB, MP).
AISM Rehabilitation Service, Italian Multiple Sclerosis Society, Genoa, Italy (MMB, GB).
Int J MS Care. 2022 Sep-Oct;24(5):224-229. doi: 10.7224/1537-2073.2021-101. Epub 2022 Jun 20.
Being a parent can be demanding and stressful, especially for people with chronic diseases such as multiple sclerosis (MS). Parenting can be disrupted by flareups, disease worsening, and other MS symptoms, including mobility problems, pain, fatigue, and cognitive impairment. Mood disorders, such as depression and anxiety, have been found to occur at much higher rates in people with MS than in the general population. Surprisingly, less is known about which factors may predict mood disorders in parents with MS. This study aims to identify potential demographic, clinical, and self-reported predictors that contribute to mood disorders measured by the Hospital Anxiety and Depression Scale.
A total of 285 parents with MS completed an anonymous online questionnaire combining sociodemographic, clinical, and family characteristics and scales, validated in Italian, related to coping strategies and social support. Associations between each variable and mood disorders were assessed using univariate and multivariate logistic regression analyses.
Disability level, emotional and dysfunctional coping strategies, and perceived social support were significant predictors of mood disorders in parents with MS.
These findings confirm the importance of identifying risk factors for mood disorders in parents with MS so that early intervention can minimize mood disruptions caused by the disease.
为人父母可能要求很高且压力重重，对于患有诸如多发性硬化症（MS）等慢性病的人来说尤其如此。育儿可能会因病情发作、疾病恶化以及其他MS症状（包括行动不便、疼痛、疲劳和认知障碍）而受到干扰。已发现情绪障碍，如抑郁症和焦虑症，在MS患者中的发生率远高于普通人群。令人惊讶的是，对于哪些因素可能预测患有MS的父母出现情绪障碍，人们了解得较少。本研究旨在确定有助于预测由医院焦虑抑郁量表测量的情绪障碍的潜在人口统计学、临床和自我报告预测因素。
共有285名患有MS的父母完成了一份匿名在线问卷，该问卷结合了社会人口统计学、临床和家庭特征以及在意大利语中经过验证的与应对策略和社会支持相关的量表。使用单变量和多变量逻辑回归分析评估每个变量与情绪障碍之间的关联。
残疾程度、情绪和功能失调的应对策略以及感知到的社会支持是患有MS的父母出现情绪障碍的重要预测因素。
这些发现证实了识别患有MS的父母出现情绪障碍的风险因素的重要性，以便早期干预可以将疾病引起的情绪干扰降至最低。
