Nomura Satomi, Hirano Yuri, Takeuchi Ichiro, Shimizu Hirotaka, Arai Katsuhiro
Division of Gastroenterology, Center for Pediatric Inflammatory Bowel Disease, National Center for Child Health and Development, Tokyo, Japan.
Department of Child Nursing, National College of Nursing, Tokyo, Japan.
Pediatr Gastroenterol Hepatol Nutr. 2023 Sep;26(5):239-248. doi: 10.5223/pghn.2023.26.5.239. Epub 2023 Sep 1.
The parents of adolescents with inflammatory bowel disease may experience impaired mental health and quality of life. This longitudinal study aimed to verify whether the mental health and quality of life of the parents of adolescents with inflammatory bowel disease declined when their children had active disease.
Sociodemographic data, parental anxiety, depression, and quality of life were analyzed using validated questionnaires for each variable. After the baseline survey, the second and follow-up surveys were conducted at 3 and 12 months, respectively. The active disease group comprised eight parents whose children had active disease during the baseline and second surveys. The remission group comprised 14 parents whose children remained in remission during both surveys. The improved group comprised nine parents whose children experienced active disease at baseline and remission during the second survey. Parental mental health and quality of life were compared among the groups.
Significantly higher levels of anxiety were observed in the active disease group in all surveys (<0.050). Although depression levels and quality of life did not differ significantly among the three groups, pairing the active disease group with other groups showed some large effect sizes.
Parents tended to experience decreased mental health and quality of life when their adolescents experienced active inflammatory bowel disease. Consequently, our hypothesis was partially verified. Therefore, parents need support when their children have active disease; this finding highlights the need for parental support systems.
患有炎症性肠病的青少年的父母可能会出现心理健康和生活质量受损的情况。这项纵向研究旨在验证患有炎症性肠病的青少年的父母在其子女患有活动性疾病时,其心理健康和生活质量是否会下降。
使用针对每个变量的经过验证的问卷分析社会人口统计学数据、父母焦虑、抑郁和生活质量。在基线调查之后,分别在3个月和12个月时进行第二次调查和随访调查。活动性疾病组包括8名父母,其子女在基线调查和第二次调查期间患有活动性疾病。缓解组包括14名父母,其子女在两次调查期间均处于缓解状态。改善组包括9名父母,其子女在基线时患有活动性疾病,在第二次调查时处于缓解状态。对各组之间的父母心理健康和生活质量进行比较。
在所有调查中,活动性疾病组的焦虑水平均显著更高(<0.050)。虽然三组之间的抑郁水平和生活质量没有显著差异,但将活动性疾病组与其他组进行配对时显示出一些较大的效应量。
当青少年患有活动性炎症性肠病时,父母往往会出现心理健康和生活质量下降的情况。因此,我们的假设得到了部分验证。所以,当孩子患有活动性疾病时,父母需要得到支持;这一发现凸显了建立父母支持系统的必要性。