中国东部地区自闭症谱系障碍儿童父母抑郁症状的预测因素。

Factors predicting depressive symptoms in parents of children with autism spectrum disorder in eastern China.

机构信息

Lianyungang Maternal and Child Health Hospital, 669 Qindongmen Street, Haizhou District, 222000, Lianyungang, Jiangsu, China.

National Health Commission Contraceptives Adverse Reaction Surveillance Center, NO.277 Fenghuang west Street, Gulou District, 210036, Nanjing, Jiangsu, China.

出版信息

BMC Public Health. 2024 Jan 18;24(1):226. doi: 10.1186/s12889-024-17731-7.

DOI:10.1186/s12889-024-17731-7

PMID:38238720

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10797873/

Abstract

BACKGROUND

Parents of children with autism spectrum disorder (ASD) are at a higher risk of depression than parents of typically developing children and those of children with other developmental disorders. Depression affects the well-being and quality of life of parents of children with ASD and has serious consequences for the long-term health outcomes of children with ASD. Therefore, this study explored the current status of depressive symptoms in parents of children with ASD in eastern China and further analyzed multiple aspects of the predictors of depressive symptoms.

METHODS

A multicenter cross-sectional survey was conducted among parents of children with ASD in the rehabilitation department of a large specialized hospital and 10 rehabilitation centers for children with special needs in Lianyungang, Jiangsu Province, Eastern China. A structured questionnaire that focused on child-related factors, parent-related factors, depressive symptoms, courtesy stigma, and social support was used to obtain data. Binary logistic regression was used to identify the independent predictors of depressive symptoms in parents of children with ASD.

RESULTS

A total of 409 parents of children with ASD were recruited, of whom 18.8% had depressive symptoms. Parents of children with ASD who raised a child who spoke few to no words (odds ratio [OR]: 2.747, 95% confidence interval [CI]: 1.026-7.357), claimed a high economic burden (OR: 3.215, 95% CI: 1.234-8.379), reported no change or increased severity of ASD in their children (OR: 2.518, 95% CI: 1.108-5.720), and those with a higher courtesy stigma score (OR: 1.189, 95% CI: 1.093-1.294) were more likely to have depressive symptoms. Conversely, parents of children with ASD who were employed (OR: 0.427, 95% CI: 0.201-0.907), satisfied with their current marital status (OR: 0.429, 95% CI: 0.221-0.834), and those with a higher social support score (OR: 0.973, 95% CI: 0.950-0.996) were less likely to have depressive symptoms.

CONCLUSIONS

Depressive symptoms are common in parents of children with ASD in eastern China. Therefore, screening and intervention for depressive symptoms in parents of children with ASD is necessary, especially for those with high-risk factors.

摘要

背景

自闭症谱系障碍（ASD）儿童的父母比一般发育儿童的父母和其他发育障碍儿童的父母更容易出现抑郁症状。抑郁会影响 ASD 儿童父母的幸福感和生活质量，并对 ASD 儿童的长期健康结果产生严重影响。因此，本研究探讨了中国东部 ASD 儿童父母的抑郁症状现状，并进一步分析了抑郁症状的多个预测因素。

方法

采用横断面调查方法，对江苏省连云港市一家大型专科医院康复科和 10 家特殊需求儿童康复中心的 ASD 儿童家长进行调查。使用关注儿童相关因素、父母相关因素、抑郁症状、礼貌污名和社会支持的结构化问卷收集数据。采用二元逻辑回归分析识别 ASD 儿童父母抑郁症状的独立预测因素。

结果

共纳入 409 名 ASD 儿童家长，其中 18.8%存在抑郁症状。与没有或很少说话的孩子一起生活的 ASD 儿童的家长（比值比[OR]：2.747，95%置信区间[CI]：1.026-7.357）、经济负担高（OR：3.215，95%CI：1.234-8.379）、报告孩子的 ASD 症状无变化或加重（OR：2.518，95%CI：1.108-5.720）、礼貌污名评分较高（OR：1.189，95%CI：1.093-1.294）的父母更有可能出现抑郁症状。相反，有工作（OR：0.427，95%CI：0.201-0.907）、对当前婚姻状况满意（OR：0.429，95%CI：0.221-0.834）和社会支持评分较高（OR：0.973，95%CI：0.950-0.996）的 ASD 儿童家长更不容易出现抑郁症状。