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儿童心理健康障碍及相关的父母压力:西孟加拉邦布尔万医学院儿科门诊的横断面研究

Mental Health Disorders among Children and Associated Parental Stress: A Cross-Sectional Study in Pediatric OPD of Burdwan Medical College, West Bengal.

作者信息

Sarkar Anisha, Rahaman Sk Moshihur, Das Dilip K, Banerjee Niladri

机构信息

Department of Community Medicine, Burdwan Medical College, West Bengal, India.

Department of Paediatrics, Burdwan Medical College, West Bengal, India.

出版信息

Indian J Community Med. 2024 Mar-Apr;49(2):417-423. doi: 10.4103/ijcm.ijcm_49_23. Epub 2024 Mar 7.

Abstract

BACKGROUND

Identification of mental health disorders during childhood is crucial for healthy 'adult roles' in the society, so this study aimed to estimate the magnitude of 'any mental health disorder' and to find out its correlates among children attending the pediatric out-patient department (OPD) of a medical college in West Bengal and to estimate parental stress among their parents.

MATERIALS AND METHODS

It was a descriptive cross-sectional study done in the pediatric OPD of Burdwan Medical College, West Bengal, during July-December, 2021. The calculated size of 288 children aged between 4 and 12 years and attending with either of their parents was selected through systematic random sampling. One of their parents (preferably mother) was interviewed using a schedule, containing a pre-validated pediatric symptom checklist and parental stress scale. Ethical clearance was obtained from the Institutional Ethics Committee. Data were analyzed using SPSS-v23.

RESULTS

The median age of the children was 7 years (5-8 y.). The majority of them were male (57.6%), lived in urban areas (59.0%), and lived in joint families (57.6%). One-fifth (20.5%) of the children were found to have any mental health disorder (AMHD). Living in an urban area (aOR = 2.5, 95% CI: 1.1-5.7), belonging to a nuclear family (aOR = 3.6, 95% CI: 1.7-8.1), and belonging to a family with social problems (aOR = 7.8, 95% CI: 2.3-27.2) were significant correlates of AMHD. Parental stress [median: 60 (55-63)] was found significantly higher ( < 0.001) among parents of children with AMHD as compared to the parents of others.

CONCLUSION

The magnitude of AMHD was high in this study, indicating toward the necessity of implementing opportunistic screening and appropriate public health action.

摘要

背景

儿童期心理健康障碍的识别对于在社会中健康地扮演“成人角色”至关重要,因此本研究旨在估计“任何心理健康障碍”的发生率,并找出其在西孟加拉邦一所医学院儿科门诊就诊儿童中的相关因素,并估计其父母的压力。

材料与方法

这是一项描述性横断面研究,于2021年7月至12月在西孟加拉邦布尔万医学院儿科门诊进行。通过系统随机抽样选取了288名年龄在4至12岁之间且与父母一方一同就诊的儿童。使用一份包含预先验证的儿科症状清单和父母压力量表的问卷对他们的父母之一(最好是母亲)进行访谈。获得了机构伦理委员会的伦理批准。使用SPSS-v23进行数据分析。

结果

儿童的中位年龄为7岁(5 - 8岁)。他们中的大多数是男性(57.6%),居住在城市地区(59.0%),并且生活在联合家庭中(57.6%)。发现五分之一(20.5%)的儿童患有任何心理健康障碍(AMHD)。居住在城市地区(调整后比值比[aOR]=2.5,95%置信区间[CI]:1.1 - 5.7)、属于核心家庭(aOR = 3.6,95% CI:1.7 - 8.1)以及属于有社会问题的家庭(aOR = 7.8,95% CI:2.3 - 27.2)是AMHD的显著相关因素。与其他儿童的父母相比,AMHD儿童的父母压力[中位数:60(55 - 63)]显著更高(P < 0.001)。

结论

本研究中AMHD的发生率较高,表明有必要实施机会性筛查和适当的公共卫生行动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ac/11042142/4cc9e56856b8/IJCM-49-417-g001.jpg

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