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揭示小儿多发性硬化症疾病认知的心理后果:一项亲子研究。

Unveiling the Psychological Consequences of Illness Perception in Pediatric Multiple Sclerosis: A Parent-Child Study.

作者信息

Aloni Roy, Asher Gaya, Ben-Ari Amichai, Menascu Shay

机构信息

Department of Psychology, Ariel University, Ariel 4077625, Israel.

Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262160, Israel.

出版信息

Children (Basel). 2024 Jul 31;11(8):929. doi: 10.3390/children11080929.

Abstract

BACKGROUND

Previous research has emphasized the significant role of illness perception in chronic diseases, including Multiple Sclerosis. Limited research has been conducted on exploring illness perception in Pediatric Onset Multiple Sclerosis (POMS), parental illness perception, and the impact of differences in their illness perceptions on the emotional well-being of the child.

METHOD

This study included 65 dyads of children aged 10-17 and their parents, divided into the following two groups: (I) 32 dyads of children with POMS and their parents; and (II) 33 dyads of healthy children and their parents.

RESULTS

Overall, 73.1% and 43.8% of the children with POMS met the criteria for probable anxiety and depression, respectively, compared to 27.3% and 0% of the healthy children. Differences were found between the dimensions of illness perception in the POMS children and their parents, in the areas of consequences, personal control, identity, and control factors. Multinomial Logistic Regression indicated that differences in child-parent illness perception increased the likelihood of comorbid anxiety and depression by 37%.

DISCUSSION

These findings underscore the importance of alignment between children with POMS and their parents in illness perception. Healthcare providers should prioritize interventions that address illness perceptions and be mindful of the potential impact on depression and anxiety comorbidity.

摘要

背景

先前的研究强调了疾病认知在包括多发性硬化症在内的慢性疾病中的重要作用。关于儿童期发病的多发性硬化症(POMS)中的疾病认知、父母的疾病认知以及他们疾病认知差异对孩子情绪健康的影响,相关研究较少。

方法

本研究纳入了65对年龄在10至17岁的儿童及其父母,分为以下两组:(I)32对患有POMS的儿童及其父母;(II)33对健康儿童及其父母。

结果

总体而言,患有POMS的儿童中分别有73.1%和43.8%符合可能焦虑和抑郁的标准,而健康儿童中这一比例分别为27.3%和0%。在POMS儿童及其父母的疾病认知维度方面,在后果、个人控制、身份认同和控制因素等领域发现了差异。多项逻辑回归表明,儿童与父母疾病认知的差异使共病焦虑和抑郁的可能性增加了37%。

讨论

这些发现强调了患有POMS的儿童与其父母在疾病认知上保持一致的重要性。医疗保健提供者应优先开展针对疾病认知的干预措施,并注意其对抑郁和焦虑共病的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5680/11352675/397eafe40e78/children-11-00929-g001.jpg

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