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癌症患儿父母焦虑和抑郁的患病率——一项初步研究

Prevalence of Anxiety and Depression among Parents of Children with Cancer-A Preliminary Study.

作者信息

Lewandowska Anna, Lewandowski Tomasz, Bartosiewicz Anna, Papp Katalin, Zrubcová Dana, Šupínová Mária, Stryjkowska-Góra Aleksandra, Laskowska Barbara, Joniec Gabriela, Apay Serap Ejder

机构信息

Faculty of Healthcare, State Academy of Applied Sciences in Jaroslaw, 37-500 Jaroslaw, Poland.

Faculty of Technical Engineering, State Academy of Applied Sciences in Jaroslaw, 37-500 Jaroslaw, Poland.

出版信息

Children (Basel). 2024 Oct 10;11(10):1227. doi: 10.3390/children11101227.

Abstract

BACKGROUND

A child's cancer is a highly stressful experience for the entire family. Childhood cancer disrupts family functioning and is one of the most stressful and challenging events parents face, often beyond their control. Parents play a crucial role in providing emotional support to children throughout their illness, and their ability to cope can help reduce the child's negative emotions. The aim of this study was to assess the prevalence of anxiety and depression among parents of children with cancer.

METHODS

This cross-sectional study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines and included parents of children undergoing cancer treatment. Convenience sampling was used. The Beck Depression Inventory and the Hospital Anxiety and Depression Scale were utilized to assess the parents.

RESULTS

This study included 270 participants (73% women, 27% men) with children at an average age of 8.75 ± 4.82 years. Diagnoses included leukemia (53%), lymphoma (29%), and other cancers. On the Beck Depression Inventory, 33% of parents were mildly depressed, 12% moderately depressed, and 32% severely depressed, with an average score of 20.63 ± 12.39 points. The HADS-M scale indicated anxiety at 48.43 ± 20.78%, depression at 45.01 ± 22.8%, and aggression at 54.72 ± 28.71%.

CONCLUSIONS

Most parents of children with cancer have symptoms of depression and anxiety, which are influenced by the duration of the child's illness. A strong correlation was observed between the level of anxiety and the tendency for depression.

摘要

背景

儿童患癌症对整个家庭来说是一段压力极大的经历。儿童癌症会扰乱家庭功能,是父母面临的压力最大且最具挑战性的事件之一,往往超出他们的控制范围。在孩子患病期间,父母在给予情感支持方面发挥着至关重要的作用,他们的应对能力有助于减轻孩子的负面情绪。本研究的目的是评估癌症患儿父母中焦虑和抑郁的患病率。

方法

这项横断面研究遵循了加强流行病学观察性研究报告(STROBE)指南,纳入了正在接受癌症治疗的患儿的父母。采用便利抽样法。使用贝克抑郁量表和医院焦虑抑郁量表对父母进行评估。

结果

本研究纳入了270名参与者(73%为女性,27%为男性),其孩子的平均年龄为8.75±4.82岁。诊断包括白血病(53%)、淋巴瘤(29%)和其他癌症。在贝克抑郁量表上,33%的父母有轻度抑郁,12%有中度抑郁,32%有重度抑郁,平均得分为20.63±12.39分。医院焦虑抑郁量表的情绪量表显示焦虑率为48.43±20.78%,抑郁率为45.01±22.8%,攻击率为54.72±28.71%。

结论

大多数癌症患儿的父母有抑郁和焦虑症状,这些症状受孩子患病时长的影响。焦虑水平与抑郁倾向之间存在很强的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d74/11505657/61ccc9f56b0f/children-11-01227-g001.jpg

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