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智障儿童家长的心理社会负担:一项基于医院的研究。

Psychosocial Burden in Parents Having Intellectually Disabled Children: A Hospital-based Study.

作者信息

Kumari Reena, Ray Tapas Kumar, Laskar Ananya Ray, Majumdar Ritu

机构信息

Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India.

出版信息

Indian J Community Med. 2025 Jan-Feb;50(1):90-92. doi: 10.4103/ijcm.ijcm_358_23. Epub 2024 Jun 24.

Abstract

BACKGROUND

Intellectual disability is a non-communicable health disorder that has become a public health concern worldwide, with a marked impairment in communication, academic, and social skills. It is important to identify the level of psychological stress among parents of these children. Hence, this study was designed to assess the level of psychological stress among parents having intellectually disabled children.

MATERIALS AND METHODS

The study was conducted in the Physical Medicine and Rehabilitation outpatient department (OPD) at Kalawati Saran Children's Hospital, New Delhi. Data were collected to analyze the psychological stress in families. Parental Stress Scale (PSS) was used as the tool to measure stress in parents.

RESULTS

A total of 170 mothers were enrolled in the study. In total, 14 different variables were considered plausible contributing factors to the mother's stress. Four variables demonstrated a clear linear association between variable values and PSS. These variables were a) per-capita monthly family income, b) socioeconomic status, c) study subjects' occupation, and d) duration of disability. The overall mean PSS for the entire cohort was found to be 47.14 ± 2.93. The reference criteria for low stress was 19-45, and it was 45-90 for high stress.

CONCLUSION

The study suggests that mothers of children with intellectual disability experience high stress. Raising a child with special care needs is overwhelming for mothers. Appropriate clinical services should be provided to support parents of children with disabilities and offer resources to educate and enable mothers to manage their children's disabilities and needs.

摘要

背景

智力残疾是一种非传染性健康障碍,已成为全球公共卫生关注的问题,在沟通、学业和社交技能方面存在明显损害。识别这些孩子父母的心理压力水平很重要。因此,本研究旨在评估智力残疾儿童父母的心理压力水平。

材料与方法

该研究在新德里卡拉瓦蒂·萨兰儿童医院的物理医学与康复门诊部进行。收集数据以分析家庭中的心理压力。使用父母压力量表(PSS)作为测量父母压力的工具。

结果

共有170名母亲参与了该研究。总共考虑了14个不同变量可能是母亲压力的促成因素。四个变量在变量值和PSS之间表现出明显的线性关联。这些变量是:a)家庭人均月收入,b)社会经济地位,c)研究对象的职业,d)残疾持续时间。整个队列的总体平均PSS为47.14±2.93。低压力的参考标准是19 - 45,高压力是45 - 90。

结论

该研究表明智力残疾儿童的母亲经历高压力。抚养有特殊护理需求的孩子对母亲来说不堪重负。应提供适当的临床服务以支持残疾儿童的父母,并提供资源来教育和帮助母亲管理孩子的残疾和需求。

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本文引用的文献

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Psychopathology and coping mechanisms in parents of children with intellectual disability.智障儿童家长的精神病理学与应对机制
Indian J Psychiatry. 2018 Jul-Sep;60(3):312-317. doi: 10.4103/psychiatry.IndianJPsychiatry_259_17.

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