Dąbrowska Aleksandra, Kowaluk Aleksandra, Kalwak Krzysztof, Malicka Iwona
Department of Physiotherapy, Wrocław University of Health and Sport Sciences, Wrocław, Poland.
Supraregional Center of Pediatric Oncology "Cape of Hope", Wrocław University Clinical Hospital, Wrocław, Poland.
Med Sci Monit. 2025 Jul 16;31:e949219. doi: 10.12659/MSM.949219.
BACKGROUND Parents are profoundly affected by a child's cancer diagnosis. The study aimed to evaluate anxiety, depression, sleep quality and physical activity of mothers of children with leukemia. MATERIAL AND METHODS The study involved 57 mothers of children with leukemia (91% lymphoblastic, 9% myeloid). The participants completed a questionnaire created for this study on basic sociodemographic data, Euro Quality of Life Questionnaire (EQ-5D), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), International Physical Activity Questionnaire (IPAQ), and Pittsburgh Sleep Quality Index (PSQI). RESULTS The mean raw score of the STAI (sheet X-1) was 43.91±10.44. Converted into sten (standardized 1-10 scores), the mean age of the study group was 5.45±2.03. The results of the questionnaire assessing depression symptom severity (BDI) was 14.25±9.11 in the study group, and the physical activity of the respondents, measured by the IPAQ, was 2010.82 ± 2668.03 metabolic equivalent (MET) units. Physical activity was insufficient in 36.8% of respondents, sufficient in 35.09%, and high in 26.32%. According to PSQI, 36.84% of respondents had good sleep quality and 63.16% had poor sleep quality. The analysis found strong correlations between BDI score and EQ-5D (0.72; P<0.05), BDI and daytime dysfunction (PSQI subscale) (0.65; P<0.05), BDI and EQ-5D pain/discomfort (0.61; P<0.05), and BDI and EQ-5D anxiety/depression (0.61; P<0.05). CONCLUSIONS Mothers of children diagnosed with leukemia tend to have poor mental health, including decreased quality of life, increased anxiety, depressive symptoms, and poor sleep quality, regardless of physical activity level.
背景 孩子被诊断出患有癌症会对父母产生深远影响。本研究旨在评估白血病患儿母亲的焦虑、抑郁、睡眠质量和身体活动情况。
材料与方法 本研究纳入了57名白血病患儿的母亲（91%为淋巴细胞白血病，9%为髓细胞白血病）。参与者完成了一份为本研究编制的问卷，内容涉及基本社会人口学数据、欧洲生活质量问卷（EQ - 5D）、状态 - 特质焦虑量表（STAI）、贝克抑郁量表（BDI）、国际体力活动问卷（IPAQ）以及匹兹堡睡眠质量指数（PSQI）。
结果 STAI（X - 1表）的平均原始分数为43.91±10.44。换算成sten（标准化的1 - 10分）后，研究组的平均分数为5.45±2.03。评估抑郁症状严重程度的问卷（BDI）在研究组中的结果为14.25±9.11，通过IPAQ测量的受访者身体活动量为2010.82±2668.03代谢当量（MET）单位。36.8%的受访者身体活动不足，35.09%充足，26.32%较高。根据PSQI，36.84%的受访者睡眠质量良好，63.16%睡眠质量差。分析发现BDI分数与EQ - 5D（0.72；P<0.05）、BDI与日间功能障碍（PSQI子量表）（0.65；P<0.05）、BDI与EQ - 5D疼痛/不适（0.61；P<0.05）以及BDI与EQ - 5D焦虑/抑郁（0.61；P<0.05）之间存在强相关性。
结论 被诊断患有白血病患儿的母亲往往心理健康状况较差，包括生活质量下降、焦虑增加、抑郁症状以及睡眠质量差，且与身体活动水平无关。
