Silver E J, Westbrook L E, Stein R E
Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
J Pediatr Psychol. 1998 Feb;23(1):5-15. doi: 10.1093/jpepsy/23.1.5.
To assess whether parents' self-reported psychological distress was related to consequences of chronic health conditions in their children as reflected by three domains: functional limitations, reliance on compensatory mechanisms, and service use above routine care.
We used telephone survey data on children's health and parents' psychiatric symptoms from an inner-city community sample (n = 380) and a population-based national sample (n =398).
In the national sample, parents of children with functional limitations were more distressed than parents whose children experienced other types of condition consequences or none. In the inner-city sample, presence of a health condition was associated with greater parental distress, but there were no significant effects by consequence type.
Research needs to determine if parents of children with functional limitations represent a high-risk group and to identify the factors associated with their elevated distress.
评估父母自我报告的心理困扰是否与孩子慢性健康状况的后果相关,这些后果通过三个方面体现:功能受限、对代偿机制的依赖以及常规护理之外的服务使用情况。
我们使用了来自一个市中心社区样本(n = 380)和一个基于全国人口的样本(n = 398)的关于儿童健康和父母精神症状的电话调查数据。
在全国样本中,孩子存在功能受限的父母比孩子经历其他类型状况后果或无任何状况后果的父母更苦恼。在市中心样本中,孩子患有健康状况与父母更大的苦恼相关,但后果类型没有显著影响。
研究需要确定功能受限儿童的父母是否属于高危群体,并确定与他们苦恼加剧相关的因素。