儿童和青少年精神障碍的父母感知负担及服务利用情况
Perceived parental burden and service use for child and adolescent psychiatric disorders.
作者信息
Angold A, Messer S C, Stangl D, Farmer E M, Costello E J, Burns B J
机构信息
Developmental Epidemiology Program, Duke University Medical Center, Durham, NC, USA.
出版信息
Am J Public Health. 1998 Jan;88(1):75-80. doi: 10.2105/ajph.88.1.75.
OBJECTIVES
Pediatric chronic physical illness and adult psychiatric disorders are substantial sources of burden for family care-takers, but little attention has been paid to parental burden resulting from children's or adolescents' psychiatric disorders. This paper describes the predictors of perceived parental burden and its impact on the use of specialty mental health and school services.
METHODS
A representative general population sample of 1015 9-, 11-, and 13-year-olds and their parents completed structured psychiatric diagnostic interviews and the Child and Adolescent Burden Assessment.
RESULTS
Weighted estimates indicated that 10.7% of parents in the general population perceived burden resulting from their children's symptomatology. Significant predictors of perceived burden were levels of child symptomatology and impairment and parental mental health problems. Children's depressive and anxiety disorders were associated with less burden than other diagnoses. The effects of child disorder severity on specialty mental health service use appeared to be mediated by the level of burden induced.
CONCLUSIONS
Substantial levels of parental burden resulted from child psychiatric disorders and were a major reason for specialist mental health service use.
目标
儿科慢性躯体疾病和成人精神障碍给家庭照顾者带来了沉重负担，但儿童或青少年精神障碍给父母造成的负担却很少受到关注。本文描述了感知到的父母负担的预测因素及其对专业心理健康服务和学校服务使用的影响。
方法
对1015名9岁、11岁和13岁儿童及其父母组成的具有代表性的普通人群样本进行了结构化精神科诊断访谈和儿童及青少年负担评估。
结果
加权估计表明，普通人群中10.7%的父母感知到因孩子的症状而产生的负担。感知负担的显著预测因素是儿童症状和损伤的程度以及父母的心理健康问题。儿童的抑郁和焦虑障碍比其他诊断导致的负担要轻。儿童障碍严重程度对专业心理健康服务使用的影响似乎是由所产生的负担水平介导的。
结论
儿童精神障碍导致了相当程度的父母负担，并且是使用专业心理健康服务的主要原因。
Zotero 插件