Cognitive deficiency, parental relationship, and coping strategies are related with anxiety and depression among parents of children with epilepsy

Q1 Medicine

Chronic Diseases and Translational Medicine Pub Date : 2022-06-06 DOI:10.1002/cdt3.25

Zhengjia Ren, Chunsong Yang, Dan Yu

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引用次数: 0

Abstract

Background

The diagnosis of epilepsy in a child often and understandably causes psychological adjustment difficulties in the parents. To help parents of children with epilepsy cope with stress, it is important to understand how parents cope with the sickness of their child. The objective of this study was to assess factors related to the state of anxiety and depression among parents of children with epilepsy.

Methods

The present study was a cross-sectional study, and the data were collected through an anonymous, Internet-based survey platform between October 2018 and October 2019 from 250 participants aged 22–65 years. Participants were invited to fill questionnaires include socioeconomic questionnaire, anxiety, depression, and coping strategies scale.

Result

Among the parents of children with epilepsy, 48.8% (122/250) had depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] score >4) and 46.4% (116/250) had anxiety symptoms (7-item Generalized Anxiety Disorder [GAD-7] score >5). Depression among parents of children with epilepsy was significantly associated with comorbidity (odds ratio [OR] = 0.392, 95% CI = 0.182–0.846), a poor parental relationship (OR = 0.283, 95% CI = 0.130–0.614), positive coping (OR = 0.947, 95% CI = 0.903–0.992), and negative coping (OR = 1.287, 95% CI = 1.179–1.405). Anxiety among parents of children with epilepsy was significantly associated with a poor parental relationship (OR = 0.416, 95% CI = 0.207–0.835) and negative coping (OR = 1.155, 95% CI = 1.087–1.228).

Conclusions

The present study indicates the importance of couple support and providing effective coping to make parents of children with epilepsy more resilient in the presence of negative life events, especially for parents of children with comorbidity with cognitive deficiency.

查看原文本刊更多论文

认知缺陷、父母关系和应对策略与癫痫患儿家长焦虑和抑郁有关

背景儿童癫痫的诊断通常会给家长带来心理适应困难，这是可以理解的。为了帮助癫痫患儿的父母应对压力，了解父母如何应对孩子的疾病是很重要的。本研究的目的是评估癫痫患儿家长焦虑和抑郁状态的相关因素。方法本研究为横断面研究，数据收集于2018年10月至2019年10月期间，通过匿名互联网调查平台收集250名年龄在22-65岁之间的参与者。问卷包括社会经济问卷、焦虑、抑郁问卷和应对策略量表。结果癫痫患儿家长中，48.8%(122/250)存在抑郁症状(患者健康问卷-9 [PHQ-9]评分 >4)， 46.4%(116/250)存在焦虑症状(7项广泛性焦虑障碍[GAD-7]评分 >5)。癫痫患儿父母抑郁与共病发生率显著相关(优势比[OR] = 0.392, 95% CI = 0.182 ~ 0.846)、父母关系差(OR = 0.283, 95% CI = 0.130 ~ 0.614)、积极应对(OR = 0.947, 95% CI = 0.903 ~ 0.992)、消极应对(OR = 1.287, 95% CI = 1.179 ~ 1.405)。癫痫患儿家长焦虑与父母关系差(OR = 0.416, 95% CI = 0.207 ~ 0.835)和消极应对(OR = 1.155, 95% CI = 1.087 ~ 1.228)显著相关。结论夫妻支持和提供有效的应对措施对癫痫患儿的父母在面对负面生活事件时更有弹性，特别是对合并认知缺陷患儿的父母。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Diseases and Translational Medicine Medicine-General Medicine

CiteScore

6.70

自引率

0.00%

发文量

195

审稿时长

35 weeks

期刊介绍： This journal aims to promote progress from basic research to clinical practice and to provide a forum for communication among basic, translational, and clinical research practitioners and physicians from all relevant disciplines. Chronic diseases such as cardiovascular diseases, cancer, diabetes, stroke, chronic respiratory diseases (such as asthma and COPD), chronic kidney diseases, and related translational research. Topics of interest for Chronic Diseases and Translational Medicine include Research and commentary on models of chronic diseases with significant implications for disease diagnosis and treatment Investigative studies of human biology with an emphasis on disease Perspectives and reviews on research topics that discuss the implications of findings from the viewpoints of basic science and clinical practic.