香港患有湿疹的父母及其子女的心理健康。

IF 3.1 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Hong Kong Medical Journal Pub Date : 2024-10-01 Epub Date: 2024-10-03 DOI:10.12809/hkmj219738
P H Lam, K L Hon, S Loo, C K Li, P Ip, M J Koh, C H Y Chan
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引用次数: 0

摘要

导言:这项横断面调查研究调查了2018年11月至2020年10月在香港一家儿科皮肤病诊所就诊的中国家长及其湿疹患儿的心理健康症状和生活质量。方法:采用儿童皮肤病生活质量指数(CDLQI)、婴儿皮炎生活质量指数(IDQOL)、诺丁汉湿疹严重程度评分(NESS)、以患者为导向的湿疹测量(POEM)以及21项抑郁、焦虑和压力量表(DASS-21)的中文版对湿疹患儿及其父母的健康相关生活质量、湿疹严重程度和心理健康进行研究:结果:共招募了 432 名儿童和 380 名家长。根据DASS-21,湿疹严重程度(NESS和POEM)和与健康相关的生活质量(CDLQI)与父母和儿童的抑郁、焦虑和压力水平呈显著正相关,与性别无关(儿童:r=0.28-0.72,PC结论:湿疹严重程度(NESS和POEM)和与健康相关的生活质量(CDLQI)与父母和儿童的抑郁、焦虑和压力水平呈显著正相关:湿疹儿童及其父母的抑郁、焦虑和压力与湿疹的严重程度和这些儿童的生活质量受损有关。这些关于湿疹患儿及其家长心理健康受损的研究结果突出表明,在未来的研究和临床实践中,有必要将心理健康和社会心理结果纳入研究范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health among parents and their children with eczema in Hong Kong.

Introduction: This cross-sectional survey research investigated mental health symptoms and quality of life among Chinese parents and their children with eczema at a paediatric dermatology clinic in Hong Kong from November 2018 to October 2020.

Methods: Health-related quality of life, eczema severity, and mental health among children with eczema, as well as their parents' mental health, were studied using the Children's Dermatology Life Quality Index (CDLQI), Infants' Dermatitis Quality of Life Index (IDQOL), Nottingham Eczema Severity Score (NESS), Patient-Oriented Eczema Measure (POEM), and the Chinese version of the 21-item Depression, Anxiety, and Stress Scales (DASS-21).

Results: In total, 432 children and 380 parents were recruited. Eczema severity (NESS and POEM) and health-related quality of life (CDLQI) were significantly positively associated with parental and child depression, anxiety, and stress levels according to the DASS-21, regardless of sex (children: r=0.28- 0.72, P<0.001 to 0.007; parents: r=0.20-0.52, P<0.001 to 0.034). Maternal depression was marginally positively associated with increased anxiety in boys with eczema (r=0.311; P=0.045). Younger parents had higher risk of developing more anxiety and stress compared with the older parents (adjusted odds ratio [aOR]=-0.342, P=0.014 and aOR=-0.395, P=0.019, respectively). Depression level of parents with primary to secondary education was 58% higher than their counterparts with post-secondary education or above (aOR=-1.579; P=0.007).

Conclusion: Depression, anxiety, and stress among children with eczema and their parents were associated with eczema severity and impaired quality of life in those children. These findings regarding impaired mental health in children with eczema and their parents highlight the need to include mental well-being and psychosocial outcomes in future studies and clinical practice.

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来源期刊
Hong Kong Medical Journal
Hong Kong Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
14.80%
发文量
117
审稿时长
10 weeks
期刊介绍: The HKMJ is a Hong Kong-based, peer-reviewed, general medical journal which is circulated to 6000 readers, including all members of the HKMA and Fellows of the HKAM. The HKMJ publishes original research papers, review articles, medical practice papers, case reports, editorials, commentaries, book reviews, and letters to the Editor. Topics of interest include all subjects that relate to clinical practice and research in all branches of medicine. The HKMJ welcomes manuscripts from authors, but usually solicits reviews. Proposals for review papers can be sent to the Managing Editor directly. Please refer to the contact information of the Editorial Office.
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