瑞典患有天鹅绒综合症儿童的母亲和父亲的健康相关生活质量、抑郁、焦虑和睡眠情况。

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2024-10-30 DOI:10.1016/j.yebeh.2024.110102

Colin Reilly , Björn Bjurulf , Tove Hallböök

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引用次数: 0

摘要

目的：评估德雷维综合征（Dravet Syndrome，DS）患儿照顾者（母亲和父亲）的健康相关生活质量（HRQoL）、抑郁、焦虑和睡眠情况：42名Dravet综合征患儿的母亲（41人）和父亲（39人）完成了兰德36项简表健康调查（SF-36）、医院焦虑抑郁量表（HADS）和失眠严重程度指数（ISI）。采用 t 检验将母亲和父亲的 SF-36 分数与瑞典人口中男性和女性的 SF-36 分数进行比较。母亲与父亲分别被归类为焦虑症（HADS-A）和抑郁症（HADS-D）"非病例 "或 "可能/疑似病例 "的比例差异采用卡方检验进行评估。家长的 SF-36、HADS 症状和 ISI 分数采用 t 检验进行比较。采用线性回归分析探讨与睡眠和心理健康相关的因素：与人群标准相比，母亲在 SF-36 八个领域中的七个领域得分明显较低，而父亲则在五个领域得分较低。母亲在一个（即角色限制--情感）SF-36 领域的得分明显低于父亲。有 "可能/疑似 "焦虑症状的母亲比例高于父亲（83% 对 59%；p = 0.018），但没有抑郁症状的母亲比例高于父亲（46% 对 46%；p = 0.987）。母亲比父亲报告了更多的焦虑症状（p = 0.007），但在抑郁方面没有差异（p = 0.399）。母亲（78%）比父亲（67%）报告了更多的睡眠困难，但差异并不显著（p = 0.254）。母亲和父亲的睡眠困难可由心理健康困难预测，反之亦然（均为 p）：DS 儿童的父母有较高程度的心理健康和睡眠困难，并降低了 HRQoL。母亲的焦虑程度高于父亲，但抑郁程度低于父亲。有必要对儿童的父母进行这些困难的筛查，并制定干预措施来改善这些困难。

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Health-related quality of life, depression, anxiety, and sleep in mothers and fathers of children with dravet syndrome in Sweden

Purpose

To evaluate health-related quality of life (HRQoL), depression, anxiety and sleep in caregivers (mothers and fathers) of children with Dravet Syndrome (DS).

Methods

Mothers (n = 41) and fathers (n = 39) of 42 children with DS completed the Rand 36-Item Short Form Health Survey (SF-36), the Hospital Anxiety and Depression Scale (HADS), and the Insomnia Severity Index (ISI). Mothers’ and fathers’ SF-36 scores were compared with Swedish population values for males and females using t-tests. Differences in proportions of mothers vs. fathers classified as ‘noncases’ or ‘possible/probable’ cases of anxiety (HADS-A) and depression (HADS-D), respectively, were assessed with the chi-square test. Parents’ SF-36, HADS symptom and ISI scores were compared using t-tests. Linear regression analysis was employed to explore factors associated with sleep and mental health.

Results

Mothers had significantly lower scores compared with population norms on seven of eight SF-36 domains whilst fathers had lower scores on five domains. Mothers had significantly lower scores than fathers on one (i.e. Role limitation − emotional) SF-36 domain. A larger proportion of mothers than fathers had ‘possible/probable’ anxiety (83 % vs 59 %; p = 0.018), but not depression (46 % vs. 46 %; p = 0.987). Mothers reported more symptoms of anxiety than fathers (p = 0.007) but there was no difference in depression (p = 0.399). Mothers (78 %) reported more sleep difficulties than fathers (67 %) but the difference was not significant (p = 0.254). Sleep difficulties were predicted by mental health difficulties and vice versa, in mothers and fathers (all p < 0.001). Increased child sleep difficulties were associated with increased maternal sleep difficulties (p = 0.003) but not paternal sleep difficulties.

Conclusion

Parents of children with DS have high levels of mental health and sleep difficulties and reduced HRQoL. Mothers experienced higher levels of anxiety, but not depression, than fathers. There is a need to screen parents of children for these difficulties and develop interventions to ameliorate the difficulties.

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来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.