春季角膜结膜炎对家庭的心理影响:生活质量和心理健康的调查。

Ludovica Natali, Valentina Cardi, Fabiano Cavarzeran, Andrea Leonardi
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引用次数: 0

摘要

背景:春性角膜结膜炎(VKC)是一种常见于儿童和青少年的慢性过敏性眼病。虽然它的身体负担有充分的记录,但很少有研究探讨它对患者及其家属的心理影响。本研究考察了VKC对儿童(由其父母报告)及其父母的生活质量(QoL)和心理健康的影响。方法:40名在帕多瓦大学眼过敏与免疫学中心就诊的VKC患儿家长(4-17岁)完成在线问卷调查。测量包括父母抑郁(PHQ-9)和焦虑症状(GAD-7)、感知社会支持、家庭生活质量(form -16)、儿童情绪和行为困难(SDQ)以及VKC对儿童生活质量的影响(QUICK)。收集VKC严重程度和治疗史的临床资料。结果:三分之一的家长报告有轻度抑郁症状,53%的家长有轻度至重度焦虑。更高的父母痛苦与更大的家庭生活中断有关,而更多的感知支持与更少的中断有关。大多数儿童表现出正常范围内的情绪和行为困难。然而,那些有更多情绪困难和长年性VKC的人经历了更大的生活质量损害。有趣的是,儿童生活质量中断程度越高,亲社会行为就越频繁。结论:这些发现突出了VKC对儿童和家长的心理影响。针对该疾病生理和心理方面的综合护理方法对于改善受影响家庭的结果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The psychological impact of vernal keratoconjunctivitis on families: An investigation on quality of life and psychological wellbeing.

Background: Vernal keratoconjunctivitis (VKC) is a chronic allergic eye disease that affects children and adolescents. While its physical burden is well documented, little research has explored its psychological impact on patients and their families. This study examined the impact of VKC on quality of life (QoL) and psychological wellbeing in children (as reported by their parents) and their parents.

Methods: Forty parents of children with VKC (aged 4-17 years) attending the Ocular Allergy and Immunology Service at the University of Padova completed online questionnaires. Measures included parental depressive (PHQ-9) and anxiety symptoms (GAD-7), perceived social support, family QoL (FROM-16), child emotional and behavioral difficulties (SDQ), and the impact of VKC on child QoL (QUICK). Clinical data on VKC severity and treatment history were also collected.

Results: One-third of parents reported mild depressive symptoms, and 53% had mild to severe anxiety. Higher parental distress was linked to greater family QoL disruption, while greater perceived support was associated with less disruption. Most children showed emotional and behavioral difficulties within the normal range. However, those with more emotional difficulties and the perennial form of VKC experienced greater QoL impairment. Interestingly, higher QoL disruption in children correlated with more frequent prosocial behaviors.

Conclusion: These findings highlight the psychological impact of VKC on both children and parents. Integrated care approaches that address both physical and psychological aspects of the disease are essential to improve outcomes for affected families.

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