以色列糖尿病儿童照护者的常见心理健康障碍与心理健康求助行为

S. Lotfy, A. Refaat, S. Amer, Sally Elotla
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引用次数: 0

摘要

背景:心理健康问题是主要的公共卫生问题。糖尿病儿童的主要照顾者在治疗这一慢性疾病过程中承担着多方面的负担,并且容易受到各种精神障碍的影响。目的:了解糖尿病儿童照顾者常见的心理健康障碍及心理健康求助行为。方法:在埃及伊斯梅利亚的苏伊士运河大学和健康保险医院对1型糖尿病儿童的主要照顾者(n=151)和非糖尿病儿童的照顾者(n=151)进行比较横断面研究。参与者完成了一份结构化问卷,包括社会人口特征、病史和最近的心理健康求助行为。采用世卫组织自我报告问卷-20 (SRQ-20)评估研究对象中疑似常见精神健康障碍(CMHD)的情况。结果:糖尿病患儿护理人员疑似CMHD发生率高于非糖尿病患儿护理人员(75.5% vs. 72.2%, p = 0.513)。糖尿病儿童的照顾者寻求正规心理健康帮助的比例显著低于非糖尿病儿童的照顾者(6.7% vs. 20.5%)。疑似CMHD的护理人员的心理和身体健康状况明显低于无疑似CMHD的护理人员(31.8% vs. 17.7%, p =0.02)。疑似CMHD的主要决定因素是感知到的心理和身体健康状况(p分别<0.001和0.027)。结论:两组护理人员CMHD无显著差异。糖尿病儿童的照顾者不太可能寻求正式的心理健康帮助来源。感知到的精神和身体健康是CMHD的决定因素。
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Common Mental Health Disorders and Mental Health Help-Seeking Behaviors among Caregivers of Diabetic Children in Ismailia
Background: Mental health issues are major public health concern. Primary caregivers of diabetic children carry multi-dimensional burden during management of this chronic condition and are vulnerable to various mental disorders. Objective(s): To identify the common mental health disorders and mental health help-seeking behaviors among caregivers of diabetic children. Methods: A comparative cross-sectional study including primary caregivers of children with type-1 diabetes (n=151) and caregivers of non-diabetic children (n=151) was carried out at Suez Canal University and Health Insurance hospitals in Ismailia, Egypt. Participants completed a structured questionnaire including socio-demographic characteristics, medical histories, and recent mental health help-seeking behaviors. WHO self-reporting questionnaire-20 (SRQ-20) was used to assess the suspected Common Mental Health Disorders (CMHD) among studied caregivers. Results : suspected CMHD among caregivers of diabetic children was relatively higher than the caregivers of non-diabetic children (75.5% vs. 72.2%, p = 0.513). The proportion of caregivers of diabetic children who sought formal sources of mental health help was significantly lower than caregivers of non-diabetic children (6.7% vs. 20.5%). Caregivers with suspected CMHD had significantly lower perceived mental and physical health and sought mental health help more than those with no suspected CMHD (31.8% vs. 17.7%, p =0.02). The main significant determinants of suspected CMHD were the perceived mental and physical health (p<0.001, and 0.027, respectively). Conclusion: No significant difference in CMHD existed between caregivers in studied groups. Caregivers of diabetic children were less likely to seek formal sources of mental health help-seeking. Perceived mental and physical health were the determinants of CMHD.
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