牛奶蛋白过敏患儿母亲的焦虑、抑郁和应对方式

Yang R, Abdulvahit k
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摘要

目的:婴儿的牛奶蛋白过敏(CMPA)与父母的焦虑升高有关。然而,抑郁症和应对方式并没有在患有CMPA儿童的母亲中进行研究。本研究的目的是比较CMPA患儿母亲与对照组的焦虑、抑郁水平和应对方式。材料与方法:研究对象为41名患有CMPA的儿童和41名无慢性健康问题的儿童,年龄4 ~ 11月龄。采用贝克焦虑量表(BAI)、贝克抑郁量表(BDI)和应对态度评定量表(COPE)对母亲的焦虑、抑郁和应对方式进行测量。结果:CMPA组抑郁、焦虑水平明显高于BDI、BAI (p< 0.001)。CMPA组母亲积极情绪应对策略的使用低于对照组(p=0.021)。CMPA组患儿总母乳喂养时间显著低于健康对照组(p=0.008)。积极情绪应对得分与添加辅食时间呈负相关(r=-0.42, p=0.06)。有额外食物过敏的儿童比只有CMPA的儿童母乳喂养少(p=0.02)。结论:CMPA患儿的母亲有较高的焦虑和抑郁风险。患有CMPA的儿童可能面临母乳喂养时间较短的风险。焦虑和抑郁的照料者可以转诊寻求心理帮助,因为生命的第一年对儿童的健康心理发展至关重要。
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Anxiety, Depression and Coping Styles in Mothers of Children with Cow's Milk Protein Allergy
Objective: Cow’s milk protein allergy (CMPA) in the infant is shown to be associated with hightened anxiety in the parents. However, depression and coping styles were not studied in mothers of children with CMPA. The aim of the present study was to compare the anxiety, depression levels and coping styles between mothers of children with CMPA and control group. Materials and Methods: The study sample consisted of 41 subjects with CMPA and 41 subject without any chronical health problems, aged between 4 and 11 months. Anxiety, depression and coping styles of mothers were measured with Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Coping Attitudes Rating Scale (COPE). Results: Depression and anxiety levels were significantly higher in the CMPA group according to the BDI and BAI (p< 0.001). The mothers in the CMPA group used active emotional coping strategies less than control group (p=0.021). Total breastfeeding duration of the children in the CMPA group was significantly lower than the healthy controls (p=0.008). There was negative correlation between active emotional coping scores and the time of adding supplemental food to infant’s diet (r=-0.42, p=0.06). Children who had additional food allergies breastfed less than the children who had only CMPA (p=0.02). Conclusions: Mothers of the children with CMPA are under heightened risk for anxiety and depression. Children with CMPA may be at risk for shorter duration of breastfeeding. Anxious and depressed caregivers may be referred for psychological help since the first year of life is essential for healthy psychological development of the children.
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