癫痫患儿的生活质量:共病精神障碍、父母精神症状和家庭功能分析

M. Çolak, Ozlem Bingol, B. Gullu, E. Aksoy
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摘要

目的:本研究的目的是评估癫痫患儿的共病精神障碍、母亲和家庭功能的精神体征和症状,以及上述变量与生活质量的关系。方法:研究对象为31名年龄在8-11岁之间,诊断为癫痫至少6个月的儿童及其母亲;30名同龄健康儿童及其母亲作为对照组。癫痫组和对照组采用儿童抑郁量表(CDI)、儿童状态-特质焦虑量表(STAI- ch)、儿童生活质量量表(PedsQL),两组母亲采用状态-特质焦虑量表(STAI)、症状表90-修订版(SCL-90-R)和家庭评估量表(FAD)。结果:根据我们的研究结果,癫痫组患儿的CDI评分明显高于对照组。两组母亲的STAI- ch得分、总STAI和SCL-90-R得分均无显著差异。然而,癫痫组母亲的愤怒和敌意亚量表得分明显高于对照组。此外,癫痫组儿童PedsQL总分和亚量表积分均明显低于对照组。最后,癫痫组PedsQL评分与患儿CDI和sti - ch评分、母亲STAI和SCL-90-R评分与FAD评分呈负相关。此外,确定癫痫组儿童的抑郁水平对生活质量有显著影响。结论:我们的研究结果表明癫痫患儿的生活质量与患儿和母亲的精神症状以及家庭功能之间存在相关性。
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Quality of Life in Children Diagnosed with Epilepsy: An Analysis of Comorbid Psychiatric Disorders, Psychiatric Symptoms of Parents and Family Functionality
Objective: The aim of this study is to evaluate the comorbid psychiatric disorders, psychiatric signs and symptoms of the mother and family functionality in children with epilepsy, as well as to examine the relationship between the mentioned variables and quality of life. Methods: The study was conducted with 31 children between the ages 8-11 with a diagnosis of epilepsy for at least 6 months and their mothers; and 30 healthy children of the similar age group and their mothers as the control group. Childhood Depression Inventory (CDI), Children State-Trait Anxiety Inventory (STAI-CH), Pediatric Quality of Life Inventory (PedsQL) was used for children in the Epilepsy and control groups, State-Trait Anxiety Inventory (STAI), Symptom Checklist-90-Revised (SCL-90-R) and Family Assessment Device (FAD) was used for mothers in both groups. Results: According to the results of our study the CDI scores of children in the epilepsy group were found to be significantly higher than of those in the control group. No significant difference was found between both groups in terms of their STAI-CH scores, as well as in terms of total STAI and SCL-90-R scores of mothers in both groups. However, the Ange and Hostility subscale scores of mothers in the epilepsy group were found to be significantly higher than of those in the control group. In addition, the PedsQL total and subscale points of children in the epilepsy group were found to be significantly lower than of those in the control group. Finally, a negative correlation has been detected between the PedsQL scores of the epilepsy group and the children's CDI and STAI-CH scores, the STAI and SCL-90-R scores of the mothers and the FAD scores. Moreover, it was determined that the depression level of the children in the epilepsy group had a significant effect on the quality of life. Conclusion: Our findings suggest a correlation between the quality of life in children with epilepsy and the psychiatric symptoms of children and mothers as well as family functionality.
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