癫痫患儿父母的创伤后应激障碍及相关精神病理

Bilge Ozgor, Neslihan Cansel
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摘要

精神困难和精神疾病在癫痫患儿的家庭中很常见。本研究的目的是调查癫痫患儿家长创伤后应激障碍、抑郁和焦虑的患病率及其可能的危险因素。2023年1月至3月期间到Turgut Ozal医学中心儿科神经病学门诊治疗单元就诊的癫痫患儿家长被邀请参加这项横断面研究。参与者填写了一份调查人口统计变量的问卷。采用医院焦虑抑郁量表(HAD-S)评估抑郁和焦虑水平,采用创伤后应激障碍短量表(PTSD-short量表)评估创伤后应激水平。共有89名父母参与了这项研究,其中包括47名母亲和42名父亲。在研究参与者中,10.11%有患抑郁症的风险,3.4%有患焦虑症的风险。6.7%患有PTSD。ptsd -s分量表得分与ptsd -短分量表得分呈正相关。根据线性回归模型,PTSD与工作、受教育程度呈负相关,与焦虑、抑郁呈正相关。焦虑和抑郁只与创伤后应激障碍有关。癫痫儿童的父母有患创伤后应激障碍、抑郁和焦虑的风险。临床医生需要在早期阶段识别有风险的父母,并制定具体的以援助为导向的干预计划,以提供系统的支持。
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Post-traumatic stress disorder and related psychopathology in parents of children with epilepsy
Mental difficulties and psychiatric illnesses are common in families of children with epilepsy. The aim of this study is to investigate the prevalence and possible risk factors of post-traumatic stress disorder, depression, and anxiety in a sample of parents of children with epilepsy. Parents of children with epilepsy who presented to Turgut Ozal Medical Center Pediatric Neurology Outpatient Treatment Unit between January and March 2023 were invited to this cross-sectional study. Participants filled out a questionnaire examining demographic variables. Depression and anxiety levels were evaluated with the Hospital Anxiety and Depression Scale (HAD-S), and post-traumatic stress levels were evaluated with the Post-Traumatic Stress Disorder short scale (PTSD-short scale). A total of 89 parents, including 47 mothers, and 42 fathers, participated in the study. Of the study participants, 10.11% were at risk for depression and 3.4% for anxiety disorder. 6.7% had PTSD. There was a positive correlation between HAD-S subscale scores and PTSD-short scale scores. According to the linear regression model, PTSD was negatively correlated with having a job and education level, and positively correlated with anxiety and depression. Anxiety and depression were only associated with PTSD. Parents of epileptic children are at risk for PTSD, depression, and anxiety. Clinicians need to identify at-risk parents at an early stage and develop specific assist-oriented intervention programs to provide systematic support.
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