Prospective study of posttraumatic stress disorder in parents of children with newly diagnosed type 1 diabetes
Prospective study of posttraumatic stress disorder in parents of children with newly diagnosed type 1 diabetes
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DOI：
10.1097/01.chi.0000161645.98022.35
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发表时间：
2005-07-01
影响因子：
13.3
通讯作者：
Sennhauser, FH
中科院分区：
文献类型：
--
作者：
Landolt, MA;Vollrath, M;Sennhauser, FH
目的：确定新诊断 1 型糖尿病儿童的母亲和父亲中创伤后应激障碍 (PTSD) 的患病率、病程和预测因素。方法：对 52 名新诊断糖尿病（年龄 6.5-15 岁）儿童（应答率 65%）的 49 名母亲和 48 名父亲在诊断后 6 周、6 个月和 12 个月时使用创伤后诊断量表进行评估。结果：母亲当前 PTSD 的患病率在 6 周时为 22.4%，在 6 个月时为 16.3%，在 12 个月时为 20.4%。在父亲中，PTSD 患病率分别为 14.6%、10.4% 和 8.3%。在所有评估中，母亲们都认可更多的创伤后应激障碍症状。控制人口统计、代谢控制和威胁评估的多变量分析显示，在母亲中，6 个月时的先前生活事件和 PTSD 症状的数量可以预测 12 个月时的 PTSD。对于父亲来说，6 个月时的 PTSD 严重程度是 12 个月时 PTSD 的唯一显着预测因子。结论：结果表明，孩子糖尿病的诊断和治疗对父母构成了创伤事件。研究结果证实了创伤后应激模型对于调查糖尿病对父母心理影响的适用性。
Objective: To determine the prevalence, course, and predictors of posttraumatic stress disorder (PTSD) in mothers and fathers of children with newly diagnosed type 1 diabetes. Method: Forty-nine mothers and 48 fathers of 52 children (response rate 65%) with newly diagnosed diabetes (age 6.5-15 years) were assessed at 6 weeks, 6 months, and 12 months after the diagnosis with the Posttraumatic Diagnostic Scale. Results: The prevalence of current PTSD in mothers was 22.4% at 6 weeks, 16.3% at 6 months, and 20.4% at 12 months. In fathers, PTSD was found in 14.6%, 10.4%, and 8.3%, respectively. Mothers endorsed more symptoms of PTSD at all assessments. Multivariate analyses controlling for demographics, metabolic control, and threat appraisals revealed that in mothers, the number of preceding life events and PTSD symptoms at 6 months predicted PTSD at 12 months. In fathers, PTSD severity at 6 months was the only significant predictor for PTSD at 12 months. Conclusions: The results suggest that the diagnosis and treatment of diabetes in their child constitute traumatic events for parents. The findings confirm the applicability of a posttraumatic stress model for investigating the psychological impact of diabetes on parents.