Predictors of mental health among parents of children with cerebral palsy during the COVID-19 pandemic in Iran: A web-based cross-sectional study.
Predictors of mental health among parents of children with cerebral palsy during the COVID-19 pandemic in Iran: A web-based cross-sectional study.
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DOI：
10.1016/j.ridd.2021.103890
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发表时间：
2021-05
影响因子：
3.1
通讯作者：
Shamili, Aryan
中科院分区：
文献类型：
--
作者：
Farajzadeh, Ata;Dehghanizadeh, Moslem;Maroufizadeh, Saman;Amini, Malek;Shamili, Aryan
照顾脑瘫儿童生活的各个方面可能会影响照顾者的心理健康。COVID-19的出现给护理人员带来了更大的压力。本研究的目的是调查伊朗CP儿童照顾者的心理健康状况以及封锁期间的相关风险。采用在线雪球抽样，160名CP儿童的照顾者参加了这项基于网络的横断面研究。采用医院焦虑和抑郁量表（HADS）、知觉压力量表（PSS-4）、照顾者困难量表（CDS）和人口统计学问卷进行调查。分层多元线性回归分析，以确定相关的照顾者心理健康的危险因素。心理健康问题普遍存在;（抑郁= 45.0%，焦虑= 40.6%）。CDS与HADS-焦虑（r = 0.472，P < 0.001）、HADS-抑郁（r = 0.513，P < 0.001）和COVID-19相关的感知压力（PSS）（r = 0.425，P < 0.001）显著相关。在控制人口统计学和临床变量后，发现负担（CDS）能显著预测照顾者的焦虑、抑郁和压力。此外，一些人口统计学特征（已婚，低教育水平和低收入）显着相关的高HADS焦虑评分。在人口统计学变量中，只有身体问题与抑郁症显著相关。PSS-4与人口统计学变量之间无显著相关性。在COVID-19爆发期间，CP儿童照顾者的心理健康受到照顾负担和人口统计学特征等多重因素的影响。由于残疾儿童照顾者的福祉的重要性，一个全面的计划，包括心理咨询，远程教育，或亲自讲义的自我照顾或处理的儿童和足够的远程支持，可以使这些照顾者更好的心理健康。
Caring for children with cerebral palsy (CP) for many aspects of their lives may affect caregiver’s psychological health. Emergence of COVID-19 put added pressure on caregivers. The aim of this study was to investigate the psychological health of Iranian caregivers of children with CP and associated risks during a lockdown period. Using online snowball sampling, 160 caregivers of children with CP participated in this web-based cross-sectional study. The Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS-4), Caregiver Difficulties Scale (CDS), and a demographic questionnaire were administered. Hierarchical multiple linear regression analysis was applied to identify risk factors related to caregiver psychological health. Mental health problems were prevalent; (depression = 45.0% and anxiety = 40.6%). Significant correlations were found between CDS and HADS-Anxiety (r = 0.472, P < 0.001), HADS-depression (r = 0.513, P < 0.001), and perceived stress (PSS) related to COVID-19 (r = 0.425, P < 0.001). After controlling for demographic and clinical variables, burden (CDS) was found to significantly predict caregiver anxiety, depression and stress. Furthermore, several demographic characteristics (being married, low educational level and low income) were significantly related to high HADS Anxiety scores. For depression, only having a physical problem was significantly related to HADS among demographic variables. No significant correlations were found between PSS-4 and demographic variables. During COVID-19 outbreak, the mental health of caregivers of children with CP is affected by multiple factors such as burden of care and demographic characteristics. Due to the importance of well-being among caregivers of disabled children, a comprehensive plan including psychological consultation, remote education, or in-person handouts for the self-care or handling of the children and adequate distance support may enable better mental health for these caregivers.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.1
作者：
Nobakht, Z.;Rassafiani, M.;Hosseinzadeh, S.
通讯作者：
Hosseinzadeh, S.
影响因子：
5.9
作者：
Baltar, Fabiola;Brunet, Ignasi
通讯作者：
Brunet, Ignasi
影响因子：
1.9
作者：
Farajzadeh, Ata;Maroufizadeh, Saman;Amini, Malek
通讯作者：
Amini, Malek
DOI：
10.1097/mrr.0b013e32832607b6
发表时间：
2009-09-01
影响因子：
1.7
作者：
Unsal-Delialioglu, Sibel;Kaya, Kurtulus;Gorgulu, Gulderen
通讯作者：
Gorgulu, Gulderen