Parental Distress in Pediatric Inflammatory Bowel Diseases: Associations With Time From Diagnosis, Disease Activity, and Demographic Factors.
Parental Distress in Pediatric Inflammatory Bowel Diseases: Associations With Time From Diagnosis, Disease Activity, and Demographic Factors.
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DOI：
10.1093/crocol/otac019
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发表时间：
2022-04
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有有限的研究检查照顾者痛苦时，提高儿童炎症性肠病（IBD）。本研究的目的是调查IBD患儿父母的痛苦症状（焦虑、抑郁和创伤后应激障碍[PTSD]）的发生率，以及与疾病严重程度、诊断时间和人口统计学因素的相关性。我们对诊断为IBD的儿童（2-17岁）的父母进行了一项横断面研究。有2个队列：（1）最近诊断的队列（诊断后<6个月）;（2）确诊队列（诊断后>1年）。父母完成了焦虑，抑郁和创伤后应激障碍的测量，而儿童则完成了对IBD症状的调查。最近诊断队列中的52名父母和已确定诊断队列中的103名父母完成了调查。对于整个队列的父母，我们发现所有痛苦措施的平均得分都在正常范围内，分别有20%，13%和8%的父母报告中度至重度焦虑，抑郁和创伤后应激障碍症状。焦虑和抑郁症状与诊断时间无显著相关性;焦虑和创伤后应激障碍症状与患者IBD临床活动显著相关。患有IBD的孩子的父母即使在孩子被诊断后不久也能很好地适应痛苦。尽管有相当大的弹性，常规简短的照顾者筛查焦虑症状，在每年的访问似乎是合理和可行的。
There are limited studies examining caregiver distress when raising a child with inflammatory bowel disease (IBD). The aim of this study was to investigate the occurrence of symptoms of distress (anxiety, depression, and post-traumatic stress disorder [PTSD]) among parents with children with IBD and associations with disease severity, time from diagnosis, and demographic factors. We conducted a cross-sectional study with parents of children (2–17 years) diagnosed with IBD. There were 2 cohorts: (1) recently diagnosed cohort (<6 months from diagnosis); (2) established diagnosis cohort (>1 year from diagnosis). Parents completed measures of anxiety, depression, and PTSD, while children completed surveys on the symptoms of their IBD. Fifty-two parents in the recently diagnosed cohort and 103 parents in the established diagnosis cohort completed surveys. For the entire cohort of parents, we found the mean scores on all measures of distress were within the normal ranges with 20%, 13%, and 8% of parents reporting moderate-to-severe symptoms of anxiety, depression, and PTSD, respectively. Symptoms of anxiety and depression were not significantly associated with time from diagnosis; symptoms of anxiety and PTSD were significantly associated with patients’ IBD clinical activity. Parents with children with IBD are remarkably resilient to distress even soon after their child’s diagnosis. Despite considerable resilience, routine brief caregiver screening for symptoms of anxiety during annual visits seems reasonable and feasible.