Evaluation of anxiety, depression, and sleep quality among parents of children with epilepsy in Southern China
Evaluation of anxiety, depression, and sleep quality among parents of children with epilepsy in Southern China
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南方地区癫痫儿童家长焦虑、抑郁及睡眠质量评价
DOI：
10.1016/j.yebeh.2020.107340
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发表时间：
2020-11-01
影响因子：
2.6
通讯作者：
Feng, Li
中科院分区：
文献类型：
--
作者：
Yang, Haojun;Feng, Yanyan;Feng, Li
目的：本研究的目的是评估中国南方癫痫儿童（CWE）父母的睡眠质量以及他们的焦虑和抑郁症状。结构式问卷，包括状态-特质焦虑量表（STAI）、流行病学研究中心抑郁量表（CES-D）和匹兹堡睡眠质量指数（PSQI），2019- 2020年对湘雅医院234例CWE患儿家长和230例健康儿童家长进行了问卷调查。评分CWE父母的状态焦虑量表（S-AI）和特质焦虑量表（T-AI）的平均值（± SD）分别为51.850 ± 11380和48.201 ± 9.526，分别为37.172 ± 8.047和37.478 ± 7314，均显著高于对照组（P < 0.001）。CWE患儿父母有抑郁症状的比例为23.51%，与健康儿童父母的10.84%相比有显著性差异（P < 0.001）。CWE患儿父母PSQI总分（6.944 = 3.814）显著高于健康儿童父母（5.039 = 3390）（P < 0.001）。此外，癫痫患儿父母的焦虑和抑郁分项得分显著高于其他组。T-AI和CES-D可以解释PSQI的43.9%（R2 = 0.444，F= 92215，p < 0.001）。结论：CWE患儿父母的焦虑、抑郁症状更严重，睡眠质量更差，尤其是在婴儿组。鉴于这些信息，应更多地关注作为CWE主要照顾者的易感父母的焦虑和抑郁症状的早期识别和干预。(C)2020爱思唯尔公司All rights reserved.
Purpose: The purpose of the study was to evaluate sleep quality in the parents of children with epilepsy (CWE) as well as their symptoms of anxiety and depression in Southern China.Method: A structured questionnaire, comprised of The State-Trait Anxiety Inventory (STAI), Center for Epidemiologic Studies Depression Scale (CES-D), and the Pittsburgh Sleep Quality Index (PSQI), was administered to parents of CWE (n = 234) in Xiangya Hospital and parents of healthy children (n = 230) during 2019-2020.Results: The scores (Mean +/- SD) of State Anxiety Inventory (S-AI) and Trait Anxiety Inventory (T-AI) among parents of CWE were 51.850 +/- 11380 and 48.201 +/- 9.526, respectively, which were significantly higher than those of control group (37.172 +/- 8.047 and 37.478 +/- 7314, respectively) (p < 0.001). Compared with 10.84% in parents of healthy children, 23.51% of parents of CWE had symptoms of depression (p < 0.001). The mean score of total PSQI among parents of CWE (6.944 = 3.814) was statistically higher than that of parents of healthy children (5.039 = 3390) (p < 0.001). Moreover, anxiety and depression subscores among parents of infants with epilepsy were significantly higher than in other groups. The T-AI and CES-D could explain 43.9% of the variance (R2 = 0.444, F= 92215, p < 0.001) on the PSQI.Conclusions: Our study showed more severe symptoms of anxiety and depression as well as poorer sleep quality among parents of CWE, especially in the infants group. In light of this information, more attention should be paid to early identification and intervention of symptoms of anxiety and depression in susceptible parents who are the main caregivers of their CWE. (C) 2020 Elsevier Inc. All rights reserved.