Depression, anxiety and quality of life in parents of children with epilepsy

Depression, anxiety and quality of life in parents of children with epilepsy
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DOI:
10.1111/j.1600-0404.2009.01184.x
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发表时间:
2009-11-01
影响因子:
3.5
通讯作者:
Liu, H.
Liu, H.
中科院分区:
医学3区
文献类型:
--
作者:
Lv, R.;Wu, L.;Liu, H.

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0 bjectives-为了评估儿童癫痫对父母的生活质量(QOL)和心理健康的影响,并探讨父母的生活质量和背景变量以及父母的焦虑和抑郁症之间可能存在的相关性。主题和方法-父母有一个癫痫儿童(n = 263)和父母有一个健康的孩子(n = 270)被招募。各组在背景变量方面保持平衡。对所有家长进行简明健康调查问卷(SF-36)、Zung抑郁量表(ZDS)和Zung焦虑量表(ZAS)。患者分为首次就诊组(新诊断癫痫)和随访组。结果-癫痫儿童的父母在SF-36中的所有分量表中的QOL评分均显著低于ZDS和ZAS,抑郁和焦虑水平较高。与父母生活质量相关的因素有癫痫控制、就诊情况、焦虑、抑郁、就业、癫痫治疗费用、癫痫持续状态、药物副作用和父母年龄。结论儿童癫痫对父母生活质量和心理健康有严重影响,认识父母生活质量与背景变量之间可能存在的相关性将有助于提高父母生活质量。
0bjectives -To assess the impact of childhood epilepsy on parental quality of life (QOL) and psychological health, and to investigate possible correlations between parental QOL and background variables as well as parental anxiety and depression.Subjects and methods -Parents having an epileptic child (n = 263) and parents having a healthy child (n = 270) were enrolled. Groups were in balance for background variables. Short-Form Health Survey (SF-36) Questionnaire, Zung Depression Scale (ZDS) and Zung Anxiety Scale (ZAS) were applied to all parents. Patients were divided into the first visit group (newly diagnosed epilepsy) and follow-up visit group.Results -The parents of children with epilepsy had significantly lower QOL scores in SF-36 for all subscales and higher levels of depression and anxiety by using ZDS and ZAS. The factors correlated with parental QOL were seizure control, visit status, anxiety, depression, employment, cost of epilepsy, status epilepticus, drug side effect and age of parents.Conclusions -Childhood epilepsy has a severe impact on parental QOL and psychological health, and recognition of possible correlations between parental QOL and background variables will be helpful to improve parental QOL.