Factors predicting distress among caregivers to children with chronic medical conditions
Factors predicting distress among caregivers to children with chronic medical conditions
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DOI：
10.1093/jpepsy/21.5.735
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发表时间：
1996-10-01
影响因子：
3.6
通讯作者：
Kelleher, KJ
中科院分区：
文献类型：
--
作者：
Canning, RD;Harris, ES;Kelleher, KJ
对116名患有慢性疾病的儿童进行调查，探讨了信息提供者的差异，并评估了社会人口因素、儿童健康状况特征和照顾者负担对照顾者心理症状变异性的重要性，发现了重要的信息提供者效应。护理人员报告的负担是一个重要的预测因子，而不是医生报告的负担。疾病的严重程度，无论是由医生还是护理人员评定，几乎没有预测作用，而儿童损伤预测更大的痛苦，独立于社会人口统计学。较低的家庭收入和女婴的性别预测照顾者的痛苦独立于其他变量。即使在收入较高的家庭中，收入最低的家庭报告的痛苦程度也要高得多。在慢性病儿童家庭的研究中，根据信息提供者选择的重要性和社会人口统计学作为主要变量而不是控制变量的使用，讨论了结果。
Explored informant differences and assessed the importance of sociodemographic factors, child health status characteristics, and caregiver burden to variability in psychological symptoms among caregivers to 116 children with chronic medical conditions, important informant effects were found. Caregiver-reported, but not physician-reported, burden was an important predictor. Severity of illness, whether rated by physician or caregiver, had little predictive effect whereas child impairment predicted greater distress, independent of sociodemographics. Lower family income and female child sex predicted caregiver distress independent of other variables. Even among families with higher income, those with the lowest income report much higher distress, Results are discussed in terms of the importance of informant choice and the use of sociodemographics as primary rather than control variables in studies of the families of chronically ill children.