Psychiatric symptomatology and disorders in caregivers of children with asthma
Psychiatric symptomatology and disorders in caregivers of children with asthma
复制标题
DOI：
10.1542/peds.2006-1119
复制
发表时间：
2006-12-01
期刊：
影响因子：
8
通讯作者：
Rush, A. John
中科院分区：
文献类型：
--
作者：
Brown, E. Sherwood;Gan, Vanthaya;Rush, A. John
目标。近年来，哮喘患病率和与哮喘相关的死亡率有所上升。数据显示照顾者的精神症状与儿童哮喘相关住院之间存在关联。我们调查了哮喘住院儿童护理人员的精神症状和障碍的患病率及其与哮喘相关服务利用的关系。患者和方法。在儿童住院期间对护理人员（n = 175）进行评估。获得了过去12个月哮喘相关住院、急诊就诊和计划外门诊就诊的数量。简要症状量表（包括躯体、焦虑和抑郁亚量表）和迷你国际神经精神病学访谈（针对精神障碍的结构化临床访谈）对患者进行了评估。护理人员平均年龄为34.2±7.3岁；96.0%为女性；15.4%为白人，57.7%为黑人，26.3%为西班牙裔。共有47.9%的人年收入低于25,000美元。在过去12个月内，2个或更多简短症状量表临床显著升高的护理人员比简短症状量表得分较低的护理人员报告了更多的哮喘相关儿童住院治疗。哮喘相关住院与简要症状量表总分、躯体、焦虑和抑郁分量表得分相关。护理人员诊断的焦虑症（n = 36）与儿童中更多的哮喘相关住院有关。照顾者患有抑郁症的儿童（n = 44）比照顾者无抑郁症的儿童有更多的未安排的门诊就诊。精神疾病诊断和统计手册，第四版定义的精神疾病，特别是抑郁症，在护理人员中很常见，并且与儿童哮喘相关住院的频率更高有关。
OBJECTIVE. The prevalence of asthma and asthma-related mortality has increased in recent years. Data suggest an association between psychiatric symptoms in the caregiver and asthma-related hospitalizations in the child. We examined the prevalence of psychiatric symptoms and disorders and their relationship to asthma-related service utilization in caregivers of children hospitalized for asthma.PATIENTS AND METHODS. Caregivers (n = 175) were assessed during the child's hospitalization. The number of asthma-related hospitalizations, emergency department visits, and unscheduled clinic visits in the past 12 months was obtained. The Brief Symptom Inventory, an assessment of psychiatric symptoms including somatic, anxiety, and depression subscales, and the Mini International Neuropsychiatric Interview, a structured clinical interview for psychiatric disorders, were administered.RESULTS. Mean age of the caregivers was 34.2 +/- 7.3 years; 96.0% were women; 15.4% were white, 57.7% were black, and 26.3% were Hispanic. A total of 47.9% had incomes less than $25 000/year. Caregivers with clinically significant elevations in 2 or more Brief Symptom Inventory subscales reported more asthma-related child hospitalizations in the past 12 months than did caregivers with lower Brief Symptom Inventory scores. Asthma-related hospitalizations correlated with Brief Symptom Inventory total, somatic, anxiety, and depression subscale scores. Caregiver diagnosis of an anxiety disorder (n = 36) was associated with more asthma-related hospitalizations in the child. Children of caregivers with current depression (n = 44) had more unscheduled clinic visits than children of caregivers without depression.CONCLUSION. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-defined psychiatric disorders, particularly depressive disorders, were common in caregivers and associated with a greater frequency of asthma-related hospitalizations in the child.