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Cognitive deficiency,parental relationship,and coping strategies are related with anxiety and depression among parents of children with epilepsy

引用

Chronic Diseases and Translational Medicine 2022年第3期8卷 229-237页

作者： Zhengjia Ren Chunsong Yang Dan Yu Department of Clinical Psychology The Third Affliated Hospital of Chongqing Medical UniversityChongqing 401120China Department of Pharmacy Evidence-based Pharmacy CenterWest China Second HospitalSichuan UniversityChengduSichuan 610041China Key Laboratory of Birth Defects and Related Diseases of Women and Children Ministry of EducationSichuan UniversityChengduSichuan 610041China Department of Medical Genetics West China Sichuan 610041China Second HospitalSichuan UniversityChengdu

Background:The diagnosis of epilepsy in a child often and understandably causes psychological adjustment difficulties in the parents.To help parents of children with epilepsy cope with stress,it is important to understand how parents cope with the sickness of their child.The objective of this study was to assess factors related to the state of anxiety and depression among parents of children with epilepsy.Methods:The present study was a cross-sectional study,and the data were collected through an anonymous,Internet-based survey platform between October 2018 and October 2019 from 250 participants aged 22-65 years.Participants were invited to fill questionnaires include socioeconomic questionnaire,anxiety,depression,and coping strategies scale.Result:Among the parents of children with epilepsy,48.8%(122/250)had depressive symptoms(Patient Health Questionnaire-9[PHQ-9]score>4)and 46.4%(116/250)had anxiety symptoms(7-item Generalized Anxiety Disorder[GAD-7]score>5).Depression among parents of children with epilepsy was significantly associated with comorbidity(odds ratio[OR]=0.392,95%CI=0.182-0.846),a poor parental relationship(OR=0.283,95%CI=0.130-0.614),positive coping(OR=0.947,95%CI=0.903-0.992),and negative coping(OR=1.287,95%CI=1.179-1.405).Anxiety among parents of children with epilepsy was significantly associated with a poor parental relationship(OR=0.416,95%CI=0.207-0.835)and negative coping(OR=1.155,95%CI 1.087-1.228).Conclusions:The present study indicates the importance of couple support and providing effective coping to make parents of children with epilepsy more resilient in the presence of negative life events,especially for parents of children with comorbidity with cognitive deficiency.

关键词： combability coping strategies couple relationship epilepsy parents

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