摘要
目的探讨癫痫患儿父母焦虑、抑郁发生现状及相关因素。方法 75例癫痫患儿父母,同期76例体检健康儿童父母,记录癫痫患儿发病年龄、病程、癫痫发作频率;比较患儿父母及体检健康儿童父母文化程度、家庭月收入等,以及汉密尔顿焦虑量表(Hamilton Anxiety Scale, HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale, HAMD)评分;Spearman相关法分析癫痫患儿父母HAMA、HAMD评分与患儿发病年龄、癫痫发作频率、病程以及父母文化程度、家庭月收入的相关性。结果癫痫患儿母亲HAMA评分[(17.09±5.56)分]、HAMD评分[(11.37±5.45)分]高于癫痫患儿父亲[(13.44±3.90)、(7.15±3.38)分]、体检健康儿童父亲[(7.47±1.13)、(2.70±1.96)分]、体检健康儿童母亲[(7.25±0.43)、(2.24±1.64)分](P<0.05),且癫痫患儿父亲高于体检健康儿童父、母亲(P<0.05),体检健康儿童父、母亲比较差异无统计学意义(P>0.05)。癫痫患儿母亲焦虑、抑郁发生率(65.3%、69.3%)高于癫痫患儿父亲(40.0%、44.0%)、体检健康儿童父亲(5.3%、7.9%)、体检健康儿童母亲(6.6%、2.6%)(P<0.05),且癫痫患儿父亲高于体检健康儿童父、母亲(P<0.05),体检健康儿童父、母亲比较差异无统计学意义(P>0.05)。Spearman相关分析结果显示,癫痫患儿父亲HAMD、HAMA评分与患儿癫痫发作频率(r=0.553,P<0.001;r=0.745,P<0.001)、病程(r=0.467,P<0.001;r=0.572,P<0.001)呈正相关,与患儿发病年龄、父母文化程度、家庭月收入无线性相关;癫痫患儿母亲HAMD、HAMA评分与患儿癫痫发作频率(r=0.843,P<0.001;r=0.766,P<0.001)、病程(r=0.598,P<0.001;r=0.703,P<0.001)呈正相关,HAMA评分与文化程度(r=-0.257,P=0.026)呈负相关,癫痫患儿母亲HAMD、HAMA评分与患儿发病年龄、家庭月收入无线性相关。结论癫痫患儿父母焦虑、抑郁发生率较高,且患儿母亲焦虑、抑郁程度较患儿父亲严重,其发生主要与患儿癫痫发作频率、病程有关。
Objective To investigate the occurrence and related factors of anxiety and depression in the parents of epileptic children. Methods The parents of 75 epileptic children and 76 healthy children were studied. The age of seizure, course of epilepsy and frequency of seizure were recorded in epileptic children, and the education level, monthly income, Hamilton Anxiety Scale(HAMA) score and Hamilton Depression Scale(HAMD) score of the parents of epileptic children and healthy children were compared. Spearman correlation method was used to analyze the correlations of HAMA and HAMD scores of the parents of epileptic children with the age of seizure, frequency of seizures and disease course of epileptic children as well as the education level and monthly income of their parents. Results The HAMA and HAMD scores were higher in the mothers of epileptic children(17.09±5.56, 11.37±5.45) than those in the fathers of epileptic children(13.44±3.90, 7.15±3.38), the fathers of healthy children(7.47±1.13, 2.70±1.96) and the mothers of healthy children(7.25±0.43, 2.24±1.64)(P<0.05), and higher in the fathers of epileptic children than those in the fathers and mothers of healthy children(P<0.05), while they showed no significant differences between the fathers and mothers of the healthy children(P>0.05). The incidences of anxiety and depression were higher in the mothers of epileptic children(65.3%, 69.3%) than those in the fathers of epileptic children(40.0%, 44.0%), the fathers of healthy children(5.3%, 7.9%) and the mothers of healthy children(6.6%, 2.6%)(P<0.05), and in the fathers of epileptic children than those of the fathers and mothers of healthy children(P<0.05), while they showed no significant differences between the fathers and mothers of healthy children(P>0.05). Spearman correlation analysis results showed that the HAMD and HAMA scores of the fathers of epileptic children were positively correlated with the incidence frequency(r=0.553, P<0.001;r=0.745, P<0.001) and the disease course(r=0.467, P<0.001;r=0.572, P<0.001) of the epileptic children, and not linearly correlated with the age of seizures in epileptic children, the education level of the parents or the monthly income of the parents;and the HAMD and HAMA scores of the mothers of epileptic children were positively correlated with the incidence frequency of seizures(r=0.843,P<0.001;r=0.766,P<0.001)and disease course(r=0.598,P<0.001;r=0.703,P<0.001)of the epileptic children,were negatively correlated with educational level of the parents of epileptic children(r=-0.257,P=0.026),and were not linearly correlated with the age of seizures or monthly income.Conclusion The incidences of anxiety and depression are higher in the parents of epileptic children.The degrees of anxiety and depression in the mothers are more severe than those in the fathers of epileptic children.Both anxiety and depression are correlated with the frequency of seizures,course of epilepsy and the education level of the parents.
作者
张存玲
袁学谦
李艳艳
张爱玲
ZHANG Cunling;YUAN Xueqian;LI Yanyan;ZHANG Ailing(Department of Neurology,Zhengzhou People's Hospital,Zhengzhou450003,China)
出处
《中华实用诊断与治疗杂志》
2020年第3期312-314,共3页
Journal of Chinese Practical Diagnosis and Therapy
基金
河南省医学科技攻关计划省部共建项目(2018020826)。
关键词
癫痫
患儿
父母
焦虑
抑郁
epilepsy
children
parents
anxiety
depression
