论文部分内容阅读
目的:调查Ⅰ型糖尿病患儿母亲创伤后应激障碍(PTSD)的发生率及影响因素,识别相关的创伤性压力源。方法:采用自制一般情况调查表、压力源访谈提纲、PTSD平民版筛查问卷(PCL-C)、临床用创伤后应激障碍诊断量表(CAPS),对56例已诊断Ⅰ型糖尿病患儿母亲进行调查评估,依据DSM-IV中PTSD的诊断标准调查PTSD发生率并分析影响因素及压力源情况。结果:用PCL-C筛查PTSD症状阳性率14.29%,CAPS诊断PTSD发病率8.93%。单因素分析显示,母亲婚姻情况、教育程度、患儿性别、病程长短、治疗方式、居住地与PTSD症状发生无关,发现孩子诊断为糖尿病是主要创伤性压力源。结论:Ⅰ型糖尿病患儿母亲存在较高的PTSD发病率,需要早期识别和干预。
Objective: To investigate the incidence and influencing factors of maternal PTSD in children with type 1 diabetes and to identify related traumatic stressors. Methods: A total of 56 children with type 1 diabetes who had been diagnosed as type 1 diabetes were enrolled in this study by using self-made general questionnaire, stressor interview outline, PTSD screening test for civilians (PCL-C) and clinical diagnosis of post-traumatic stress disorder (CAPS) The mothers conducted a survey to assess the incidence of PTSD based on the diagnostic criteria for PTSD in DSM-IV and analyzed the influencing factors and stressors. Results: The positive rate of PTSD was 14.29% with PCL-C screening and 8.93% with CAPS. Univariate analysis showed that maternal marital status, educational level, gender, duration of disease, treatment mode, and place of residence were not associated with PTSD. It was found that the diagnosis of diabetes was the major traumatic stressor in children. Conclusion: Mothers with type I diabetes have a high incidence of PTSD and require early identification and intervention.