Abstract

Objective

To assess the Common Sense Model among parents of children with neurological disorders, by determining the prevalence of symptoms of anxiety and depression, and how illness perceptions relate to symptoms of anxiety and depression both directly, and indirectly via coping.

Design

205 parents of children with neurological disorders in Hyderabad, India completed questionnaires.

Main Outcome Measures

Hospital Anxiety and Depression Scale, Brief Illness Perception Questionnaire and Coping Health Inventory for Parents. We used multiple regressions and PROCESS for SPSS to assess direct and indirect relationships.

Results

Mild to severe symptoms of anxiety (41.0%) and depression (39.5%) were common. Symptoms of anxiety and/or depression were related to perceived treatment control over the illness, perceived understanding of the illness, perceived personal control over the illness (anxiety only), and perceived timeline of the illness (depression only). The coping strategy ‘maintaining social support’ mediated the relationship between symptoms of depression and four illness perceptions: perceived consequences (95%CI=.03,-.21), timeline (95%CI=.01,-.25), perceived personal control (95%CI=.02-.24), and treatment control (95%CI=.01-.34).

Conclusion

Our findings have implications for education interventions to improve community attitudes of child neurological disorders. Such interventions may allow families’ social networks to provide more support to parents, which could aid parents’ coping strategies.

中文翻译：

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神经系统疾病儿童父母的心理结果、应对和疾病认知

摘要

客观的

通过确定焦虑和抑郁症状的普遍性，以及疾病感知与焦虑和抑郁症状之间的直接关系和通过应对间接关系，评估患有神经系统疾病儿童父母的常识模型。

设计

印度海得拉巴的 205 名患有神经系统疾病的儿童的父母完成了问卷调查。

主要观察指标

医院焦虑和抑郁量表、简短的疾病感知问卷和父母应对健康清单。我们使用 SPSS 的多元回归和 PROCESS 来评估直接和间接关系。

结果

轻度至重度焦虑（41.0%）和抑郁（39.5%）症状很常见。焦虑和/或抑郁的症状与对疾病的感知治疗控制、对疾病的感知理解、对疾病的感知个人控制（仅限焦虑）和感知的疾病时间表（仅限抑郁）有关。“维持社会支持”应对策略介导了抑郁症状与四种疾病感知之间的关系：感知后果 (95%CI=.03,-.21)、时间线 (95%CI=.01,-.25)、感知个人控制 (95%CI=.02-.24) 和治疗控制 (95%CI=.01-.34)。

结论

我们的研究结果对改善社区对儿童神经系统疾病态度的教育干预具有重要意义。这样的干预可以让家庭的社交网络为父母提供更多的支持，这有助于父母的应对策略。