Ⅰ型糖尿病患儿母亲创伤后应激障碍发病率及影响因素

The Incidence and Risk Factor of Posttraumatic Stress Disorder in Mothers of Children Diagnosed with Type I Diabetes

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 risk factor of post- traumatic stress disorder in mothers of children diagnosed with type I diabetes and to identify related traumatic stressors. Methods：Mothers（ n = 56） of children diagnosed with type 1 diabetes completed the general questionnaire,Stressor interview outline,PTSD Checklist- Civilian version（ PCL- C） and clinician- administered PTSD scale（ CAPS）. The incidence and risk factor and stressor of PTSD were assessed and analyzed according to PTSD diagnostic criteria of DSM- IV. Results： Overall,fewer mothers（ 8. 03%） met criteria for PTSD on CAPS structured clinical interview than those on PCL- C screening（ 14. 29%）. There were uncertain correlation between PTSD symptoms and various parameters as mothers marital status,education,children with gender,duration,treatment,residence. Univariate analysis showed that being diagnosed with diabetes was a major traumatic stressor. Conclusion： There is a higher incidence of PTSD in mothers of children with type 1 diabetes. More attention should be paid to early identification and intervention for PTSD.