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[Relationship between depression and resilience among children with nephrotic syndrome]
1The National Medical Center College of Nursing, Jung-Gu, Seoul, Korea. poupon@chollian.net
Insights
Children with nephrotic syndrome who have higher resilience and supportive mothers show lower depression. Interventions should focus on building resilience and improving parent-child relationships for better mental health outcomes.
Area of Science:
- Pediatric Nephrology
- Child Psychology
- Psychosocial Health
Context:
- Nephrotic syndrome is a chronic condition affecting children.
- Mental health challenges, including depression, are prevalent in pediatric chronic illnesses.
- Understanding psychosocial factors is crucial for comprehensive care.
Purpose:
- To examine the association between depression and resilience in children with nephrotic syndrome.
- To identify psychosocial variables linked to depression in this population.
Summary:
- A study of 45 children (aged 10-15) with nephrotic syndrome found significant negative correlations between depression and resilience (r=-0.649) and maternal attitude (r=-0.412).
- Multiple regression analysis indicated that maternal behavior (beta=-0.421) and resilience (beta=-0.639) were significant predictors of lower depression.
- Higher resilience and positive maternal relationships are associated with reduced depressive symptoms in children with nephrotic syndrome.
Impact:
- Findings highlight the importance of fostering resilience in children with nephrotic syndrome.
- Interventions targeting parenting and counseling can support children's mental well-being.
- Emphasizes the need for integrated care addressing both physical and mental health in chronic pediatric conditions.
Purpose:
The purposes of this study were to describe the relationship between depression and resilience and to identify variables associated with depression among children with nephrotic syndrome.
Method:
Data was collected from 45 children who were registered at one hospital in Seoul. The criteria for sample selection were 10 to 15 year-old children who were diagnosed at least 6 month prior. The instruments included a self-reported questionnaire on resilience by Kim, CDI by Beck, and MBRI by Kwak. Descriptive, Pearson correlation and multiple regression analyses were done.
Result:
The mean score of depression was 11.44 (range:0-54) and resilience was 97.47 (range:32-128). There were significant positive relationships between depression and age (r=0.302, p<.005) and academic achievement (r=-0.318, p<.005). In addition, negative relationships between depression and maternal attitude (r=-0.412, p<.001) and resilience (r=-0.649, p<.001) occurred. The results of multiple regression analysis showed that maternal behavior (beta=-0.421, p<.005) and resilience (beta=-0.639, p<.001) were related to depression.
Conclusion:
Children with higher resilience and with an affectionate mother were less depressed. Thus, it is important to identify strengths of children and help them to increase resilience and implement parenting and counseling programs for parents' of these children. Similar studies with children with other chronic illnesses are needed.
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