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網膜芽細胞腫の子供を持つ中国人の両親の不安,うつ,病気の進行に対する恐怖
Yilin Yu1, Yiyi Feng1, Yanping Han1
1Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, 200025, P.R. China.
BMC psychiatry
|September 2, 2025
まとめ
網膜芽細胞腫 (RB) の子供の親は,著しい不安,うつ,および疾患進行の恐怖 (FoP) を経験する. 親の精神的健康を支えるための介入は RBの治療中に不可欠です.
科学分野:
- 小児腫瘍学
- 心理医学
- 家族 の 健康
背景:
- 子どもの癌の生存者の親は 深刻な心理的苦痛に直面します
- 中国における網膜芽細胞腫 (RB) の子供の親の精神的健康に関するデータは限られている.
- この研究はRB患者の親の心理的負担を扱っています
研究 の 目的:
- RB の子供を持つ親の不安,うつ,および病気の進行に対する恐怖 (FoP) を評価する.
- 家族の機能の評価をするため
- 親の心理的苦痛と 家族の機能不全に関連する要因を特定する.
主な方法:
- 151人のRB患者と185人の親を対象とした横断的な研究.
- 標準化されたアンケート:ベック・アンキシー・インベントリー (BAI),ベック・デプレッション・インベントリー (BDI),Fear of Progression Questionnaire-Short Form/Parent version (FoP-Q-SF/PR),およびファミリーAPGARインデックスを使用した.
- 関連因子を決定するために,単変数および多変数分析を使用した.
主要な成果:
- 臨床的に重要な不安症 (34%) とうつ病 (41%) の高い罹患率
- 病気の進行 (FoP) に関する重大な機能障害 (68. 1%) と家族の機能障害 (54. 9%) を恐れます.
- 都市居住とうつ病のスコアに関連した不安; 静脈内化学療法 (IVC),腫瘍再発,都市居住,およびBAIスコアに関連したうつ病. IVC,宗教信条,民族,BDIスコアは,FoPの独立リスク要因でした.
結論:
- 不安,うつ, FoP は RB を 持つ 子供 の 親 に 相当 の 負担 を 負わせ て い ます.
- 関連因子には,IVC,診断時の年齢,腫瘍の再発,居住地,両親の教育が含まれます.
- 親の心理的健康を優先し,RBの治療中に介入を提供することが不可欠です.
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