患有癌症儿童的家长在心理健康护理的利用情况
Xin Hu1, Scott D Grosse2, Xuesong Han3
1Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville.
JAMA network open
|April 2, 2024
概括
患有癌症的孩子的父母比没有癌症的孩子的父母更经常使用心理健康 (MH) 服务. 这凸显了针对面临儿童癌症的家庭提供有针对性的支持的需要.
科学领域:
- 在瘤学瘤学.
- 儿科瘤学 儿科瘤学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 照顾一个被诊断患有癌症的孩子显著影响父母的心理健康.
- 了解这些家长如何使用心理健康服务对于及时支持至关重要.
研究的目的:
- 为了比较患有癌症和没有癌症儿童的父母之间的心理健康 (MH) 服务利用率.
- 在照顾癌症儿童的家长中确定特定的MH需求.
主要方法:
- 从2010年至2018年使用全国性商业索赔数据 (Merative MarketScan) 进行横截面研究.
- 包括有儿童 (≤21岁) 被诊断患有癌症的持续保险家庭与匹配的对照组.
- 从诊断前18个月到诊断后12个月评估了与MH相关的访问;使用了调整后的后勤回归.
主要成果:
- 患有癌症儿童的家长表现出与焦虑相关 (10.6%对7.0%),抑郁相关 (8.4%对6.1%) 和任何与MH相关的访问 (18.1%对13.3%) 的可能性更高.
- 与对照组相比,调整后的分析显示,与对照组相比,父母使用MH护理 (焦虑,抑郁,任何MH访问) 的可能性显著增加.
- 母婴服务利用的差异在母亲群体中比父亲群体更为明显.
结论:
- 患有癌症儿童的私人保险父母更有可能使用心理健康护理.
- 这些发现强调了干预和有针对性的咨询的必要性,以解决这些父母的心理健康需求.
- 支持系统对于父母和照顾者在应对儿童癌症的挑战时至关重要.
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