Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey.
Adolescent idiopathic scoliosis (AIS)
Anxiety
Depression
Mental health
Parents
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
14 05 2019
14 05 2019
Historique:
received:
17
10
2018
accepted:
26
04
2019
entrez:
16
5
2019
pubmed:
16
5
2019
medline:
11
3
2020
Statut:
epublish
Résumé
Adolescent idiopathic scoliosis (AIS) is an adolescent onset spinal deformity, which can negatively affect the mental health of these patients. But no studies about their parental mental health have been reported so far. In this study, the parental mental health of AIS patients and the associated risk factors were evaluated by a cross-sectional survey. 64 AIS patients who underwent conservative or surgical treatments in our hospital from April 2017 to March 2018, and their parents were enrolled in the AIS group. 85 parents of healthy children were enrolled in the control group. Depression and anxiety were separately assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Spearman correlation coefficients were first estimated to investigate the relationships among the parental PHQ-9/GAD-7 scores and the patient's PHQ-9/GAD-7 scores in the AIS group. Then, the morbidities of the parental probable major depressive disorder (pMDD, PHQ score ≥ 10) and probable general anxiety disorder (pGAD, GAD-7 score ≥ 10) were compared between the AIS and control groups. Third, the potential risk factors for parental pMDD or pGAD in the AIS group were compared using the chi-squared test or Student's t-test, respectively. Finally, the uneven distributive variates were analyzed using the binary logistic regression model. Both parental depression and anxiety were moderately associated with those of the patients (r = 0.448~0.515, p < 0.01) in the AIS group, respectively. The morbidities of parental pMDD and pGAD in the AIS group were 14.1%, significantly higher than those in the control group (pMDD = 4.7%, p = 0.045; pGAD = 3.5%, p = 0.019). A Cobb angle of the major curve ≥50° (p = 0.034, odds ratio [OR] = 8.264), patients with pMDD (p = 0.018, OR = 17.576), and low education level of the parents (p = 0.026, OR = 0.122) were the risk factors of parental pMDD. Household income < 8000 rmb/month was the risk factor for parental pGAD (p = 0.021). The morbidities of pMDD and pGAD in parents of AIS patients were higher than those in parents of healthy children. Parental depression and anxiety were closely associated with their children's depression and anxiety. Therefore, the parental mental health of AIS patients should be paid attention to, especially for those parents with risk factors.
Sections du résumé
BACKGROUNDS
Adolescent idiopathic scoliosis (AIS) is an adolescent onset spinal deformity, which can negatively affect the mental health of these patients. But no studies about their parental mental health have been reported so far. In this study, the parental mental health of AIS patients and the associated risk factors were evaluated by a cross-sectional survey.
METHODS
64 AIS patients who underwent conservative or surgical treatments in our hospital from April 2017 to March 2018, and their parents were enrolled in the AIS group. 85 parents of healthy children were enrolled in the control group. Depression and anxiety were separately assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Spearman correlation coefficients were first estimated to investigate the relationships among the parental PHQ-9/GAD-7 scores and the patient's PHQ-9/GAD-7 scores in the AIS group. Then, the morbidities of the parental probable major depressive disorder (pMDD, PHQ score ≥ 10) and probable general anxiety disorder (pGAD, GAD-7 score ≥ 10) were compared between the AIS and control groups. Third, the potential risk factors for parental pMDD or pGAD in the AIS group were compared using the chi-squared test or Student's t-test, respectively. Finally, the uneven distributive variates were analyzed using the binary logistic regression model.
RESULTS
Both parental depression and anxiety were moderately associated with those of the patients (r = 0.448~0.515, p < 0.01) in the AIS group, respectively. The morbidities of parental pMDD and pGAD in the AIS group were 14.1%, significantly higher than those in the control group (pMDD = 4.7%, p = 0.045; pGAD = 3.5%, p = 0.019). A Cobb angle of the major curve ≥50° (p = 0.034, odds ratio [OR] = 8.264), patients with pMDD (p = 0.018, OR = 17.576), and low education level of the parents (p = 0.026, OR = 0.122) were the risk factors of parental pMDD. Household income < 8000 rmb/month was the risk factor for parental pGAD (p = 0.021).
CONCLUSIONS
The morbidities of pMDD and pGAD in parents of AIS patients were higher than those in parents of healthy children. Parental depression and anxiety were closely associated with their children's depression and anxiety. Therefore, the parental mental health of AIS patients should be paid attention to, especially for those parents with risk factors.
Identifiants
pubmed: 31088538
doi: 10.1186/s12888-019-2128-1
pii: 10.1186/s12888-019-2128-1
pmc: PMC6515648
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
147Références
Cogn Emot. 2018 Nov;32(7):1391-1400
pubmed: 28608767
Spine (Phila Pa 1976). 2003 Sep 15;28(18):2158-63
pubmed: 14501929
Psychiatr Serv. 2008 Dec;59(12):1383-90
pubmed: 19033164
J Orthop Sci. 2011 Jan;16(1):1-6
pubmed: 21293892
Spine J. 2015 Apr 1;15(4):662-7
pubmed: 25490612
BMC Pediatr. 2004 Jan 14;4:1
pubmed: 14723791
Anxiety Stress Coping. 2010 Jul;23(4):363-81
pubmed: 19890753
Int J Rehabil Res. 2012 Mar;35(1):13-9
pubmed: 22123730
Dtsch Arztebl Int. 2010 Dec;107(49):875-83; quiz 884
pubmed: 21191550
Soc Psychiatry Psychiatr Epidemiol. 2006 Nov;41(11):889-96
pubmed: 16951919
Am J Ment Retard. 1989 Nov;94(3):259-71
pubmed: 2478172
Gen Hosp Psychiatry. 2015 Nov-Dec;37(6):567-76
pubmed: 26195347
Spine (Phila Pa 1976). 2000 Sep 15;25(18):2381-6
pubmed: 10984792
Spine (Phila Pa 1976). 2006 Sep 15;31(20):2367-74
pubmed: 16985466
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Am J Epidemiol. 2003 Jan 15;157(2):98-112
pubmed: 12522017
Eur Child Adolesc Psychiatry. 2018 Dec;27(12):1575-1584
pubmed: 29644474
Appl Nurs Res. 2003 Nov;16(4):228-35
pubmed: 14608556
Psychol Assess. 2015 Dec;27(4):1364-78
pubmed: 25894712
Scoliosis. 2006 Dec 19;1:22
pubmed: 17176483
Eur Spine J. 2018 Feb;27(2):286-292
pubmed: 29052036
Med Care. 2008 Mar;46(3):266-74
pubmed: 18388841
BMC Musculoskelet Disord. 2016 May 23;17:224
pubmed: 27215696
Psychosomatics. 2013 Mar-Apr;54(2):149-57
pubmed: 23194934
Arch Gen Psychiatry. 2011 Apr;68(4):419-27
pubmed: 21464366
Spine (Phila Pa 1976). 2000 Sep 15;25(18):2392-9
pubmed: 10984794
Science. 1992 Feb 21;255(5047):946-52
pubmed: 1546291
Int J Nurs Stud. 2000 Feb;37(1):37-43
pubmed: 10687808
Psychol Bull. 2002 Sep;128(5):746-73
pubmed: 12206193
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Soc Sci Med. 2008 Mar;66(6):1334-45
pubmed: 18234406
Spine (Phila Pa 1976). 2004 Feb 1;29(3):303-10
pubmed: 14752354
Spine (Phila Pa 1976). 2012 Jun 15;37(14):1218-23
pubmed: 22310093