期刊名称：Journal of Indian Association for Child and Adolescent Mental Health
电子版ISSN：0973-1342
出版年度：2018
卷号：14
期号：4
页码：15-37
出版社：Indian Association for Child and Adolescent Mental Health
摘要：Background: Conduct Disorder (CD) is a common childhood psychiatric illness with lasting repercussions on child's and parents' behavioural and emotional well-being. While there are studies exploring the impact of parental psychiatric disorders on evolution of CD in children, the reverse is less well researched. The current study aims to compare stress, anxiety and work- impairment in parents of children with CD. Methods: This cross-sectional study was carried out in the department of psychiatry in a tertiary care-centre in Delhi. Thirty-two parent-dyads of CD children were assessed using Parental Stress Scale (PSS), Hamilton Anxiety Rating Scale (HAMA) and Work and Social Adjustment Scale (WSAS) after taking informed consent. Descriptive statistics & chi-square contingency test were applied using SPSS version 20. Results: Mean age of patients was 15 years. Mean duration of illness was 4 years. Mothers' stress, anxiety, and social adjustment scores were significantly higher (PSS=63±16 HAMA=19±7 WSAS=22±8) as compared to those of fathers (PSS=53±14 HAMA=11±6 WSAS=14±7). Severity of illness correlated positively with paternal stress, maternal stress, maternal anxiety and maternal work-impairment. Stress scores for both parents increased and significantly differed between mild-moderate, moderate-severe and mild-severe illness groups. Anxiety and work-impairment scores increased and significantly differed between mild-severe and moderate-severe illness groups. Duration of illness was negatively correlated with education of mother and head of family. Birth order was negatively correlated with stress and work-impairment of both parents. Conclusion: Mothers seemed to bear the major brunt of illness. All parameters were closely associated with each other in the index parent and were influenced by their presence in the other parent.
关键词：Conduct disorder; parents; stress; anxiety; work impairment
