A Comparative Study Of Life Quality And Mental Health Status Of Parents With Psychiatric Children Or Juveniles

[OBJECTIVE] To investigate the life quality, satisfaction and the the mental health status related factors of the parents of the hospitalized children or juveniles with mental disorder. To explore the related factors of the life quality, satisfaction and the the mental health status related factors of the parents of the hospitalized children or juveniles with mental disorder.[METHODS] The group of mental disorder were 162 parents of child or juvenile patients that hospitalized in Shandong Mental Health Centre. The group of body disease were 158 parents of the children or juveniles under 18 years old that hospitalized in pediatrics of Jinan Centre Hospital. The control group were 166 parents of healthy children or juveniles, who had the similar age, residence, family and financial conditions with the study groups. Among the parents and families of the three groups, no significant difference was found in age, profession, income, and residence condition of the family (P > 0.05). All of the parents were evaluated with a basic family information questionnaire, Word Health Organization Quality of Life—100 (WHOQOL-100), Symptom Checklist 90 (SCL-90), Self-Rating Depression Scale (SDS), Self-Rating Depression Scale (SAS), Life Satisfaction Index A (LSIA), Social Support Rating Scale (SSRS). The parents of two study groups also filled in a form about some related factors of the disease of their children. Then we input the information to computer and disposed it with statistical software of SPSS13.0.[RESULTS] 1 Comparison of life quality and satisfaction of the three group parents and analysis of the related factors:Many domain and facet scores of WHOQOL—100 of the two study groups were significantly lower than the control group (P < 0.05). Including: positive feeling and negative feeling of psychology domain; source of income and participation of recreational activities of environment domain; and general state of health and quality of life. In some domains and facets, the scores of parents of children or juveniles with mental disorder were significantly lower than the other two groups (P < 0.05), such as physical domain, thinking and esteem of psychology domain, dependence on medicine of independence domain, social relation domain, medical service and the chance of learning of environment domain, spirit domain.Among the three groups, the LSIA total scores of parents of healthy children or juveniles were the highest and adversely, the parents with mental disorder children were the lowest. The difference among the three groups was significant (P < 0.05).The correlation analysis showed that the life quality and satisfaction of parents was positively related to their expectation for the condition of the patients, their understanding of the disease, the moral or financial support they got, their endurance of treatment expense, the attitude and explanation of the doctors and nurses, and the mental health status of the parents (P < 0.05), but negatively related to their worry about the children and their disgraceful feeling for the disease (P < 0.05).In WHOQOL—100, the influencial factors of intervention effect on physical domain included: the standard scores of SDS, the total scores of SCL—90, the attitude of the doctors and nurses, educational background of the parents. The influencial factors of intervention effect on psychology domain were: their worry about the children, their endurance of treatment expense, the total scores of SSRS, course of the disease, explanation about the disease of the doctors and nurses, the standard scores of SAS and SDS and the total scores of SCL—90. The influencial factors of intervention effect on independent domain were: the age of parents, the SSRS objective support scores, the standard scores of SDS and the financial support. The influencial factors of intervention effect on social relation domain included: the financial support they got, educational background of the parents, the total scores of SCL—90 and the SSRS subjective support scores. The influencial factors of intervention effect on environment domain were: the financial support, the total scores of SCL—90, the SSRS subjective support scores and their understanding of the disease. The influencial factors of intervention effect on spirit domain included: residence condition of the parents, their worry about the children, the financial support, and the course of the disease.2 Comparison of social support situation of the three groups:The SSRS total scores of the two study groups were significantly lower than the control group (P < 0.05). The SSRS objective support scores and the support utilization of the parents with mental disorder children were the lowest in the three groups and the difference is significant (P < 0.05).3 Comparison of mental health status of the three group parents and analysis of the influencing factors:The standard scores of SAS, SDS and the total scores and the positive symptom distress level of SCL—90 in the two study groups were significantly higher than the normal control group (P < 0.05). The difference in SCL—90 factor scores of somatization, depression and anxiety between the study and control groups was also significant (P < 0.05). Moreover, the SCL—90 factor scores of anxiety, hostility, photic anxiety and obsessive of mental disease group were significantly higher than the other two groups (P < 0.05).The correlation analysis showed that the mental health status of parents was positively related to their educational background, the expectation and understanding of the disease, the social support they got and the attitude of the doctors and nurses (P < 0.05), but negatively related to their age, introversive character, the disgraceful feeling for the disease, their expectation, concern, worry about the patients and the times of hospitalization of their children (P < 0.05).In SCL—90, the influencial factors of intervention effect on total scores included: their expectation for the condition of the patients and disgraceful feeling for the disease. In SAS, the influencial factors of intervention effect on standard scores included: the understanding of the disease of the parents, their disgraceful feeling for the disease, and the expectation for the condition of their children. In SDS, the influencial factors of intervention effect on standard scores were: their understanding and expectation of the disease, their disgraceful feeling and the times of hospitalization of their children.[CONCLUSION]1 Many domains of life quality and life satisfaction descended obviously for parents with mental disorder children.The main related factors include: the worry of the parents, the expectation and understanding about the disease, their disgraceful feeling, the social support they got, the endurance of treatment expense, the attitude and explanation of the doctors and nurses and the mental health status of themselves.2 For parents of children with mental disease, the objective support and support utilization are significantly lower than the other two groups.3 The mental health status of parents of children with mental disorder is significantly poorer than the normal group, and it is more evident in anxiety, depression, hostility and photic anxiety.The influencing factors of mental health status of parents are: age, educational background, character, the hope, concern, and worry about their children, the expectation and understanding about the disease, the social support they got, their disgraceful feeling, the times of hospitalization, and the attitude of the doctors and nurses.