Construction and validation of a psychological crisis risk prediction model for parents of children with bipolar disorder
10.3760/cma.j.cn115682-20211107-05008
- VernacularTitle:双相情感障碍患儿家长心理危机风险预测模型的构建与验证
- Author:
Yixi DAI
1
;
Wanding YE
;
Chujun LIN
;
Deyu CHEN
Author Information
1. 温州医科大学附属第二医院育英儿童医院普通儿内科，温州 325027
- Keywords:
Child;
Parents;
Bipolar disorder;
Psychological crisis;
Risk prediction
- From:
Chinese Journal of Modern Nursing
2022;28(26):3599-3604
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the psychological crisis status of parents of pediatric bipolar disorder (PBD) patients and establish a risk prediction model, in order to provide a reference for medical workers to screen parents' mental health status early.Methods:This study was a cross-sectional study. Using the convenient sampling method, a total of 478 parents of children with PBD who were treated in the Second Affiliated Hospital of Wenzhou Medical University in Zhejiang Province from January 2020 to May 2021 were selected as the research subjects. They were randomly divided into the modeling group ( n=318) and the validation group ( n=160) in a ratio of 2∶1. Questionnaires were conducted using general information questionnaires and Symptom Self-rating Scale. Univariate analysis and logistic regression were used to analyze the influencing factors of psychological crisis in the modeling group, and H- L test and receiver operating characteristic curve were used to verify the predictive performance of the model. Results:The detection rate of psychological crisis among the parents of 318 children with PBD was 25.7%, of which the detection rate was 26.1% in the modeling group and 25.0% in the validation group. First onset ( OR=2.337, P<0.05) , parental gender ( OR=1.846, P<0.05) , conscious care burden ( OR=3.527, P<0.05) , religious belief ( OR=3.113, P<0.05) and children's age ( OR=1.969, P<0.05) were independent predictors of psychological crisis in parents of children with PBD. Conclusions:Medical workers need to be good at observing the psychological status of parents of children, predict the risk of psychological crisis in parents in advance and timely conduct targeted interventions according to the risk level, so as to improve the psychological adaptability of parents and improve their mental health.
