Background::The diagnosis of epilepsy in a child often and understandably causes psychological adjustment difficulties in the parents. To help parents of children with epilepsy cope with stress, it is important to understand how parents cope with the sickness of their child. The objective of this study was to assess factors related to the state of anxiety and depression among parents of children with epilepsy.Methods::The present study was a cross-sectional study, and the data were collected through an anonymous, Internet-based survey platform between October 2018 and October 2019 from 250 participants aged 22-65 years. Participants were invited to fill questionnaires include socioeconomic questionnaire, anxiety, depression, and coping strategies scale.Result::Among the parents of children with epilepsy, 48.8% (122/250) had depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] score >4) and 46.4% (116/250) had anxiety symptoms (7-item Generalized Anxiety Disorder [GAD-7] score >5). Depression among parents of children with epilepsy was significantly associated with comorbidity (odds ratio [OR] = 0.392, 95% CI = 0.182-0.846), a poor parental relationship (OR = 0.283, 95% CI = 0.130-0.614), positive coping (OR = 0.947, 95% CI = 0.903-0.992), and negative coping (OR = 1.287, 95% CI = 1.179-1.405). Anxiety among parents of children with epilepsy was significantly associated with a poor parental relationship (OR = 0.416, 95% CI = 0.207-0.835) and negative coping (OR = 1.155, 95% CI = 1.087-1.228).Conclusions::The present study indicates the importance of couple support and providing effective coping to make parents of children with epilepsy more resilient in the presence of negative life events, especially for parents of children with comorbidity with cognitive deficiency.

Background::The diagnosis of epilepsy in a child often and understandably causes psychological adjustment difficulties in the parents. To help parents of children with epilepsy cope with stress, it is important to understand how parents cope with the sickness of their child. The objective of this study was to assess factors related to the state of anxiety and depression among parents of children with epilepsy.Methods::The present study was a cross-sectional study, and the data were collected through an anonymous, Internet-based survey platform between October 2018 and October 2019 from 250 participants aged 22-65 years. Participants were invited to fill questionnaires include socioeconomic questionnaire, anxiety, depression, and coping strategies scale.Result::Among the parents of children with epilepsy, 48.8% (122/250) had depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] score >4) and 46.4% (116/250) had anxiety symptoms (7-item Generalized Anxiety Disorder [GAD-7] score >5). Depression among parents of children with epilepsy was significantly associated with comorbidity (odds ratio [OR] = 0.392, 95% CI = 0.182-0.846), a poor parental relationship (OR = 0.283, 95% CI = 0.130-0.614), positive coping (OR = 0.947, 95% CI = 0.903-0.992), and negative coping (OR = 1.287, 95% CI = 1.179-1.405). Anxiety among parents of children with epilepsy was significantly associated with a poor parental relationship (OR = 0.416, 95% CI = 0.207-0.835) and negative coping (OR = 1.155, 95% CI = 1.087-1.228).Conclusions::The present study indicates the importance of couple support and providing effective coping to make parents of children with epilepsy more resilient in the presence of negative life events, especially for parents of children with comorbidity with cognitive deficiency.

Objective:The aim of this article is to explore the effective coping styles of social and psychological adjustment for post-burn patients, and to provide the recommendation for effective coping with the physical and psychosocial recovery of post-burn patients.Methods:The in-depth interview was conducted from 12 burn patients through convenience sampling. Thematic analysis method was used to analyze the data.Results:Effective psychosocial coping styles for the post-burn psychosocial changes include three main core themes: personal resilience, social and professional support, and metallization.Conclusion:We have found that patients′ resilience, effective social support systems, and higher metallization functions are effective ways for post-burn adjustment. Future psychological services and psychosocial rehabilitation need to focus on these aspects to provide patients with comprehensive and systematic psychological rehabilitation services.

objective To investigate the effect of the prognosis of multiple organ dysfunction syndrome(MODs) through APACHE Ⅱ and APACHE Ⅲ.Methods The relations of APACHEⅡ,APACHEⅢ,the occurrence rate and number of organs failure and the dangerous extent and prognosis of MODS are studied between survival group and death group through the review research of 45 cases of MODS.Results APACHE Ⅱ andⅢ,age and genrating rate of failure organS are significant difference between surviral group and death group(P＜0.05)in MODS.The predicting correlation of APACHE Ⅱis not significant difference between number of organs failure and mortality of MODS(P＞O.05),but the predicting correlation of APACHE Ⅲ is significant difference between number of organs failure and mortality of MODS(P＜0.05).Conclusion The study showed APACHEⅢis better than APACHEⅡ on the dangerous extent and prognostic evaluation in MODS.