Depression and Its Influencing Factors of Caregivers for Children with Disabilities
10.3969/j.issn.1006-9771.2021.10.006
- VernacularTitle:残疾儿童照护者抑郁状态及影响因素
- Author:
Lei TANG
1
;
Gang CHEN
1
;
Jun LÜ
1
;
Mei SUN
1
;
Cong XIA
1
;
Hong-ying ZHENG
1
;
Xiao-hong LI
1
;
Xiao-qian WANG
1
Author Information
1. School of Public Health, Fudan University, Shanghai 200032, China
- Publication Type:Research Article
- Keywords:
children with disabilities;
caregivers;
depression;
influencing factors
- From:
Chinese Journal of Rehabilitation Theory and Practice
2021;27(10):1159-1166
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the depression status of caregivers of children with disabilities and analyze the influencing factors. Methods:From August to September, 2020, a one-to-one interview was conducted using a convenience sampling method to determine the depression status of 334 caregivers of children with disabilities in Shanghai. Patient Health Questionnaire 9 Item (PHQ-9) was used to evaluate the depression status. The data were analyzed with univariate analysis from three aspects: caregiver, care recipient and environment. Then, the statistically significant variables were included in a dichotomous logistic regression. Results:The depression rate of 334 caregivers of children with disabilities was 35.9%. Among the caregiver factors, female caregivers had a higher risk of depression than male (OR = 2.193, 95%CI 1.131 to 4.254, P = 0.002). Among the care recipient factors, poor sleep quality (OR = 1.942, 5%CI 1.113 to 3.386, P < 0.05), emotional instability (OR = 17.456, 95%CI 2.534 to 120.240, P < 0.05) and types of disability (ORintelligence = 5.401, 95%CI 1.995 to 14.624; ORmental = 3.712, 95%CI 1.615 to 8.530; ORphysical = 2.913, 95%CI 1.330 to 6.379; P < 0.05) were associated with the depression of caregivers. Among the environmental factors, caregivers in rented housing had a higher risk of depression than those in owner-occupied housing (OR = 1.727, 95%CI 1.135 to 2.627, P < 0.05). Conclusion:The depression status of caregivers of children with disabilities is not optimistic, with higher rates of reported depression among female caregivers, caregivers in rented housing; caregivers of children with intellectual, mental and physical disabilities, and poor sleep quality and emotional instability.
