Depression among parents of children and adolescents psychiatric patients at Songkhla hospital
Objective : To determine the prevalence and associated factors of depression among parents of children and adolescents psychiatric patients at Songkhla hospital.
Method : A cross-sectional descriptive study was conducted in 136 patients with psychopathology aged 2-18 years old and their parents who attended child and adolescent psychiatry outpatient clinic at Songkhla hospital during 15 February-15 March 2020. Demographic of parents and their children together with illness history were collected. Thai version of Patient Health Questionnaire (PHQ-9) was used to assess the prevalence of depression in parents.
Result : 24 of 136 parents (17.6%) of children and adolescents psychiatric patients had depression. Most of the parents were female (N=131, 96.3%) with the mean age of 40.7 years, and most of them were mother of the patients (88.2%). The mean age of the patients was 10.4 years. Logistic regression analyses indicated that the statistically significant risk factors associated with depression in parents are: intellectual disability in patients (adjusted OR = 5.54, p = 0.005), and borderline to dull normal IQ in patients (adjusted OR = 5.91, p = 0.015).
Conclusion : The prevalence of depression among parents of children and adolescents psychiatric patients was 17.6%, and associated factors were intellectual disability and borderline to dull normal IQ in patients.
Keywords : depression, parents, child and adolescent psychiatric patients, associated factors
2. Depression [internet]. 2013 [cited 2013 November 18]. Available from: http://www.who.int/topics/depression/en/.
3. Angela P, Christiane O, Fionna K, Silke W, Claus B, Heike H, et al. Trajectories of Mental Health Problems in Children of Parents With Mental Health Problems: Results of the BELLA Study. Eur Child Adolesc Psychiatry. 2018; 27:867-876.
4. Daniel C, Michael F, Rebecca G, Kirsten J Hancock. Longitudinal Trajectories of Mental Health in Australian Children Aged 4-5 to 14-15 Years. [Internet]. [cited 2020 Jan 20]. Available from: https://doi.org/10.1371/journal.pone.0187974.
5. Wesseldijk LW, Dieleman GC, Steensel FJ, Bartels M, Hudziak JJ, Lindauer RJ, et al. Risk factors for parental psychopathology: a study in families with children or adolescents with psychopathology. Eur Child Adolesc Psychiatry. 2018; 27:1575–1584.
6. Bawalsah J. Levels of depression in parents of children with attention deficit hyperactivity disorder in Jordan. Int’l. J. Adult Non form. Educ. 2014; 2: 031-042.
7. Nandkisor KT, Brajesh KM, Chandra SS, Rashmi S. Prevalence of psychiatric morbidity among parents of children with intellectual disability. Ind Psychiatry J. 2018; 27: 197–200.
8. Lotrakul M, Sumrithe S, Saipanish R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry. 2008; 8: 46.
9. สถาบันวิจัยระบบสาธารณสุข. การสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกาย ครั้งที่ 5 พ.ศ. 2557 [อินเทอร์เน็ต]. 2560 [เข้าถึงเมื่อ 19 พฤษภาคม 2563]. เข้าถึงได้จาก: https://www.hsri.or.th/researcher/research/new-release/detail/7711.
10. Supap C. Prevalence of depression and social support in mothers of children with autism aged 3 -10 years at outpatient department, Rajanukul Institute [dissertation]. Chulalongkorn University; 2009.
Copyright (c) 2021 Journal of the Psychiatric Association of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.