CAJ | 학술논문

目的：调查Ⅰ型糖尿病患儿母亲创伤后应激障碍（ PTSD）的发生率及影响因素，识别相关的创伤性压力源。方法：采用自制一般情况调查表、压力源访谈提纲、PTSD平民版筛查问卷（ PCL－C ）、临床用创伤后应激障碍诊断量表（CAPS），对56例已诊断Ⅰ型糖尿病患儿母亲进行调查评估，依据DSM－IV中PTSD的诊断标准调查PTSD发生率并分析影响因素及压力源情况。结果：用PCL－C筛查PTSD症状阳性率14．29％，CAPS诊断PTSD发病率8．93％。单因素分析显示，母亲婚姻情况、教育程度、患儿性别、病程长短、治疗方式、居住地与PTSD症状发生无关，发现孩子诊断为糖尿病是主要创伤性压力源。结论：Ⅰ型糖尿病患儿母亲存在较高的PTSD发病率，需要早期识别和干预。
목적：조사Ⅰ형당뇨병환인모친창상후응격장애（ PTSD）적발생솔급영향인소，식별상관적창상성압력원。방법：채용자제일반정황조사표、압력원방담제강、PTSD평민판사사문권（ PCL－C ）、림상용창상후응격장애진단량표（CAPS），대56례이진단Ⅰ형당뇨병환인모친진행조사평고，의거DSM－IV중PTSD적진단표준조사PTSD발생솔병분석영향인소급압력원정황。결과：용PCL－C사사PTSD증상양성솔14．29％，CAPS진단PTSD발병솔8．93％。단인소분석현시，모친혼인정황、교육정도、환인성별、병정장단、치료방식、거주지여PTSD증상발생무관，발현해자진단위당뇨병시주요창상성압력원。결론：Ⅰ형당뇨병환인모친존재교고적PTSD발병솔，수요조기식별화간예。
Objective:To investigate the incidence and risk factor of post -traumatic stress disorder in mothers of children diagnosed with type I diabetes and to identify related traumatic stressors .Methods:Mothers ( n=56 ) of children diagnosed with type 1 diabetes completed the general questionnaire ,Stres-sor interview outline ,PTSD Checklist -Civilian version ( PCL-C ) and clinician -administered PTSD scale ( CAPS) .The incidence and risk factor and stressor of PTSD were assessed and analyzed according to PTSD diagnostic criteria of DSM -IV.Results:Overall,fewer mothers (8.03%) met criteria for PTSD on CAPS structured clinical interview than those on PCL -C screening (14.29%).There were uncertain correlation between PTSD symptoms and various parameters as mothers marital status ,education ,children with gender,duration,treatment,residence.Univariate analysis showed that being diagnosed with diabetes was a major traumatic stressor .Conclusion:There is a higher incidence of PTSD in mothers of children with type 1 diabetes.More attention should be paid to early identification and intervention for PTSD .