소아청소년 간질 환자에 대한 부양 부담 관련 요인 : 우울과 관련성 = Factors Affecting Burden of Main Caregivers in Children and Adolescents with Epilepsy : Relation to Depression

다국어 초록 (Multilingual Abstract)

Objectives : The purpose of the study was to evaluate burden and depression of main caregivers in children and adolescents with epilepsy and to identify factors associated with caregiver burden. Methods : Main caregivers of patients with epilepsy were enrolled four university hospitals in several cities of Korea. 124 caregivers of patients were included in this cross sectional study. Sociodemograhic/clinical characteristics of patients and sociodemographic characteristics of caregivers were collected. The caregivers were assessed using the Korean version Zarit burden Interview (ZBI), Center for Epidemiological Studies of Depression Scale (CES-D) and social support/conflict scale. Multiple linear regression methods were used to evaluate factors contributing to burden of caregivers. Results : Of the 124 participants, 98 (81.7%) were the mothers. The mean score on the ZBI and CES-D were 23.66 (±19.15) and 13.87 (±12.95) points, respectively. Factors affecting of caregiver burden were the number of antiepileptic drugs (AEDs) which patients are taking and CES-D score by multiple linear regression analysis. Conclusion : Degree of caregiver burden in epilepsy in our study is overall comparable to other chronic disorders of children where similar instruments were administered in other studies. Higher number of AEDs prescribed and depression of caregivers are main factors contributing to burden of caregivers in children and adolescents with epilepsy.

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