Emotional Distress among the Mothers of Handicapped Multiple Birth Children and Community Health Services

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  • 障害のある多胎児を育てる母親の精神的負担と支援の現状
  • ショウガイ ノ アル タタイジ オ ソダテル ハハオヤ ノ セイシンテキ フタン ト シエン ノ ゲンジョウ

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Abstract

A mailed questionnaire survey was conducted on a population of 983 mothers of multiple birth children to study emotional distress among mothers of the handicapped multiple birth children and the tendency of use of community health services compared with mothers of the non-handicapped multiple birth children. The following results were obtained. <br>1. In this study, 8.5％ of mothers with the handicapped multiple birth children met the DSM-Ⅳ criteria for dysthymic disorder and 8.5％ met the criteria for depressive disorder not otherwise specified. The mothers who met criteria for dysthymic disorder or depressive disorder not otherwise specified showed severe physical fatigue and poor sleeping condition than the other mothers, and felt higher anxiety for childcare than the other mothers. <br>2. There was no significant association between anxiety during multiple pregnancy and handicaps. However, after delivery there was significant association between anxiety for childcare and handicaps. The mothers with the handicapped children showed higher anxiety for childcare compared with those of the nonhandicapped children. Among mothers with the handicapped children, 84.6％ of mothers who received no cooperation from other family members or relatives for childcare felt higher anxiety. <br>3. Only 27.9％ of mothers with the handicapped children relied on community health services. There were no significani differences in prevalence of dysthymic disorder, anxiety, or fatigue symptoms between the mothers who relied on community health services and those who did not. It was indicated that there was need to expand community health and welfare services for improving emotional and physical strain on mothers of handicapped children.

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