소아 간질 아동 어머니의 양육 스트레스 및 부모효능감
Maternal Parenting Stress and Sense of Competence in Children with Seizure Disorders
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본 연구를 통해 국내 간질 환아의 어머니들에서 양육 스트레스와 부모로서의 불안감이 일반 집단에 비해서 높음이 확인되었다. 어머니의 불안감과 부적응은 환아와 가족 모두의 적응과 삶의 질에 영향을 끼치므로, 어머니의 양육스트레스 및 불안감에 대한 효율적인 치료적 개입 및 사회적 지원이 필요할 것으로 생각된다. 또한 아직 국내에서는 양육스트레스를 겪는 간질 환아의 어머니들에게 효과적인 치료적 개입에 대해 체계적인 연구가 진행되지 않은 실정이어서 이에 대한 추후 연구들이 기대된다.
Abstract
Objectives：While parents who foster children with epilepsy would have considerable parenting difficulties, the parenting stress and sense of competence have not been investigated. We investigated maternal parenting stress, parenting satisfaction and sense of parenting competence in children with seizure disorders, and the associations with seizure-related variables. Methods：Mothers of 79 children with seizure disorders (41 boys, 38 girls；mean age, 9.9±2.3 years) and 79 healthy comparison subjects matched for age and sex were recruited for this study. The Korean version of the Parenting Stress Index (K-PSI-SF) and the Parenting Sense of Competence (K-PSOC) were used to assess parenting stress, parenting satisfaction and parenting efficacy. Results：Mothers of children with seizure disorders showed higher scores on stress related to difficult child and child learning and parenting anxiety compared to mothers of healthy children. In addition, scores on stress related to parental-child interaction and child learning were significantly associated with parental economic status. Scores on stress from parental-child interaction was also correlated with seizure severity, and stress from child learning was correlated with seizure type. Sense of parenting competence and anxiety scores were correlated with paternal educational status, respectively. Conclusion：These findings suggest that mothers of children with epilepsy have greater parenting stress and anxiety and social and seizure-associated factors may affect the parenting stress and anxiety. (J Korean Neuropsychiatr Assoc 2007;46(6): 596-602)
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