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dc.rights.licenseopenen_US
dc.contributor.authorMA, Si-Wei
dc.contributor.authorLAI, Sha
dc.contributor.authorYANG, Yan-Yan
dc.contributor.authorZHOU, Zhongliang
dc.contributor.authorYANG, Bin-Ting
dc.contributor.authorZHENG, Gu-Zheng-Yue
dc.contributor.authorGAO, Jianmin
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLU, Li
dc.date.accessioned2021-08-20T09:05:10Z
dc.date.available2021-08-20T09:05:10Z
dc.date.issued2021-04-27
dc.identifier.issn1664-0640 (Print) 1664-0640en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/110175
dc.description.abstractEnBackground: Determining the mental health status of parents who chronically care for a child with speech impairment is important for developing appropriate interventions to improve both parents' and children's health and achieve a win-win situation. Unfortunately, no study in China has explored this issue. This study investigated the differences in four aspects of mental health between maternal and paternal caregivers for the Mandarin-speaking children with speech impairment and determine whether depressive symptoms mediate the relationships between anxiety symptoms and suicidal ideation, hopelessness and suicidal ideation. Methods: This cross-sectional questionnaire survey was conducted in February 2020 by sending a link to the predesigned electronic questionnaire in WeChat. Standardized assessment tools were employed. Hierarchical multiple logistic regression was conducted to examine the associations between various factors and suicidal ideation, and two separate structural equation models were performed to evaluate the mediating effects of depressive symptoms in the relationship between anxiety symptoms and suicidal ideation as well as between hopelessness and suicidal ideation. Results: This study included 446 parental caregivers of Mandarin-speaking children with speech impairment. Paternal caregivers had greater score than maternal caregivers on loss of motivation (one of the subdomains of hopelessness). Somatic complications of the child (OR = 2.73, 95% CI: 1.09-6.67) and depressive symptoms (OR = 3.38, 95% CI: 1.83-6.30) were positively associated with caregivers' suicidal ideation. Having speech therapy of child (OR = 0.54, 95% CI: 0.29-0.98) was negatively correlated with caregivers' suicidal ideation. There was direct effect of depressive symptoms on suicidal ideation. Depressive symptoms play mediating roles on the relationships between anxiety symptoms (β = 0.171, p < 0.001) as well as between hopelessness and suicidal ideation (β = 0.187, p < 0.001). Conclusions: Paternal and maternal caregivers of Mandarin-speaking children with speech impairment suffered from mental health problems. Preventive strategies and interventions to ameliorate parental psychological well-being, and health care policies to increase the accessibility to speech therapy care of children with speech impairment are imperative.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enParental caregiver
dc.subject.enChildren
dc.subject.enSpeech impairment
dc.subject.enSuicidal ideation
dc.subject.enDepressive symptoms
dc.subject.enAnxiety symptoms
dc.subject.enHopelessness
dc.subject.enChina
dc.title.enRelationships Between Anxiety Symptoms, Hopelessness and Suicidal Ideation Among Parental Caregivers of Mandarin-Speaking Children With Speech Impairment: The Mediating Effect of Depressive Symptoms
dc.typeArticle de revueen_US
dc.identifier.doi10.3389/fpsyt.2021.648885en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed33986701en_US
bordeaux.journalFrontiers in Psychiatryen_US
bordeaux.page648885en_US
bordeaux.volume12en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamIETOen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03323043
hal.version1
hal.date.transferred2021-08-20T09:05:14Z
hal.exporttrue
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Frontiers%20in%20Psychiatry&amp;rft.date=2021-04-27&amp;rft.volume=12&amp;rft.spage=648885&amp;rft.epage=648885&amp;rft.eissn=1664-0640%20(Print)%201664-0640&amp;rft.issn=1664-0640%20(Print)%201664-0640&amp;rft.au=MA,%20Si-Wei&amp;LAI,%20Sha&amp;YANG,%20Yan-Yan&amp;ZHOU,%20Zhongliang&amp;YANG,%20Bin-Ting&amp;rft.genre=article


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