Parenting Psychological Distress and Its Association with Demographic
and Clinical Characteristics in Strabismus Children: A Cross-Sectional
Study
Abstract
Purpose: This study aimed to probe the psychological problems
in the parents of children with strabismus. Methods:
Cross-sectional study. A total of 220 parents of children with
strabismus were enrolled. Demographic and clinical characteristics of
strabismus children were collected and analyzed. The HADS and SAS/SDS
were used to evaluate anxiety and depression in parents of children with
strabismus. Results: There were significant differences in the
rate of both anxiety and depression between HADS-A and SAS (21.82 vs.
12.73%, P = 0.012) and between HADS-D and SDS (16.82 vs.
31.82%, P<0.001). Additionally, the HADS-D score was
positively correlated with strabismus deviation ( P= 0.018),
parents’ educational level ( P = 0.001), and family habitation (
P = 0.034). SDS score presented less correlation with clinical
features of children with strabismus, which illuminated that only SDS
score was positively associated with educational level ( P =
0.040). No correlation between both HADS-A and SAS scores was found with
patients’ clinical features. Meantime consumption of HADS was 2.54±1.45
minutes, which was shorter than that of SAS/SDS(7.25±4.13minutes)(
P <0.001). Conclusion: Parents of children
with strabismus who are experiencing psychosocial distress should be
identified. HADS seems to be a better option for emotional assessment
than SAS/SDS in parents of children with strabismus.