摂食障害者の属性が両親の生活困難度に与える影響

Effect of Personal Background of Children with Eating Disorders on Difficulty of Daily Life by Their Parents

要旨

目的：両親の生活困難度に影響を及ぼす摂食障害者の属性を検討することは，個別性のある家族支援を考えるための重要な判断材料となる．

方法：摂食障害者の両親を対象に自記式質問紙調査を行った．質問紙の構成は，属性4項目と生活困難度尺度15項目とした．

結果：有効回答数は45名（57％）であった．摂食障害者の年齢と「患児をおいて自由に外出ができない」「患児の世話で心身ともに疲れる」（P < .05），「自分だけの時間が持てなくなった」（P < .01）との関連を認めた．さらに，発症時期と「他の家族の結婚話などで気苦労が多い」（P < .05）との関連，入院歴と「患児をおいて自由に外出ができない」（P < .05）との関連を認めた．

結語：摂食障害者が現在19歳以下であること，あるいは発症が20歳以上であること，入院歴があることによって，両親は困難を経験しやすかった．そうした点を考慮し，家族への支援をおこなう必要がある．

Purpose: This study aimed to clarify the relationship between personal background information of children with eating disorders and the difficulty of daily life by their parents. It is an important decision to consider the family support.

Method: The parents completed a self-administered questionnaire about the personal background of their children (4 items) and the Scale for Evaluating Difficulties in Daily Life (15 items). Statistical analyses were performed using the Wilcoxon signed-rank test, chi-square test (with Yates correction), and Fisher's exact test.

Results: A total of 45 valid responses were analyzed. The age of children with eating disorders significantly correlated with “unable to go out freely” and “physical and mental fatigue” (P < .05) and “no personal time ” (P < .01). The onset age significantly correlated with “always have something to worry about marriage story of other family members” (P < .05). The history of admittance to hospital significantly correlated with “unable to go out freely” (P < .05).

Conclusion: The personal background of children with eating disorders (current age is 19 or under, the onset age is 20 or older, and there is history of admittance to hospital) has an effect on the difficulty of daily life by their parents. Thus, such parents require support, considering that the personal background affects how they feel about their children.