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Nursing interventions in depressed children with low serum levels of BDNF
Qingrong Sun1, Chuanying Cui1, Yanxia Fu1
1Department of Pediatrics, Binzhou City Center Hospital, Binzhou, Shandong 251700, P.R. China.
Insights
Children
Area of Science:
- Neuroscience
- Pediatric Psychiatry
- Biochemistry
Background:
- Childhood depression is a significant mental health concern.
- Brain-derived neurotrophic factor (BDNF) plays a crucial role in neuronal development and function.
- Reduced BDNF levels have been implicated in various psychiatric disorders, including depression.
Purpose of the Study:
- To examine the association between serum brain-derived neurotrophic factor (BDNF) levels and depression in children.
- To evaluate the impact of different nursing interventions on pediatric patients with depression and low BDNF levels.
Main Methods:
- Serum BDNF levels (mRNA and protein) were measured in 128 children with depression and 50 healthy controls.
- Sixty depressed children with low BDNF were randomized into comprehensive nursing and regular nursing groups.
- Hamilton Depression Rating Scale (HAMD) scores, BDNF protein expression, treatment compliance, and quality of life were assessed.
Main Results:
- Children with depression exhibited significantly lower serum BDNF levels compared to healthy controls (p<0.01).
- Comprehensive nursing care led to increased BDNF protein expression (p<0.05) and reduced HAMD scores (p<0.05) compared to regular nursing.
- The comprehensive nursing group showed improved treatment compliance and quality of life post-intervention (p<0.05).
Conclusions:
- Decreased serum BDNF levels are strongly correlated with depression in children.
- Comprehensive nursing care is an effective strategy to improve depressive symptoms, enhance BDNF levels, and boost quality of life in pediatric patients.
- Findings support the integration of comprehensive nursing protocols in managing childhood depression.
Abstract:
The purpose of this study was to investigate the correlation between brain-derived neurotrophic factor (BDNF) in serum and depression in children, and explore the effects of different nursing protocols on patients with low levels of BDNF. We recruited 128 children with depression and 50 healthy subjects. Compared with healthy controls, the mRNA and protein levels of BDNF in serum were lower in children with depression (p<0.01). We selected 60 depressed children with low BDNF and randomly divided them in two groups: comprehensive nursing (n=30) and regular nursing (n=30). Compared to healthy children, there was a significant increase in Hamilton depression (HAMD) scores in patients with depression in childhood (p<0.01). After treatment, BDNF protein expression was higher in the comprehensive nursing group than that in the regular nursing group (p<0.05). Also, the HAMD score in the comprehensive nursing group was significantly lower than that in the regular nursing group (p<0.05). Compliance to treatment and quality of life after treatment improved in the comprehensive nursing group compared with the regular nursing group (p<0.05). Overall, a decrease in BDNF expression is closely correlated with depression, and comprehensive nursing care can significantly ameliorate the depression symptoms in pediatric patients, increase the BDNF expression, and improve compliance and quality of life. These results provide theoretical and practical significance for clinical nursing care of patients with depression in childhood.
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