Anxiety disorders and pediatric continuous ambulatory peritoneal dialysis
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I Fukunishi1, M Honda, Y Kamiyama
1Tokyo Institute of Psychiatry, Japan.
Insights
Children with end-stage renal disease (ESRD) on dialysis experience higher separation anxiety. Their mothers also show lower independence and achievement orientation compared to healthy children's families.
Area of Science:
- Pediatric Nephrology
- Child Psychology
- Family Studies
Background:
- End-stage renal disease (ESRD) significantly impacts children's quality of life.
- Continuous ambulatory peritoneal dialysis (CAPD) is a treatment option for pediatric ESRD.
- Psychosocial factors in children with chronic illnesses require thorough investigation.
Purpose of the Study:
- To compare the prevalence of separation anxiety disorder in children with ESRD undergoing CAPD versus healthy controls.
- To assess differences in family environment characteristics, specifically maternal independence and achievement orientation, between ESRD and control groups.
Main Methods:
- A comparative study design was employed.
- Twenty-three children with ESRD on CAPD were matched with a sample of healthy children.
- Maternal reports were used to assess family environment variables.
Main Results:
- Children with ESRD exhibited a significantly higher rate of separation anxiety disorder.
- Mothers of children with ESRD reported significantly lower levels of independence.
- Mothers of children with ESRD reported significantly lower achievement orientation compared to mothers of control children.
Conclusions:
- Pediatric ESRD patients on CAPD are at increased risk for separation anxiety disorder.
- Family dynamics, including maternal independence and achievement orientation, may be negatively affected by a child's ESRD.
- Further research into psychosocial interventions for pediatric ESRD patients and their families is warranted.
Abstract:
This paper compared 23 children with end-stage renal disease (ESRD) on continuous ambulatory peritoneal dialysis to a matched sample of healthy children. The rate of separation anxiety disorder was significantly higher in the children with ESRD. In their family environments, mothers of ESRD children reported significantly lower independence and achievement orientation than mothers of control children.