患有心血管疾病的儿童和青少年的精神病并发症:系统性审查
Sara H Lau-Jensen1,2, Christian F Berg2, Julie L Hejl3,4
1Department of Cardiothoracic Surgery, Rigshospitalet, Kobenhavn, Denmark.
Cardiology in the young
|August 11, 2023
概括
患有先天性心脏缺陷 (CHD) 的儿童和青少年患有较高的注意力缺陷多动症和自闭症. 对这些患者抑郁和焦虑的研究产生了不一致的结果.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
背景情况:
- 由于医疗保健的进步,患有先天性心脏缺陷 (CHD) 的长期幸存者人口正在增长.
- 在这个人群中,增加的生存率突出显示了各种并发症,包括神经认知障碍.
- 患有心血管疾病的儿童和青少年中精神疾病的患病率和具体类型尚不清楚.
研究的目的:
- 系统地审查有关儿童和青少年患有心脏病的精神疾病和症状的文献.
- 为了比较患有心脏病的儿童中精神病的患病率与心脏健康对照或规范数据.
主要方法:
- 在PubMed,psychINFO和Embase数据库中进行了系统的文献搜索.
- 包括的研究调查了心脏病患者2-18岁个体的精神病诊断或症状.
- 分析了来自20篇文章的数据,包括8035名患有心血管疾病的独特患者.
主要成果:
- 患有心血管疾病的儿童和青少年患有注意力缺陷多动症 (ADHD) 的患病率明显高,比对照人群高1.4至9倍.
- 自闭症谱系障碍的患病率在心血管疾病组中也较高,比对照组高1.8至5倍.
- 关于患有心血管疾病的儿童中抑郁症和焦虑症的患病率的研究结果在审查的研究中不一致.
结论:
- 患有心血管疾病的儿童和青少年患有多动症和自闭症的风险增加.
- 需要进一步的研究来澄清这种脆弱人群中抑郁症和焦虑症的患病率和管理.
- 本综述强调了在长期照顾儿科冠状动脉疾病幸存者时解决精神病并发症的重要性.
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