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患有肠道衰竭的儿童有心理病理和创伤的风险
Lotte E Vlug1, Jeroen S Legerstee2, Merit M Tabbers3
1From the Department of Pediatrics, Division of Gastroenterology, Erasmus MC Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, The Netherlands.
患有肠衰竭 (IF) 的儿童经历了显著的精神病理学,特别是学龄人群,有很高的情绪问题和精神病诊断率. 医疗创伤性压力也是一个问题,强调了有针对性的支持的必要性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童精神病学 儿童精神病学
- 医学心理学 医学心理学
背景情况:
- 肠衰竭 (IF) 对儿童的健康和发育有重大影响.
- 心理健康和医疗创伤性压力是FI护理的关键,但往往是研究不足的方面.
- 了解这些挑战对于全面的患者管理至关重要.
研究的目的:
- 评估IF儿童的精神病理学和医疗创伤性压力.
- 确定与这些心理结果相关的风险因素.
- 将发现与规范数据进行比较,并为临床实践提供信息.
主要方法:
- 一项两中心的研究包括41名患有FI的儿童 (1.5-17岁),在2019-2022年期间进行评估.
- 用面试和经过验证的情绪和行为问题的问卷来评估精神病理学.
- 医疗创伤性压力通过验证的问卷进行了评估;统计分析确定了相关因素.
主要成果:
- 三分之一的孩子符合精神病学分类的标准,焦虑和ADHD是最常见的.
- 学校年龄的儿童在多个信息来源中报告了显著增加的情绪问题.
- 医疗创伤性压力存在于14%,与肠道相关的生活质量较低与情绪问题相关.
结论:
- 患有FI的儿童,特别是学龄儿童,患心理问题的风险较高.
- 情绪困难和精神病诊断的高率强调了需要心理健康支持的需要.
- 调查结果强调了在IF管理中解决心理病理和创伤的重要性.
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