儿童和青少年的行为障碍 患有亚托皮肤炎的儿童和青少年
Marília Magalhães Moraes1, Fernanda Pires Cecchetti Vaz1, Raíssa Monteiro Soares Dos Anjos Roque2
1Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Programa de Pós-Graduação em Pediatria e Ciências Aplicadas à Pediatria, São Paulo, SP, Brazil.
Jornal de pediatria
|October 2, 2023
概括
患有亚托皮性皮炎 (AD) 的儿童和青少年经常经历行为问题,特别是内化焦虑和抑郁等问题. 中度至重度的阿尔茨海默病与增加的侵略性行为和睡眠障碍有关.
科学领域:
- 儿科皮肤病学 儿科皮肤病学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为科学 行为科学
背景情况:
- 亚托皮炎 (AD) 是一种慢性炎症性皮肤疾病,影响儿童和青少年.
- 行为问题在儿童群体中很常见,但在患有AD等慢性疾病的人群中可能会恶化.
- 了解这些行为模式对于全面的患者护理至关重要.
研究的目的:
- 确定患有亚托皮性皮肤炎的儿科患者行为问题的患病率和特征.
- 调查这些行为问题与临床因素 (包括AD严重程度) 之间的关联.
- 识别特定的行为模式及其与疾病状态的相关性.
主要方法:
- 在一个单一的中心进行了一项横截面研究,涉及100名被诊断患有AD的儿童和青少年 (6-17岁).
- 使用儿童行为检查清单6-18 (CBCL 6-18) 评估行为问题.
- 使用湿疹区域严重性指数 (EASI) 评分来评估亚托皮性皮炎的严重程度.
主要成果:
- 75%的患者表现出边界或异常的社会能力,57%的患者有内化问题,27%的患者有外化问题,18%的患者有侵略性行为.
- 与轻度AD患者相比,中度/重度AD患者的攻击性行为率 (27.9%) 和睡眠障碍率 (32.6%) 显着更高.
- 8%的参与者报告了自杀想法. 免疫抑制剂的使用与较低的社会能力有关.
结论:
- 在患有AD的儿童和青少年中,存在高频率的行为问题,主要是内化类型 (焦虑,抑郁症).
- 中度至重度的阿尔茨海默病与增加的侵略性行为和睡眠障碍有关.
- 涉及心理健康专业人员的综合护理对于有效管理儿科阿尔茨海默病患者至关重要.
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