患有慢性病的儿童的抑郁障碍 保守治疗
Katarzyna Kiliś-Pstrusińska1, Anna Medyńska1, Piotr Adamczyk2
1Clinical Department of Pediatric Nephrology, Wroclaw Medical University, Poland.
概括
抑郁症是慢性病 (CKD) 的儿童的一个重要问题. 诸如诊断年龄,疾病持续时间和CKD阶段进展等因素与抑郁症状有关.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿童和青少年精神病学
- 心理健康研究 心理健康研究
背景情况:
- 患有慢性病 (CKD) 的儿童面临大量的精神和情绪压力,增加抑郁症疾病的风险.
- 在儿科CKD人群中,抑郁症的患病率在7%至35%之间.
研究的目的:
- 确定接受保守治疗的CKD儿童和青少年抑郁症和抑郁症状的患病率和特征.
- 在这个脆弱人群中调查与抑郁症状相关的因素.
主要方法:
- 一项横截面的多中心研究,涉及73名患有CKD的儿童 (8-18岁) 和92名父母.
- 利用科瓦克斯的儿童抑郁症清单2 (CDI2) - 自我报告和家长表格来评估心理健康.
主要成果:
- 11%的参与者报告了暗示抑郁障碍的症状,其中8.2%符合抑郁症标准.
- 发现了年龄,诊断时的年龄,CKD持续时间和各种抑郁症子尺度 (人际问题,无效性,情绪问题) 之间的显著相关性.
- 抑郁症症状在CKDIII和IV阶段之间有显著的差异,在症状报告方面有显著的儿童-父母分歧.
结论:
- 抑郁症是接受保守治疗的CKD儿童中普遍存在的问题.
- 诊断时的年龄,疾病持续时间和CKD进展 (III至IV阶段) 似乎是导致抑郁症的关键诱导因素.
- 多维评估对于诊断抑郁症至关重要,因为儿童自我报告和父母评估之间存在差异.
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