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青少年患者焦虑和高血压之间的关联:单中心横截面研究
Yaritzy Astudillo1, Sara Kibrom2, Tanya Pereira1
1Maria Fareri Children's Hospital, Westchester Medical Center, New York Medical College, Valhalla, New York.
Journal of hypertension
|January 17, 2024
概括
焦虑与青少年血压升高有关. 建议儿童进行例行焦虑查,以确定潜在的高血压风险.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 年轻人心血管健康问题
背景情况:
- 焦虑是成年人血压升高和高血压的已知危险因素.
- 在儿科患者中,焦虑和血压之间的关联仍未得到充分研究.
研究的目的:
- 研究青少年焦虑和高血压之间的关系.
- 为了确定儿童高血压评估中是否有必要进行焦虑查.
主要方法:
- 来自脏病诊所的12-18岁的青少年被录取.
- 血压升高被定义为高于95百分点的SBP或DBP.
- 使用儿童焦虑相关疾病查 (SCARED) 问卷对儿童 (SCARED-C) 和父母 (SCARED-P) 进行焦虑评估.
主要成果:
- 在积极的SCARED-P结果和血压升高 (53%对19%,P=0.03) 之间发现了显著的关联.
- 在SCARED-P阳性参与者中,扩张性血压 (DBP) 的增加更为普遍 (43%对28%,P=0.003).
- 与不焦虑的同龄人相比,焦虑青少年 (SCARED-P阳性和SCARED-C阳性) 的平均DBP显著更高.
结论:
- 这项研究确立了焦虑和青少年腹筋血压升高之间的相关性.
- 对焦虑的常规查应纳入青少年患者的综合评估.
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