儿童群体中阻塞性睡眠呼吸暂停和精神健康障碍:一项回顾性,基于人口的队列研究
Tetyana Kendzerska1,2,3, Dhenuka Radhakrishnan1,3,4,5, Reshma Amin6,7
1Faculty of Medicine, Department of Medicine, and.
Annals of the American Thoracic Society
|April 26, 2024
概括
被诊断为阻塞性睡眠呼吸暂停 (OSA) 的儿童在治疗后更少地遇到心理健康护理. 儿童的OSA诊断和治疗与改善的心理健康指标有关.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童和青少年精神病学
- 公共卫生 公共卫生
背景情况:
- 关于阻塞性睡眠呼吸暂停 (OSA) 与儿童精神健康障碍之间的联系的信息有限.
- 了解这种联系对于早期干预和综合护理至关重要.
研究的目的:
- 评估OSA和儿童新精神卫生保健接触之间的关联.
- 为了比较在OSA治疗开始前两年和之后的精神卫生保健遭遇.
主要方法:
- 使用安大略省卫生行政数据进行的回顾性纵向队列研究.
- 将中度至重度OSA (PSG-OSA) 的儿童与没有OSA (PSG-No-OSA) 的儿童进行比较,使用倾向分数加权.
- 分析了第一次精神卫生保健接触的时间和接触的频率,并比较了治疗前后的几率.
主要成果:
- 与没有OSA的儿童相比,患有OSA的儿童在首次精神卫生保健接触的时间较短,但在诊断后的遭遇较少.
- OSA治疗 (腺切除术或正气道压力疗法) 与治疗后精神保健接触的几率明显降低.
- 这项研究分析了32,791名儿童,其中7,724名被诊断为中度至重度的OSA.
结论:
- 儿童的OSA诊断和治疗与改善的心理健康指标有关.
- 与没有OSA的儿童相比,在OSA的儿童中观察到的新精神卫生保健接触较少.
- 与治疗前期相比,OSA的治疗表明精神卫生保健接触的减少.
更多相关视频
相关概念视频
Sleep Apnea
148
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
148
Other Pulmonary Disorders
836
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
836
Attention-Deficit/Hyperactivity Disorder
56
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
56
Nightmares and Night Terrors
87
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
87
Oppositional Defiant Disorder
24
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
24
Stress and Mental Health
131
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
131


