在学龄前儿童上肢骨折的心理风险因素:一个病例控制研究
Muhammet Zeki Gültekin1, Fatih Doğar1, Ahmet Sinan Sarı1
1Department of Orthopaedcis and Traumatology, Konya City Hospital, Konya-Türkiye.
概括
父母和孩子的心理因素,包括自闭症特征和多动性,与学龄前儿童的上肢骨折有关. 父母年龄较大和收入较低也会增加风险,而更高的母亲教育提供了保护.
科学领域:
- 儿科整形外科 儿科整形外科
- 发展心理学 发展心理学
- 儿童健康 儿童健康
背景情况:
- 儿童上肢骨折是多因素的,受儿童和父母因素的影响.
- 以前的研究表明,在学龄儿童中存在关联.
- 这项研究的重点是学龄前儿童.
研究的目的:
- 探索学龄前儿童上肢骨折的心理风险因素.
- 调查父母和儿童心理评估与骨折风险之间的关联.
- 为了确定与骨折发生率相关的特定心理尺度.
主要方法:
- 一个单一的中心,基于医院,年龄相匹配的病例控制研究.
- 55名学龄前儿童上肢骨折 (病例) 和55名患有生长疼痛 (对照).
- 父母完成了评估母亲与婴儿关系量表 (MIBS),成人多动症自我报告量表 (ASRS),自闭症谱系系数 (AQ),状态特征焦虑清单 (STAI) 和优势和困难问卷 (SDQ) 的面试.
主要成果:
- 高龄的父母和较低的家庭收入被确定为风险因素.
- 母亲的高等教育是一个保护因素.
- 自闭症谱系系数 (AQ-C, AQ),优势和困难问卷 (SDQ-H, SDQ-Int) 的高分数与骨折风险增加有关. 在多变量分析中,AQ-C和SDQ-Int仍然显著.
结论:
- 父母和孩子的心理因素可能会增加学龄前儿童上肢骨折的风险.
- 特定的心理特征,如沟通困难 (AQ-C) 和情绪/同行问题 (SDQ-Int),是显著的风险指标.
- 针对有针对性的预防策略,需要对这些心理关联进行进一步的研究.
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