运动能力与儿童和青少年的心理功能之间的关联 丰顿循环的儿童和青少年
Nicholas P Seivert1,2, Kathryn M Dodds3,4, Shannon O'Malley4
1Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, USA. seivertn@chop.edu.
Pediatric cardiology
|November 5, 2024
概括
患有Fontan循环 (FC) 和较高注意力缺失症状的儿童表现出较低的运动能力. 在这些儿科患者中,增加的焦虑和抑郁与运动后心率恢复的加快相关.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 临床心理学 临床心理学
- 运动生理学 运动生理学
背景情况:
- 喷泉循环 (FC) 与儿科患者的运动能力降低和心理挑战有关.
- 了解身体和心理健康之间的相互作用对于管理FC至关重要.
- 现有研究强调了对这一群体进行全面评估的必要性.
研究的目的:
- 为了研究运动能力和儿童和青少年的心理功能之间的关系与Fontan循环.
- 识别与身体表现的客观测量相关的特定心理症状.
- 为多学科护理策略提供信息,以改善儿科FC患者的治疗结果.
主要方法:
- 一组51名患有FC的儿科患者接受了心肺运动测试 (CPET).
- 用BASC-3问卷 (家长和自我报告) 评估心理功能,包括抑郁,焦虑和注意力缺失的症状.
- 统计分析检查了CPET参数 (峰值VO2,心率恢复) 和心理指标之间的相关性.
主要成果:
- 父母报告的注意力不集中与峰值VO2负相关 (R = -.307,P = .038),表明运动参与受损.
- 自我报告的焦虑与运动后3分钟和8分钟的心率恢复正相关 (R = .438,P = .004;R = .432,P = .004).
- 抑郁症症状也与心率恢复有积极的相关性,特别是在3分钟后的家长报告 (R = .294,P = .047) 和8分钟后的自我报告 (R = .410,P = .007).
结论:
- 不注意可能会对患有FC的儿童CPET表现的质量产生负面影响.
- 心理困扰 (焦虑,抑郁) 和快速心率恢复之间的意外积极相关性需要进一步调查.
- 这些发现强调了儿科FC中身体和心理健康之间的复杂关系,并提出了潜在的干预目标.
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