在儿科置换疗法后,成年人患有心理困扰
Nora F Laube1,2, Luzius Mader3,4,5,6, Marc-Andrea Heinzelmann3,6
1Research Group Child & Adolescent Health, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. nora.laube@bluewin.ch.
Pediatric nephrology (Berlin, Germany)
|November 5, 2024
概括
儿童时期接受置换疗法 (KRT) 的成年人通常经历了良好的长期心理健康,与一般人群相比. 然而,失业和精神药物使用与更高的痛苦水平有关.
科学领域:
- 儿科脏病学 儿科脏病学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 关于儿童时期接受脏替代疗法 (KRT) 的成年人心理痛苦的数据有限.
- 这项研究通过将这一群体中的心理痛苦与瑞士普通人口进行比较来弥补这一差距.
研究的目的:
- 描述儿童时期KRT后成年人的心理痛苦.
- 为了将他们的痛苦水平与一般人口进行比较.
- 确定痛苦与社会人口统计学/临床因素之间的关联.
主要方法:
- 从瑞士儿科脏注册局 (SPRR) 向143名符合条件的成年人发送了问卷.
- 使用简要症状目录18 (BSI-18) 测量心理困扰,评估全球严重性指数 (GSI-18),抑郁症,体化和焦虑.
- 使用回归模型分析与患者特征的关联.
主要成果:
- 平均年龄为39岁的80名参与者 (56%的响应率) 回答了.
- 总体心理痛苦 (GSI-18) 和子尺度与一般人群相似.
- 失业与更高的身体化和痛苦有关;精神药物使用与增加的整体痛苦,抑郁和身体化相关.
结论:
- 患有童年KRT史的成年人表现出有利的长期心理健康状况.
- 这些发现突出了超越体质健康的积极结果,表明慢性病诊断后心理健康生活的潜力.
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