心理和行为评估在女孩与特异性中央早熟性青春期
Warisa Uthayo1, Hathaichanok Chunin1, Khemika K Sudnawa2
1Division of Pediatric Endocrinology, Department of Pediatrics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
Journal of pediatric endocrinology & metabolism : JPEM
|November 23, 2024
概括
女孩的异常中心早熟性青春期 (iCPP) 与青春期前的女孩相比,没有显示出整体心理差异. 然而,iCPP女孩有更多的情绪问题和抑郁风险,需要监测.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿童心理学 儿童心理学
- 发育儿科 发育儿科
背景情况:
- 异常性中央早熟性青春期 (iCPP) 是女孩早期青春期的最常见原因.
- 关于ICPP对受影响女孩的心理影响的研究有限.
- 了解心理结果对于全面的ICPP管理至关重要.
研究的目的:
- 评估ICPP女孩的心理特征.
- 为了将ICPP女孩与年龄相匹配的青春期前女孩进行比较.
- 评估从诊断到6个月的随访期间心理状态的变化.
主要方法:
- 一项前性队列研究包括85名女孩 (年龄为6-8岁) 和他们的护理人员.
- 心理评估使用了泰国标准化的问卷:儿童抑郁 inventory (CDI),恐惧和SDQ.
- 在初始诊断和6个月后期收集的数据.
主要成果:
- 在基线时,评估了46名ICPP女孩和39名青春期前女孩.
- 两组之间没有发现有意义的整体心理或行为差异.
- iCPP女孩的情绪问题 (p=0.01) 和抑郁症 (12%,平均CDI为8.1±7.2) 的风险更高.
- 在青春期前的女孩有更高的同龄问题风险 (p=0.007).
- 在6个月的随访中,没有显著的差异出现.
结论:
- 虽然整体心理问题相似,但iCPP女孩表现出更多的情绪问题和抑郁风险.
- 这些发现强调了需要对患有ICPP的女孩进行警的心理监测.
- 在ICPP中长期的心理健康需要进一步的研究.
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