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印度儿童急性淋巴细胞白血病幸存者的精神疾病
Kanwaljeet Kaur Chopra1, Aditya Kumar Gupta2, Jagdish Prasad Meena1
1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian journal of pediatrics
|January 8, 2025
概括
儿童癌症幸存者,特别是急性淋巴细胞白血病 (ALL) 患者,在治疗后面临着严重的精神疾病风险. 治疗期间的和压力等因素可能会增加这些风险.
科学领域:
- 儿科瘤学 儿科瘤学
- 儿童精神病学 儿童精神病学
- 临床心理学 临床心理学
背景情况:
- 儿童急性淋巴细胞白血病 (ALL) 幸存者经常经历长期的健康问题.
- 精神疾病是儿童癌症存活率的一个重要问题.
- 识别风险因素对于及时干预至关重要.
研究的目的:
- 为了确定儿科ALL幸存者的精神病发病率.
- 确定与这些精神疾病相关的风险因素.
主要方法:
- 纳入了89名小儿ALL幸存者 (6-18岁),他们至少在两年前完成了治疗.
- 使用了迷你国际神经精神病学面试 (M.I.N.I.I.I. 对于查和诊断而言.
- 从医疗记录中收集治疗细节.
主要成果:
- 在89名幸存者中,有19人 (21.3%) 接受了精神病诊断.
- 多变量分析表明,治疗期间的发作,恐惧,压力和住院病例与不良精神病结果风险增加有关.
- 这些发现突出了潜在的可修改的风险因素.
结论:
- 在儿童癌症幸存者治疗结束后很长时间内,精神问题可能会持续存在.
- 一些容易修改的因素有助于这些精神病的发展.
- 早期识别和管理风险因素对于改善长期结果至关重要.
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