在急诊室的腹痛儿童的抑郁症
Sarah R Martin1,2,3, Theodore W Heyming4,5, Michelle A Fortier6,7,8,9
1Department of Anesthesiology and Perioperative Care, University of California Irvine School of Medicine, Orange, CA, USA. sarahm7@hs.uci.edu.
Pediatric research
|January 17, 2025
概括
近30%的青少年在急诊室出现腹痛时表现出抑郁症的迹象. 与疼痛相关的损伤和拉丁裔种族与更高的抑郁率有关,这表明需要更好的心理健康查.
科学领域:
- 儿科急救医学 儿科急救医学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 异常性腹痛是儿童急诊室 (PED) 访问的常见原因.
- 精神健康状况,如抑郁症,可以与青少年的慢性疼痛同时发生.
- 在PED环境中查抑郁症可以识别需要干预的年轻人.
研究的目的:
- 为了检查患有抑郁症和相关损伤的青少年呈现PED与腹痛的患病率.
- 在这个人群中确定与抑郁症相关的因素.
主要方法:
- 一项对169名青少年 (11-17岁) 进行的横截面研究,这些青少年在PED中患有异常性腹痛.
- 参与者完成了关于人口统计,疼痛强度,与疼痛相关的损伤和抑郁症的调查 (患者健康问卷,PHQ-9A).
- 后勤回归分析被用来识别抑郁症的预测因素.
主要成果:
- 29.6%的参与者对抑郁症的查结果呈阳性;9.4%的人报告了自伤的想法.
- 抑郁症与拉丁裔种族,更高的疼痛强度和更大的疼痛相关损伤有关.
- 与疼痛相关的损伤和拉丁裔种族是抑郁症的独立预测因素.
结论:
- 在PED中,相当一部分患有腹痛的年轻人表现出抑郁症状.
- 强化心理健康查对于PED中患有特异性腹痛的年轻人至关重要.
- 针对抑郁症和与疼痛相关的损伤的有针对性的干预措施是有必要的,特别是在拉丁美洲青年中.
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