患有结核病的儿科患者出现抑郁症的危险因素
Oana Mariana Mihailov1,2, Loredana Stavar Matei2, George Tocu3
1Children Pneumology Department, Pneumophthisiology Hospital "Sfântul Spiridon" of Galati, Galați, 800198, Romania.
Pediatric health, medicine and therapeutics
|February 10, 2025
概括
儿童结核病患者经常出现抑郁症,其中92.4%的人表现出症状. 农村背景,男性性别和年龄较大 (15-18岁) 是这些儿童抑郁症的关键风险因素.
科学领域:
- 儿童传染病 儿童传染病
- 儿童和青少年精神病学
- 公共卫生 公共卫生
背景情况:
- 结核病 (TB) 仍然是一个全球性卫生挑战,不成比例地影响着儿童.
- 儿童结核病患者患有患抑郁症的高风险,影响生活质量和治疗坚持.
- 确定儿童结核病抑郁症的风险和预后因素对于有效管理至关重要.
研究的目的:
- 为了确定儿童结核病患者中抑郁障碍的患病率.
- 分析与该人口中抑郁症相关的风险因素 (年龄,性别,原产地,医疗接入).
- 评估儿童抑郁症库存 (CDI) 作为诊断工具,并将临床数据与CDI分数相关联.
主要方法:
- 一项前性研究,涉及190名儿童结核病患者 (年龄在7-18岁) 在2019-2021年期间接受治疗.
- 儿童抑郁症清单 (CDI) 用于评估抑郁症状.
- 对人口统计和临床数据以及CDI得分的分析.
主要成果:
- 158名患者完成了CDI;146人 (92.4%) 呈现出临床显著的抑郁症状.
- 确定了关键的风险因素:农村背景,男性性别和15-18岁的年龄组.
- 在这个群体中,CDI在识别抑郁症症状方面被证明是有效的.
结论:
- 在儿童结核病患者中,抑郁症的患病率很高.
- 特定的人口因素 (农村,男性,老年青少年) 与抑郁症风险增加有关.
- 这些因素的早期识别和前性监测对于改善儿科结核病和同时出现的抑郁症的结果至关重要.
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