美国风湿病学学院关于解决儿童风湿病症青年精神健康问题的指导声明
Natoshia R Cunningham1, Ashley N Danguecan2, Samantha L Ely1
1Michigan State University, Grand Rapids.
Arthritis care & research
|March 7, 2025
概括
儿童类类风湿病 (PRDs) 影响年轻人的心理健康. 新的指南提供了评估和管理儿童类风湿病学环境中的焦虑和抑郁症的策略,以改善患者的治疗结果.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 儿童和青少年心理健康
- 基于证据的实践.
背景情况:
- 儿科风湿病 (PRD) 经常与严重的焦虑和抑郁症相关.
- 这些心理健康状况可能会对受影响的年轻人的治疗坚持和整体健康结果产生负面影响.
- 需要标准化指导来解决儿科风湿病治疗中的心理健康问题.
研究的目的:
- 制定基于证据的指导陈述,用于评估和管理PRD的年轻人的心理健康问题.
- 为儿科风湿病学实践提供可行的建议.
- 改善患有风湿病的儿童和青少年的心理健康和与健康相关的结果.
主要方法:
- 成立了一个多学科工作组,包括临床医生,患者和家长.
- 准则声明是通过代起草,证据评级 (牛津证据医学中心的证据水平) 和Delphi小组程序来达成共识来开发的.
- 声明经过了美国风湿病学学院 (ACR) 护理质量委员会的审查和改进.
主要成果:
- 开发了34份关于心理健康识别,管理和环境考虑的陈述草案.
- 在儿童关节炎和风湿病学研究联盟的76个成员中,31个陈述达到了至少80%的共识.
- 作为最终ACR指南,选择了具有强有力的经验支持的11个陈述,包括对12岁以上患者的抑郁症和焦虑症的查以及症状管理.
结论:
- 完成的指导声明旨在使儿科风湿病团队能够主动解决心理健康问题.
- 预计这些建议的实施将提高PRDs的年轻人的心理健康.
- 预计改善心理健康管理将对这一患者群体的整体健康相关结果产生积极影响.
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