手术前后儿童的精神病理学:一项前性受控研究
Giulia Matta1, Tiziana Pisano1, Laura Grisotto2
1Neuroscience and Medical Genetics Department, Meyer Children's Hospital IRCCS, Florence, Italy.
Epilepsia
|March 12, 2025
概括
儿童手术候选人的精神疾病发病率很高. 成功的手术显著改善了他们的精神病学特征,减少了精神疾病的负担.
科学领域:
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 儿科经常与精神病相关疾病有关.
- 在接受手术评估的儿童中,评估精神疾病 (PD) 是至关重要的.
- 了解手术对精神病理学的影响对于综合护理至关重要.
研究的目的:
- 确定儿科手术候选人的PDs的患病率和类型.
- 评估手术对这些儿童精神病理学概况的影响.
主要方法:
- 预期的受控研究设计.
- 用诊断面试和临床医生,家长和患者问卷进行心理病理学评估.
- 基线和一年后的多信息者评估,统计分析包括顺序逻辑回归.
主要成果:
- 在基线时,103名儿科患者中有31.07%至少有一次PD.
- 手术后获得恩格尔I类结局的患者与未经手术的患者相比,患上精神病理改善的可能性增加了17.57倍.
- 成功的手术与减少精神疾病负担相关.
结论:
- 儿科手术候选人表现出高患病率的PDs.
- 成功的手术与精神病理学的显著改善有关.
- 一个综合的,多信息的方法对于评估儿科的精神伴随性疾病至关重要.
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