儿童不良经历与状细胞疾病成年人临床和患者报告结果的关系:一个注册研究
Marsha Treadwell1, Jessica Liang2, Liliana Preiss3
1Division of Hematology, Department of Pediatrics, University of California San Francisco, Oakland, California, USA.
Pediatric blood & cancer
|December 27, 2025
概括
在患有状细胞疾病 (SCD) 的成年人中,不良童年经历 (ACE) 是常见的. 较高的ACE与SCD患者中喘和抑郁症诊断的增加相关.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 心理学 心理学 心理学
背景情况:
- 童年不良经历 (ACE) 显著影响长期健康.
- 患有状细胞疾病 (SCD) 的成年人面临着独特的健康挑战.
- 在SCD中ACE和健康状况之间的关系未得到充分研究.
研究的目的:
- 调查SCD成年人中ACE的患病率.
- 检查ACE和SCD患者的特定健康结果之间的关联.
- 确定不利因素对SCD临床和行为健康领域的影响.
主要方法:
- 数据收集来自553名参与者在状细胞疾病实施联盟注册.
- 包括社会人口统计数据,病史和患者报告的结果 (疼痛,情绪困扰).
- 评估未被识别的ACE和其他生活压力因素.
主要成果:
- 患有SCD的成年人中ACE的高患病率 (28.3%报告有四个或更多的ACE),超过一般人群.
- 观察到一个分级效应:增加ACE与更高的喘诊断几率相关 (p <0.0001).
- 较高的ACE也与先前抑郁症治疗的几率增加有关 (p < 0.05).
结论:
- 这些发现强调了在患有SCD的成年人中进行常规ACE查的必要性.
- 强调创伤知情护理的重要性,以提高临床和行为结果.
- 以创伤为基础的方法可以改善SCD患者的生活质量.
更多相关视频
相关概念视频
Relationship with Other Adult Family Members and Siblings
152
Other adult family members and siblings play a crucial role in shaping children’s social and emotional development. While parents or primary caregivers are often the central figures in early attachment and socialization, other adults in a child’s life, such as grandparents, aunts, and uncles, can significantly influence developmental outcomes. These influences depend on each adult’s personality and may help compensate when a primary caregiver is emotionally distant or...
152
Chronic Kidney Disease II: Clinical Manifestations
520
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
520
Theory of Romantic Attachment in Adulthood
48.6K
Attachment is a long-standing connection or bond with others. While Attachment Theory was conceived in developmental psychology to describe infant-caregiver bonding, it's been extended into adulthood to include romantic relationships.
48.6K
Factors Affecting Illness
5.0K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.0K
Oppositional Defiant Disorder
562
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
562
Multiple Allele Traits
37.8K
The Concept of Multiple Allelism
37.8K


