Emotional well-being in transition-age adults with pediatric-onset disabilities: A cross-sectional study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2025-01-13 DOI:10.1037/rep0000599

Christine L Petranovich, Samantha Koerber, Cristina Sarmiento, Sarah Graber, Michael Dichiaro, Pamela Wilson, Andrea Miele, Robin L Peterson, Tess Simpson, Amy K Connery, Michael W Kirkwood, Susan Apkon

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引用次数: 0

Abstract

Purpose/objective: The transition from childhood to adulthood often involves emotional challenges. These problems may be especially prominent for transition-age adults (TAA) with pediatric-onset disabilities, although there are currently few studies that speak to this. The aim of this study is to characterize depressive symptoms and the association with family functioning in a sample of TAA with pediatric-onset disabilities.

Research method/design: This sample is comprised of 55 TAA (18-28 years of age, M = 20.88, SD = 2.49) who were followed by pediatric rehabilitation medicine clinics. Participants have childhood acquired brain injury (n = 17), spina bifida (n = 10), or neuromuscular disorders (n = 28). Participants completed the Center for Epidemiological Studies-Depression scale and the Family Assessment Device Short Form.

Results: Clinically elevated depressive symptoms were endorsed by 65.4% of the sample. Forty-five percent of those with elevated depressive symptoms were not currently receiving psychotherapy services. Poorer family functioning on the Family Assessment Device Short Form and older age were independently associated with more depressive symptoms, controlling for medical condition, mobility status, and other relevant sociodemographic factors.

Conclusions/implications: Emotional problems are quite common in TAA with a history of acquired brain injury, spina bifida, and neuromuscular disorders, yet are seemingly inadequately managed. In view of the results of this study, TAA with pediatric-onset disabilities are likely to benefit from interventions that bolster emotional well-being and target risk factors related to their family system. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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儿童残疾过渡年龄成人的情绪健康：一项横断面研究。

目的/目标：从童年到成年的过渡通常涉及情感挑战。这些问题对于有儿科残疾的过渡年龄成人（TAA）来说可能尤其突出，尽管目前很少有研究表明这一点。本研究的目的是表征抑郁症状和与家庭功能的关系在TAA与儿科发病残疾的样本。研究方法/设计：本样本由55名18-28岁的TAA组成，M = 20.88, SD = 2.49，随访于儿科康复医学门诊。参与者有儿童获得性脑损伤（n = 17）、脊柱裂（n = 10）或神经肌肉疾病（n = 28）。参与者完成了流行病学研究中心抑郁量表和家庭评估设备简短表格。结果：65.4%的受试者认可临床抑郁症状升高。45%的抑郁症状加重的人目前没有接受心理治疗。在控制医疗状况、活动状况和其他相关社会人口因素的情况下，较差的家庭功能（家庭评估设备短表）和年龄较大与更多的抑郁症状独立相关。结论/启示：情绪问题在有后天性脑损伤、脊柱裂和神经肌肉疾病史的TAA患者中很常见，但似乎没有得到充分的管理。鉴于本研究的结果，具有儿科发病残疾的TAA可能受益于加强情感健康和针对与其家庭系统相关的风险因素的干预措施。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.