Quality of life and physical/psychosocial factors in children and adolescents with orthostatic intolerance.

IF 2.3 4区 医学 Q2 PSYCHIATRY
Yoshie Shigeyasu, Ayumi Okada, Chikako Fujii, Chie Tanaka, Akiko Sugihara, Makiko Horiuchi, Takashi Yorifuji, Hirokazu Tsukahara
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Abstract

Background: Orthostatic intolerance (OI), which is common in children and adolescents, negatively impacts their quality of life (QOL) due to physical symptoms that limit work, school, and daily activities. The purpose of this study is to explore the association of physical and psychosocial factors with QOL scores in children and adolescents with OI.

Methods: A cross sectional observational study was conducted. The study participants included 95 Japanese pediatric patients of age 9-15 years who were diagnosed with OI from April 2010 to March 2020. The QOL scores and the QOL T-scores of children with OI assessed using the KINDL-R questionnaire at the initial visit were compared with conventional normative data. The associations of physical and psychosocial factors with the QOL T-scores were examined using multiple linear regression.

Results: Pediatric patients with OI had significantly lower QOL scores than healthy children in both elementary (50.7 ± 13.5 vs. 67.9 ± 13.4, p < 0.001) and junior high schools (51.8 ± 14.6 vs. 61.3 ± 12.6, p < 0.001). This finding was observed in the physical, mental, self-esteem, friends, and school domains. Total QOL scores were significantly associated with school nonattendance (β =  - 3.2, 95% confidence interval [CI] =  - 5.8 to - 0.5, p = 0.022) and poor relationship with school (β =  - 5.0, 95% CI =  - 9.8 to - 0.4, p = 0.035).

Conclusions: These results suggest that the assessment of QOL, including both physical and psychosocial aspects, especially school factors, needs to be implemented earlier in children and adolescents with OI.

Abstract Image

儿童和青少年站立不耐受的生活质量和身体/心理社会因素。
背景:直立性不耐受(OI)在儿童和青少年中很常见,由于身体症状限制了他们的工作、学习和日常活动,从而对他们的生活质量(QOL)产生负面影响。本研究的目的是探讨儿童和青少年成骨不全症患者身体和心理社会因素与生活质量评分的关系。方法:采用横断面观察研究。该研究的参与者包括95名年龄在9-15岁之间的日本儿科患者,他们在2010年4月至2020年3月期间被诊断为成骨不全。首次就诊时采用KINDL-R问卷评估的成骨不全患儿的生活质量评分和生活质量t -评分与常规规范数据进行比较。使用多元线性回归检验生理和心理因素与生活质量t评分的关系。结果:儿童成骨不全患者的小学生活质量评分明显低于健康儿童(50.7±13.5比67.9±13.4,p)。结论:这些结果表明,需要尽早对儿童和青少年成骨不全患者的生活质量进行评估,包括身体和社会心理方面,特别是学校因素。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
23
审稿时长
18 weeks
期刊介绍: BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.
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