{"title":"与 22q11.2 缺失综合征患者疲劳相关的生理和心理社会因素","authors":"Yusuke Takahashi, Yutaka Sawai, Akito Uno, Miho Tanaka, Akiko Kanehara, Ryo Morishima, Yousuke Kumakura, Ichiro Sakamoto, Sho Yagishita, S. Jinde, Kiyoto Kasai","doi":"10.1002/pcn5.209","DOIUrl":null,"url":null,"abstract":"This study investigated fatigue in individuals with 22q11.2 deletion syndrome (22q11.2DS), identifying both physical and psychosocial factors.We conducted a cross‐sectional web‐based survey of 125 parents of individuals with 22q11.2DS. Significant factors of fatigue were identified using bivariate analysis and forward stepwise binary logistic regression.Overall, 34% (42 of 125) of the participants reported fatigue. Bivariate analysis identified 37 variables linked with fatigue, of which 11 were significant in multivariable analysis: older age (odds ratio [OR] = 1.28, 95% confidence interval [CI] [1.07, 1.53], P = 0.008), history of auditory hypersensitivity (OR = 36.4, 95% CI [4.08, 323.8], P = 0.001), delayed motor development (OR = 10.4, 95% CI [1.78, 61.0], P = 0.009), difficulty participating in events (OR = 33.5, 95% CI [1.1, 1068.2], P = 0.047), inability to join groups (OR = 47.9, 95% CI [4.8, 481.7], P = 0.001), concerns about marriage (OR = 17.0, 95% CI [2.6, 112.7], P = 0.003), inability to attend facilities (OR = 20.4, 95% CI [1.4, 308.0], P = 0.029), poor coordination when changing medical facilities (OR = < 0.010, 95% CI [0, 0.014], P = 0.002), lack of understanding about the individual's condition (OR = 0.010, 95% CI [0, 0.502], P = 0.021), and requirement of visiting multiple departments within the hospital (OR = 46.6, 95% CI [1.9, 1124.6], P = 0.018).Fatigue in 22q11.2DS is multifaceted, necessitating holistic fatigue management.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"18 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Physical and psychosocial factors associated with fatigue in individuals with 22q11.2 deletion syndrome\",\"authors\":\"Yusuke Takahashi, Yutaka Sawai, Akito Uno, Miho Tanaka, Akiko Kanehara, Ryo Morishima, Yousuke Kumakura, Ichiro Sakamoto, Sho Yagishita, S. Jinde, Kiyoto Kasai\",\"doi\":\"10.1002/pcn5.209\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This study investigated fatigue in individuals with 22q11.2 deletion syndrome (22q11.2DS), identifying both physical and psychosocial factors.We conducted a cross‐sectional web‐based survey of 125 parents of individuals with 22q11.2DS. Significant factors of fatigue were identified using bivariate analysis and forward stepwise binary logistic regression.Overall, 34% (42 of 125) of the participants reported fatigue. Bivariate analysis identified 37 variables linked with fatigue, of which 11 were significant in multivariable analysis: older age (odds ratio [OR] = 1.28, 95% confidence interval [CI] [1.07, 1.53], P = 0.008), history of auditory hypersensitivity (OR = 36.4, 95% CI [4.08, 323.8], P = 0.001), delayed motor development (OR = 10.4, 95% CI [1.78, 61.0], P = 0.009), difficulty participating in events (OR = 33.5, 95% CI [1.1, 1068.2], P = 0.047), inability to join groups (OR = 47.9, 95% CI [4.8, 481.7], P = 0.001), concerns about marriage (OR = 17.0, 95% CI [2.6, 112.7], P = 0.003), inability to attend facilities (OR = 20.4, 95% CI [1.4, 308.0], P = 0.029), poor coordination when changing medical facilities (OR = < 0.010, 95% CI [0, 0.014], P = 0.002), lack of understanding about the individual's condition (OR = 0.010, 95% CI [0, 0.502], P = 0.021), and requirement of visiting multiple departments within the hospital (OR = 46.6, 95% CI [1.9, 1124.6], P = 0.018).Fatigue in 22q11.2DS is multifaceted, necessitating holistic fatigue management.\",\"PeriodicalId\":507124,\"journal\":{\"name\":\"Psychiatry and Clinical Neurosciences Reports\",\"volume\":\"18 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatry and Clinical Neurosciences Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/pcn5.209\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry and Clinical Neurosciences Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pcn5.209","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
本研究调查了 22q11.2 缺失综合征(22q11.2DS)患者的疲劳情况,并确定了生理和社会心理因素。我们对 125 名 22q11.2DS 患者的父母进行了横断面网络调查。我们对 125 名 22q11.2DS 患者的父母进行了横断面网络调查,通过双变量分析和前向逐步二元逻辑回归确定了导致疲劳的重要因素。双变量分析确定了 37 个与疲劳有关的变量,其中 11 个在多变量分析中具有显著性:年龄较大(几率比 [OR] = 1.28,95% 置信区间 [CI] [1.07, 1.53],P = 0.008)、听觉过敏史(OR = 36.4,95% CI [4.08,323.8],P = 0.001)、运动发育迟缓(OR = 10.4,95% CI [1.78,61.0],P = 0.009)、参与活动困难(OR = 33.5,95% CI [1.1,1068.2],P = 0.047)、无法加入团体(OR = 47.9,95% CI [4.8,481.7],P = 0.001)、对婚姻的担忧(OR = 17.0,95% CI [2.6,112.7],P = 0.003)、无法到医疗机构就诊(OR = 20.4,95% CI [1.4,308.0],P = 0.029)、更换医疗机构时协调不佳(OR = < 0.010,95% CI [0,0.014],P = 0.22q11.2DS患者的疲劳是多方面的,需要全面的疲劳管理。
Physical and psychosocial factors associated with fatigue in individuals with 22q11.2 deletion syndrome
This study investigated fatigue in individuals with 22q11.2 deletion syndrome (22q11.2DS), identifying both physical and psychosocial factors.We conducted a cross‐sectional web‐based survey of 125 parents of individuals with 22q11.2DS. Significant factors of fatigue were identified using bivariate analysis and forward stepwise binary logistic regression.Overall, 34% (42 of 125) of the participants reported fatigue. Bivariate analysis identified 37 variables linked with fatigue, of which 11 were significant in multivariable analysis: older age (odds ratio [OR] = 1.28, 95% confidence interval [CI] [1.07, 1.53], P = 0.008), history of auditory hypersensitivity (OR = 36.4, 95% CI [4.08, 323.8], P = 0.001), delayed motor development (OR = 10.4, 95% CI [1.78, 61.0], P = 0.009), difficulty participating in events (OR = 33.5, 95% CI [1.1, 1068.2], P = 0.047), inability to join groups (OR = 47.9, 95% CI [4.8, 481.7], P = 0.001), concerns about marriage (OR = 17.0, 95% CI [2.6, 112.7], P = 0.003), inability to attend facilities (OR = 20.4, 95% CI [1.4, 308.0], P = 0.029), poor coordination when changing medical facilities (OR = < 0.010, 95% CI [0, 0.014], P = 0.002), lack of understanding about the individual's condition (OR = 0.010, 95% CI [0, 0.502], P = 0.021), and requirement of visiting multiple departments within the hospital (OR = 46.6, 95% CI [1.9, 1124.6], P = 0.018).Fatigue in 22q11.2DS is multifaceted, necessitating holistic fatigue management.