调查与脑瘫青少年心理健康症状相关的生理症状:观察研究

IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL
D. Testani , C.A. McMorris , C.A. Clark , H. Sanguino , E.G. Condliffe , M.E. Noel , D.C. Kopala Sibley , L.K. Brunton
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引用次数: 0

摘要

50%以上的脑瘫(CP)儿童和青少年会遇到心理健康方面的挑战,其中焦虑和抑郁最为常见。患有脑瘫的青少年也会出现一些生理症状,如疲劳、疼痛、久坐不动的生活方式和睡眠障碍等,这些症状会影响他们的日常生活;然而,人们对这些症状对这些青少年心理健康结果的影响知之甚少。本研究针对这一空白,研究了生理症状对患有心绞痛的青少年焦虑和抑郁症状的个体和累积影响。40 名 8 至 18 岁的 CP 青少年及其照顾者参与了这项横断面观察研究。研究人员使用护理人员和自我报告的问卷对疼痛、疲劳、焦虑和抑郁症状进行了测量,参与者连续七天佩戴加速度计,以提供非侵入性的体力活动和睡眠模式数据。患有心绞痛的青少年有严重的生理症状,焦虑和抑郁症状也有所加重。线性回归模型表明,所有生理因素均可预测护理人员报告的青少年焦虑(R2 = 0.23)和青少年抑郁症状(R2 = 0.48)。疲劳、疼痛严重程度、睡眠效率和体力活动结果单独或共同导致了护理人员报告的青少年焦虑和抑郁症状。这些研究结果突显了生理症状作为潜在风险因素的重要作用,也是干预CP青少年心理健康问题的潜在目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating physiological symptoms associated with mental health symptoms in youth with cerebral palsy: An observational study

Over 50 % of children and youth with cerebral palsy (CP) experience mental health challenges, with anxiety and depression most common. Youth with CP also experience several physiological symptoms such as fatigue, pain, sedentary lifestyle, and sleep disturbances that impact their daily living; however, little is known about the impact of these symptoms on mental health outcomes in these youth. This study addressed this gap and examined the individual and cumulative impacts of physiological symptoms on anxiety and depression symptoms in youth with CP. Forty youth with CP aged 8 to 18 years, and their caregiver, participated in this cross-sectional observational study. Pain, fatigue, anxiety, and depressive symptoms were measured using caregiver- and self-reported questionnaires and participants wore accelerometers for seven consecutive days, providing non-invasive physical activity and sleep pattern data. Youth with CP experienced substantial physiological symptoms and elevated anxiety and depression symptoms. Linear regression models determined that all physiological factors were predictive of caregiver-reported youth anxiety (R2 = 0.23) and youth depressive symptoms (R2 = 0.48). Fatigue, pain severity, sleep efficiency, and physical activity outcomes individually and cumulatively contributed to caregiver-reported youth anxiety and depression symptoms. These findings highlight the important role of physiological symptoms as potential risk factors and potential targets for intervention for mental health issues for in youth with CP.

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来源期刊
CiteScore
5.50
自引率
6.50%
发文量
178
期刊介绍: Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.
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