Joint Hypermobility Classes in 9-Year-Old Children from the General Population and Anxiety Symptoms
Joint Hypermobility Classes in 9-Year-Old Children from the General Population and Anxiety Symptoms
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DOI：
10.1097/dbp.0000000000000577
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发表时间：
2018-07-01
影响因子：
2.4
通讯作者：
Bulbena, Antoni
中科院分区：
文献类型：
--
作者：
Ezpeleta, Lourdes;Blas Navarro, Jose;Bulbena, Antoni
目的：从普通人群中获得儿童关节活动过度的类别，并研究其特征与焦虑测量的关系。方法：对336名来自普通人群的9岁儿童进行临床评估，通过9项多动测试，由其父母报告焦虑症状的严重程度。根据儿童是否存在多动症状进行潜在类别分析，所得类别与焦虑有关。结果：2级溶液标记为高流动性和低流动性，最适合数据。高动能力组的儿童在分离焦虑、社交恐惧症、身体伤害恐惧和总焦虑方面的得分高于低动能力组的儿童。当将阈值参考评分应用于总焦虑评分时，据报道，7.4%的高动能力组儿童和6%的低动能力组儿童的总焦虑水平出现临床升高。结论：在普通人群中，多动症的高症状与儿童焦虑症状得分较高相关。频繁出现多动症状的儿童可能受益于焦虑症状筛查，因为他们中的一部分正在经历临床症状升高，可能需要全面的生理和心理治疗。
Objective: To obtain joint hypermobility classes in children from the general population and to study their characteristics in relation to anxiety measures. Methods: A total of 336 nine-year-old children from the general population were clinically assessed through 9 items of hypermobility, and their parents reported about the severity of anxiety symptoms. Latent class analysis was estimated to group the children according to the presence of hypermobility symptoms, and the obtained classes were related to anxiety. Results: A 2-class solution, labeled as high hypermobility and low hypermobility, best fitted the data. Children in the high hypermobility group scored higher in separation anxiety, social phobia, physical injury fears, and total anxiety than did those in the low group. When applying the threshold reference scores to the total anxiety score, 7.4% of children in the high hypermobility group versus 6% in the low group were reported to experience clinical elevations on total anxiety. Conclusion: High symptoms of hypermobility are associated with higher scores in anxiety symptoms in children from the general population. Children with frequent symptoms of hypermobility may benefit from screening for anxiety symptoms because a subset of them are experiencing clinical elevations and may need comprehensive physical and psychological treatment.