Age-Related Differences in Psychosocial Function of Children with Craniofacial Anomalies
Age-Related Differences in Psychosocial Function of Children with Craniofacial Anomalies
复制标题
颅面异常儿童心理社会功能的年龄相关差异
DOI：
--
复制
发表时间：
2017
影响因子：
3.6
通讯作者：
Justine C. Lee
中科院分区：
文献类型：
--
作者：
Elizabeth J. Volpicelli;Miles J. Pfaff;K. Hakimi;J. Bradley;R. C. Solem;Justine C. Lee
背景：年龄是儿科颅面手术中手术时机的常见考虑因素，以实现最佳的心理社会发展。然而，积极治疗的儿童年龄的影响的系统评价尚未得到彻底的评价。研究方法：来自加州大学洛杉矶颅面诊所的99名患者（年龄8 - 17岁; 46.5%为男性）采用儿科患者报告结局测量信息系统进行前瞻性评估，以评估愤怒、焦虑、抑郁和同伴关系质量。患者按年龄分为3个年龄组：A组，8 - 10岁，n = 30; B组，11 - 13岁，n = 41; C组，14 - 17岁，n = 28。进行方差分析和Logistic回归分析。结果如下：各年龄组在焦虑（F2，96 = 5.1; p = 0.008）、抑郁（F2，96 = 9.7; p < 0.001）、同伴关系（F2，96 = 3.5; p = 0.03）和愤怒（F2，96 = 4.9; p = 0.009）方面存在显著差异。A组表现出最高的焦虑，最高的抑郁，和最低的同伴关系的整体得分。虽然A组和C组之间的愤怒没有差异，但B组的愤怒分数最低。比较了严重程度较高的评分较差的儿童，定义为比全国平均值差1个标准差以上。在所有类别中，A组受影响最严重的儿童比例最高。逻辑回归分析表明，A组是焦虑（OR，3.8; 95%CI，1.3至11.5; p = 0.02）和同伴关系（OR，3.4; 95%CI，1.3至9.3; p = 0.02）评分更高的统计学显著预测因子。结论：8 ~ 10岁颅面畸形儿童是心理社会功能障碍的高危人群。作者的工作表明，对这个年龄段的人来说，有家庭和学校意识的严密监视可能是必要的。临床问题/证据等级：风险，II。
Background: Age is a frequent consideration for surgical timing in pediatric craniofacial surgery for optimal psychosocial development. However, systematic evaluations of the effects of age in children under active treatment have not been thoroughly evaluated. Methods: Ninety-nine patients (age, 8 to 17 years; 46.5 percent male) from the University of California, Los Angeles, Craniofacial Clinic were prospectively evaluated using the Pediatric Patient-Reported Outcomes Measurement Information System to assess anger, anxiety, depression, and quality of peer relationships. Patients were stratified into three age groups by years: group A, 8 to 10 years, n = 30; group B, 11 to 13 years, n = 41; and group C, 14 to 17 years, n = 28. Analyses of variance and logistic regression analyses were performed. Results: Significant differences in anxiety (F2,96 = 5.1; p = 0.008), depression (F2,96 = 9.7; p < 0.001), peer relationships (F2,96 = 3.5; p = 0.03), and anger (F2,96 = 4.9; p = 0.009) were found among the age groups. Group A demonstrated the highest anxiety, highest depression, and lowest peer relationship scores overall. Although there were no differences in anger between groups A and C, group B had the lowest anger scores. Children with poor scores of higher severity, defined as greater than 1 SD worse than the national mean, were compared. Group A contributed the highest percentages of more severely affected children in all categories. A logistic regression analysis demonstrated that group A was a statistically significant predictor for scores of higher severity in both anxiety (OR, 3.8; 95 percent CI, 1.3 to 11.5; p = 0.02) and peer relationships (OR, 3.4; 95 percent CI, 1.3 to 9.3; p = 0.02). Conclusions: Children between 8 and 10 years of age with craniofacial anomalies constitute a high-risk subset for psychosocial dysfunction. The authors’ work suggests that tight surveillance with family and school awareness may be necessary for this age group. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.
DOI：
10.1597/1545-1569_1994_031_0061_dattpo_2.3.co_2
发表时间：
1994
期刊：
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
影响因子：
--
作者：
Speltz,ML;Greenberg,MT;Endriga,MC;Galbreath,H
通讯作者：
Galbreath,H