Psychosocial and clinical effects of the COVID-19 pandemic in patients with childhood rheumatic diseases and their parents.
Psychosocial and clinical effects of the COVID-19 pandemic in patients with childhood rheumatic diseases and their parents.
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DOI：
10.1007/s00296-021-04790-x
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发表时间：
2021-03
影响因子：
4
通讯作者：
Kasapcopur O
中科院分区：
文献类型：
--
作者：
Durcan G;Barut K;Haslak F;Doktur H;Yildiz M;Adrovic A;Sahin S;Kasapcopur O
本研究旨在评估儿童和青少年风湿病（RD）及其父母在疫情期间的心理症状。在RD患者和健康对照者中采用横断面设计进行了基于网络的问卷调查。采用医院焦虑抑郁量表评估父母精神状态；儿童使用儿童状态-特质焦虑量表。459名RD患者及其父母完成了本研究，还有336名健康的同龄人。各组儿童的年龄和性别相似。12岁以下儿童的特质焦虑和父母的心理症状在各组间比较相似；13岁以上父母焦虑、抑郁得分及儿童特质焦虑得分均高于对照组（父母焦虑得分为7.3±3.4比6.3±3.8,p = 0.006；父母抑郁得分为6.6±3.8比5.3±3.9,p < 0.001；儿童特质焦虑得分为36.1±8.7比33.3±7.9,p = 0.002）。在患者组，风湿病诊断、咨询医生治疗、认为RD增加COVID-19风险、大流行过程中风湿病发作史、使用生物制剂等变量的量表得分无差异。儿童特质焦虑与父母焦虑（r = 0.414, p < 0.001）、抑郁（r = 0.300, p < 0.001）得分呈正相关。这些发现提示临床医生在大流行期间应注意RD患儿及其父母的精神症状。
This study aimed to evaluate the psychological symptoms of children and adolescents with rheumatological diseases (RD) and their parents during the outbreak. A web-based questionnaire survey was conducted in a cross-sectional design in RD patients and healthy controls. The Hospital Anxiety and Depression Scale was used to evaluate parental psychiatric status; while the State-Trait Anxiety Inventory for Child was used for children. Four hundred and fifty-nine patients with RD and their parents completed the present study, as well as 336 healthy peers. The age and gender of the children were similar across groups. Under 12 years of age, the trait anxiety of the children and the psychological symptoms of parents were similar across groups; while over 13 years of age, anxiety and depression scores of the parents, as well as trait anxiety of the children were higher than the control groups’ (7.3 ± 3.4 vs 6.3 ± 3.8, p = 0.006 for parental anxiety; 6.6 ± 3.8 vs. 5.3 ± 3.9, p < 0.001 for parental depression; 36.1 ± 8.7 vs. 33.3 ± 7.9, p = 0.002 for child trait anxiety). In patient group, there were no differences in scale scores according to variables such as rheumatological disease diagnosis, the consulting of doctor for treatment, thinking that RD increases the risk of COVID-19, the history of rheumatic disease attack during the pandemic process, and the use of biological agents. The children’s trait anxiety was positively correlated with their parents’ anxiety (r = 0.414, p < 0.001) and depression (r = 0.300, p < 0.001) scores. These findings suggest that clinicians should pay attention to the psychiatric symptoms of both children with RD and their parents during the pandemic.
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影响因子：
4
作者：
Kardeş S;Kuzu AS;Raiker R;Pakhchanian H;Karagülle M
通讯作者：
Karagülle M
影响因子：
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作者：
Petri, Michelle;Orbai, Ana-Maria;Alarcon, Graciela S.;Gordon, Caroline;Merrill, Joan T.;Fortin, Paul R.;Bruce, Ian N.;Isenberg, David;Wallace, Daniel J.;Nived, Ola;Sturfelt, Gunnar;Ramsey-Goldman, Rosalind;Bae, Sang-Cheol;Hanly, John G.;Sanchez-Guerrero, Jorge;Clarke, Ann;Aranow, Cynthia;Manzi, Susan;Urowitz, Murray;Gladman, Dafna;Kalunian, Kenneth;Costner, Melissa;Werth, Victoria P.;Zoma, Asad;Bernatsky, Sasha;Ruiz-Irastorza, Guillermo;Khamashta, Munther A.;Jacobsen, Soren;Buyon, Jill P.;Maddison, Peter;Dooley, Mary Anne;van vollenhoven, Ronald F.;Ginzler, Ellen;Stoll, Thomas;Peschken, Christine;Jorizzo, Joseph L.;Callen, Jeffrey P.;Lim, S. Sam;Fessler, Barri J.;Inanc, Murat;Kamen, Diane L.;Rahman, Anisur;Steinsson, Kristjan;Franks, Andrew G., Jr.;Sigler, Lisa;Hameed, Suhail;Fang, Hong;Ngoc Pham;Brey, Robin;Weisman, Michael H.;McGwin, Gerald, Jr.;Magder, Laurence S.
通讯作者：
Magder, Laurence S.
影响因子：
3.4
作者：
Kardeş S;Kuzu AS;Pakhchanian H;Raiker R;Karagülle M
通讯作者：
Karagülle M
影响因子：
168.9
作者：
Huang, Chaolin;Wang, Yeming;Cao, Bin
通讯作者：
Cao, Bin
影响因子：
168.9
作者：
Chan, Jasper Fuk-Woo;Yuan, Shuofeng;Yuen, Kwok-Yung
通讯作者：
Yuen, Kwok-Yung