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基于长处与困难问卷的施诺支具治疗过程中脊柱侧弯患者及其父母心理健康评估的变化

Changes in Scoliosis Patient and Parental Assessment of Mental Health in the Course of Cheneau Brace Treatment Based on the Strengths and Difficulties Questionnaire.

作者信息

Glowacki Maciej, Misterska Ewa, Adamczyk Katarzyna, Latuszewska Joanna

机构信息

Department of Pediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, ul. 28 Czerwca 1956 135/147, 61-545 Poznan, Poland.

出版信息

J Dev Phys Disabil. 2013 Jun;25(3):325-342. doi: 10.1007/s10882-012-9310-4.

Abstract

In the presented study we aimed to investigate the influence of bracing time on perception of mental health by both parents and children with Adolescent Idiopathic Scoliosis (AIS) longitudinally, in relation to socio-demographic and scoliosis-related data. The study design was comprised of three questionnaire assessments, with the second and the third evaluation taking place 6 and 12 months after the beginning of the study, respectively. Thirty-six AIS females treated conservatively and their parents completed the Polish versions of The Strengths and Difficulties Questionnaire-25 (SDQ-25). The results indicated psychiatric disorder was unlikely, but concern all SDQ-25 parent and patient domains and general results. Patient results do not differ significantly in regards to the total score and the particular domains of the SDQ-25. Parents SDQ-25 results differ significantly in regards to the emotional symptoms domain only ( = .023, after Bonferroni correction, the difference is insignificant). The study groups differ significantly within the 2nd evaluation in regards to hyperactivity/inattention domain ( = .026) and within the last evaluation in regards to emotional symptoms domain ( = .009). After Bonferroni correction the differences are insignificant. In general, parents and their children with AIS perceived patients' mental health in a similar way. Patient and parent assessment of mental health was unchanged after a 12-month brace treatment period. Poor psychological outcome was associated with more severe spinal deformity, brace-wearing duration and age of patient.

摘要

在本研究中,我们旨在纵向调查支具佩戴时间对青少年特发性脊柱侧凸(AIS)患儿及其父母心理健康认知的影响,并将其与社会人口统计学数据和脊柱侧凸相关数据进行关联分析。该研究设计包括三次问卷调查评估,第二次和第三次评估分别在研究开始后的6个月和12个月进行。36名接受保守治疗的AIS女性患儿及其父母完成了波兰语版的《长处与困难问卷25项》(SDQ-25)。结果表明,患儿不太可能患有精神疾病,但所有SDQ-25父母和患者领域及总体结果均令人担忧。在SDQ-25的总分和特定领域方面,患者的结果没有显著差异。父母的SDQ-25结果仅在情绪症状领域有显著差异(=0.023,经Bonferroni校正后,差异不显著)。研究组在第二次评估中的多动/注意力不集中领域(=0.026)和最后一次评估中的情绪症状领域(=0.009)有显著差异。经Bonferroni校正后,差异不显著。总体而言,AIS患儿及其父母对患者心理健康的认知方式相似。在12个月的支具治疗期后,患者和父母对心理健康的评估没有变化。心理结果较差与更严重的脊柱畸形、支具佩戴时间和患者年龄有关。

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