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[白血病或淋巴瘤疾病后儿童及青少年的心理症状负担]

[Psychological Symptom Burden in Children and Adolescents After Leukemia or Lymphoma Diseases].

作者信息

Sautier Leon Philip, Sarkar Susanne, Petersen Marie, Mehnert Anja, Escherich Gabriele

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2015;64(4):273-89. doi: 10.13109/prkk.2015.64.4.273.

Abstract

Psychological Symptom Burden in Children and Adolescents After Leukemia or Lymphoma Diseases. A cancer diagnosis represents a major challenge for children and young people at an early stage in life. Objective of the present study is the investigation of mental health and psychosocial burden in children and young adolescents two or more years after the treatment of leukemia (ALL, AML) or lymphoma disease (NHL) compared to peers not suffering from cancer as well as available standard values. 42 former patients and 23 healthy peers were included in the comparative analysis. In addition to socio-demographic and medical information the following validated questionnaires were used: the General Depression Scale (ADS), the Strength and Difficulties Questionnaire (SDQ) for the detection of behavioral difficulties and strengths, the KINDL-R questionnaire for assessing quality of life in children and adolescents, the Herth Hope Index (HHI), the Social Questionnaire (SFS 4-6) for assessing the educational integration and the General Self-Efficacy Scale (GSE) to measure self-efficacy. Children and young adolescent survivors of leukemia or lymphoma report significantly less depressive symptoms and significantly higher quality of life compared to a healthy age-matched comparison sample and representative standard values. Beyond, former patients do not differ significantly in psychological and psychosocial aspects compared to a healthy age-matched comparison sample and available standard values.

摘要

白血病或淋巴瘤疾病后儿童及青少年的心理症状负担。癌症诊断对处于生命早期阶段的儿童和年轻人来说是一项重大挑战。本研究的目的是调查白血病(急性淋巴细胞白血病、急性髓细胞白血病)或淋巴瘤疾病(非霍奇金淋巴瘤)治疗两年或更长时间后的儿童和青少年与未患癌症的同龄人以及现有标准值相比的心理健康和心理社会负担。42名 former patients 和23名健康同龄人被纳入比较分析。除社会人口统计学和医学信息外,还使用了以下经过验证的问卷:一般抑郁量表(ADS)、用于检测行为困难和优势的长处与困难问卷(SDQ)、用于评估儿童和青少年生活质量的儿童生活质量量表(KINDL-R)、赫思希望指数(HHI)、用于评估教育融入情况的社会问卷(SFS 4-6)以及用于测量自我效能感的一般自我效能量表(GSE)。与年龄匹配的健康对照样本和代表性标准值相比,白血病或淋巴瘤的儿童和青少年幸存者报告的抑郁症状明显较少,生活质量明显较高。此外,与年龄匹配的健康对照样本和现有标准值相比,former patients 在心理和心理社会方面没有显著差异。

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