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急性淋巴细胞白血病幸存者的健康相关生活质量、抑郁、焦虑及自我形象

Health-Related Quality of Life, Depression, Anxiety, and Self-Image in Acute Lymphocytic Leukemia Survivors.

作者信息

Baytan Birol, Aşut Çiğdem, Çırpan Kantarcıoğlu Arzu, Sezgin Evim Melike, Güneş Adalet Meral

机构信息

Uludağ University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Hematology, Bursa, Turkey, Phone: +90 224 295 06 03, E-mail:

出版信息

Turk J Haematol. 2016 Dec 1;33(4):326-330. doi: 10.4274/tjh.2015.0356. Epub 2016 Apr 18.

Abstract

OBJECTIVE

With increasing survival rates in childhood acute lymphocytic leukemia (ALL), the long-term side effects of treatment have become important. Our aim was to investigate health-related quality of life, depression, anxiety, and self-image among ALL survivors.

MATERIALS AND METHODS

Fifty patients diagnosed with ALL and their siblings were enrolled. The Kovacs Children's Depression Inventory, State-Trait Anxiety Inventory, Offer Self-Image Questionnaire, and Pediatric Quality of Life InventoryTM were used for collecting data. ANOVA tests were used to determine if there were any significant differences between groups.

RESULTS

ALL survivors had higher depression, more anxiety symptoms, lower quality of life, and more negative self-image when compared to their siblings.

CONCLUSION

Continuous diagnostic and interventional mental health services might be necessary for possible emotional side effects of treatment during and after the treatment. Rehabilitation and follow-up programs should be implemented for children during and after treatment for ALL.

摘要

目的

随着儿童急性淋巴细胞白血病(ALL)生存率的提高,治疗的长期副作用变得愈发重要。我们的目的是调查ALL幸存者的健康相关生活质量、抑郁、焦虑和自我形象。

材料与方法

招募了50名被诊断为ALL的患者及其兄弟姐妹。使用科瓦茨儿童抑郁量表、状态-特质焦虑量表、奥弗自我形象问卷和儿童生活质量量表来收集数据。采用方差分析测试来确定各组之间是否存在显著差异。

结果

与他们的兄弟姐妹相比,ALL幸存者有更高的抑郁水平、更多的焦虑症状、更低的生活质量和更负面的自我形象。

结论

对于治疗期间及之后可能出现的治疗情感副作用,持续的诊断和干预性心理健康服务可能是必要的。对于ALL患儿,应在治疗期间及之后实施康复和随访计划。

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