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青少年肾移植受者焦虑和抑郁的识别:一项横断面观察性研究。

Identification of Anxiety and Depression Among Adolescent Kidney Transplant Recipients: A Cross-Sectional Observational Study.

作者信息

Bush Rachel, Upadhyay Kiran, McPeters Steadman

出版信息

J Pediatr Health Care. 2022 May-Jun;36(3):270-276. doi: 10.1016/j.pedhc.2021.10.007. Epub 2021 Nov 26.

Abstract

INTRODUCTION

Studies demonstrate an association between mental health disorders and organ transplantation, with adolescents five times more likely to experience anxiety and depression than their nontransplant peers. The purpose of this study is to describe the prevalence of anxiety and depression in adolescent kidney transplant recipients using standardized mental health screening tools.

METHOD

The standardized screening tools, generalized anxiety disorder-7 for anxiety and Patient Health Questionnaire-9 for depression, were administered over 6 months to kidney transplant recipients aged 12-21 years during the transplant clinic visit.

RESULTS

Mental health screening increased by 74.0%. Patients reported mild to moderate anxiety at 46.4% and depression at 35.7%.

DISCUSSION

Routine screening for mental health disorders in the transplant clinic allows for early identification of anxiety and depression, prompt referrals to a mental health professional, and improved health outcomes in adolescent kidney transplant recipients.

摘要

引言

研究表明心理健康障碍与器官移植之间存在关联,青少年经历焦虑和抑郁的可能性是非移植同龄人五倍。本研究的目的是使用标准化心理健康筛查工具描述青少年肾移植受者中焦虑和抑郁的患病率。

方法

在移植门诊就诊期间,对12至21岁的肾移植受者在6个月内使用标准化筛查工具,即用于焦虑的广泛性焦虑障碍量表7项版和用于抑郁的患者健康问卷9项版。

结果

心理健康筛查增加了74.0%。患者报告轻度至中度焦虑的比例为46.4%,抑郁的比例为35.7%。

讨论

在移植门诊对心理健康障碍进行常规筛查有助于早期识别焦虑和抑郁,及时转诊至心理健康专业人员,并改善青少年肾移植受者的健康结局。

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