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儿童肿瘤患者的抑郁症状与口腔黏膜炎:一项横断面研究。

Depressive symptoms and oral mucositis in children with oncological diseases: a cross-sectional study.

机构信息

Universidade Federal da Bahia - UFBA, School of Dentistry, Departament of Social Dentistry and Pediatrics, Salvador, BA, Brasil.

Universidade Federal de Pernambuco - UFPB, School of Dentistry, Department of Clinical and Preventive Dentistry, Recife, Pernambuco, Brasil.

出版信息

Braz Oral Res. 2024 May 13;38:e033. doi: 10.1590/1807-3107bor-2024.vol38.0033. eCollection 2024.

Abstract

The aim of this study was to investigate the correlation between depressive symptoms and the occurrence of oral mucositis in children with oncological diseases treated at a reference hospital. This was a cross-sectional study conducted with individuals aged 4 to 18 years, diagnosed with primary neoplasms. Data was collected by using a questionnaire that assessed the degree of oral mucositis according to the World Health Organization index, the risk of oral mucositis according to the Child's International Mucositis Evaluation Scale, and depressive symptoms using the Children's Depression Inventory. The data were analyzed and subjected to Spearman's correlation, chi-square test, and Fisher's exact test, considering p<0.05. A statistically significant correlation was observed between depressive symptoms and the degree of oral mucositis (p = 0.044), and also between the "pain" variable within the risk of oral mucositis and depressive symptoms (p = 0.021). Based on the findings, it can be inferred that oral mucositis may be associated with the development of depressive symptoms and may be influenced by the individual's hospitalization, thereby affecting the quality of life of pediatric patients.

摘要

本研究旨在探讨在一家参考医院接受治疗的患有肿瘤疾病的儿童中,抑郁症状与口腔黏膜炎发生之间的相关性。这是一项横断面研究,纳入了年龄在 4 至 18 岁之间、被诊断为原发性肿瘤的个体。通过使用问卷收集数据,该问卷根据世界卫生组织指数评估口腔黏膜炎的程度、根据儿童国际口腔黏膜炎评估量表评估口腔黏膜炎的风险,以及使用儿童抑郁量表评估抑郁症状。对数据进行了分析,并进行了 Spearman 相关分析、卡方检验和 Fisher 确切检验,p<0.05 为差异有统计学意义。抑郁症状与口腔黏膜炎程度之间存在显著相关性(p=0.044),口腔黏膜炎风险中的“疼痛”变量与抑郁症状之间也存在显著相关性(p=0.021)。基于这些发现,可以推断口腔黏膜炎可能与抑郁症状的发生有关,并且可能受到个体住院的影响,从而影响儿科患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7907/11376597/2e024a50b28b/1807-3107-bor-38-e033-gf01.jpg

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