利用 ResearchMatch 评估与儿科脊柱侧弯相关的精神共病患病率。
Evaluating the prevalence of psychiatric comorbidities associated with pediatric scoliosis utilizing ResearchMatch.
机构信息
Department of Neurological Surgery, Baylor College of Medicine, Houston, TX, USA.
School of Medicine, Vanderbilt University, Nashville, TN, USA.
出版信息
Spine Deform. 2024 Nov;12(6):1583-1593. doi: 10.1007/s43390-024-00926-8. Epub 2024 Aug 12.
PURPOSE
The goal of this study is to characterize the self-reported prevalence of psychiatric comorbidities among patients with adolescent scoliosis.
METHODS
Eligible patients across the US were surveyed using ResearchMatch, a validated online platform. The survey collected patient demographics, type of scoliosis, scoliosis treatment received, and the mental health diagnoses and interventions.
RESULTS
Nearly all (98%) of the 162 respondents were patients themselves, the remainder of which were parents. The majority of whom were female (93%), Caucasian (85%), and diagnosed with idiopathic scoliosis (63%). The median age of diagnosis was 13 (IQR 11-18). Most respondents had mild to moderate scoliosis (65%), and 17% received surgical treatment. 76 of 158 (48%) responded that scoliosis affected their overall mental health, and 92 (58%) had received a mental health diagnosis-76% were diagnosed after their scoliosis diagnosis. Of the 92 with mental health diagnoses, the most common diagnoses were clinical depression (83%), anxiety (71%), negative body image (62%). Over 80% of patients received medical treatment or therapy. Of those with depression, 38.4% received counseling and 45.2% received medication. 52% of the respondents also had immediate family members with mental health diagnoses, with siblings (48%) having the highest proportion.
CONCLUSION
According to the CDC, the prevalence of US teenagers with diagnosed depression was found to be 3.9% and anxiety disorder to be 4.7%, notably higher among adolescent girls. In this national sample, over half of adolescent scoliosis patients report psychiatric comorbidity, often diagnosed years later. The most prevalent psychiatric condition is depression, anxiety, and body-image disturbances. These findings highlight the importance of awareness of the psychiatric impact of adolescent scoliosis, and importance of screening and treatment of comorbid mental health conditions.
LEVEL OF EVIDENCE
IV.
目的
本研究旨在描述青少年脊柱侧弯患者自述的精神共病患病率。
方法
在美国，使用 ResearchMatch 对符合条件的患者进行了调查，这是一个经过验证的在线平台。该调查收集了患者的人口统计学资料、脊柱侧弯类型、接受的脊柱侧弯治疗以及心理健康诊断和干预措施。
结果
162 名受访者中几乎所有人（98%）都是患者本人，其余的是父母。他们大多数是女性（93%）、白种人（85%）和特发性脊柱侧弯患者（63%）。诊断时的中位年龄为 13 岁（IQR 11-18）。大多数受访者患有轻度至中度脊柱侧弯（65%），17%接受了手术治疗。158 名受访者中有 76 名（48%）表示脊柱侧弯影响了他们的整体心理健康，92 名（58%）接受了心理健康诊断-76%是在脊柱侧弯诊断后做出的。在 92 名有心理健康诊断的患者中，最常见的诊断是临床抑郁症（83%）、焦虑症（71%）、消极的身体形象（62%）。超过 80%的患者接受了药物治疗或治疗。在患有抑郁症的患者中，38.4%接受了咨询，45.2%接受了药物治疗。52%的受访者也有直系亲属有心理健康诊断，其中兄弟姐妹（48%）的比例最高。
结论
根据疾病预防控制中心的数据，美国青少年被诊断患有抑郁症的比例为 3.9%，患有焦虑症的比例为 4.7%，青少年女性中这一比例明显更高。在这个全国性样本中，超过一半的青少年脊柱侧弯患者报告有精神共病，通常在多年后才被诊断出来。最常见的精神疾病是抑郁症、焦虑症和身体形象障碍。这些发现强调了认识青少年脊柱侧弯的精神影响的重要性，以及筛查和治疗共患精神健康状况的重要性。
证据水平
IV。
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