Radmilović Goranka, Trconić Marija, Kolak Jurić Martina, Mamić Marin, Vukoja Ivan, Divković Dalibor
General County Hospital Požega, Osječka 107, 34000 Pozega, Croatia.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, J. Huttlera 4, 31000 Osijek, Croatia.
Healthcare (Basel). 2025 Jun 30;13(13):1569. doi: 10.3390/healthcare13131569.
Despite the high incidence of surgical treatment of lower leg fractures in children, there is little research focusing on the emotional consequences of such trauma, particularly the distinction between somatic and cognitive anxiety symptoms. Given the important role of social support and manifest anxiety in emotional recovery, there is a clear need to investigate factors that predict the development of anxiety in this population. This study aimed to identify predictors of anxiety and to assess differences between somatic and cognitive anxiety symptoms in children undergoing surgery for lower leg fractures, addressing the need to better understand psychological effects in this vulnerable group. : The research included 63 children with lower leg fractures, of whom 40 were boys (63.5%) and 23 were girls (36.5%), with a mean age of M = 15.174 (SD = 3.701). The instruments used in this research were as follows: the Demographic Data Questionnaire, the Children's Anxiety Scale, the Beck Anxiety Inventory (BAI), and the Multidimensional Scale of Perceived Social Support. : The results showed that the only significant predictor of somatic symptoms of anxiety was the presence of paresthesia, while significant predictors of cognitive symptoms of anxiety were social support from friends and the presence of paresthesia. : Paresthesia was identified as a significant predictor of somatic symptoms of anxiety, while social support from friends was associated with lower levels of cognitive anxiety symptoms in children with lower leg and ankle fractures. These results point to the relevance of considering both somatic and psychological factors in the recovery process following pediatric fractures.
尽管儿童小腿骨折的手术治疗发生率很高，但针对此类创伤的情感后果，尤其是躯体焦虑症状和认知焦虑症状之间区别的研究却很少。鉴于社会支持和明显焦虑在情感恢复中的重要作用，显然有必要调查预测该人群焦虑症发展的因素。本研究旨在确定焦虑症的预测因素，并评估接受小腿骨折手术儿童的躯体焦虑症状和认知焦虑症状之间的差异，以满足更好地了解这一弱势群体心理影响的需求。该研究纳入了63名小腿骨折儿童，其中40名是男孩（63.5%），23名是女孩（36.5%），平均年龄M = 15.174（标准差 = 3.701）。本研究使用的工具如下：人口统计学数据问卷、儿童焦虑量表、贝克焦虑量表（BAI）和多维感知社会支持量表。结果表明，焦虑躯体症状的唯一显著预测因素是感觉异常的存在，而焦虑认知症状的显著预测因素是来自朋友的社会支持和感觉异常的存在。感觉异常被确定为焦虑躯体症状的显著预测因素，而来自朋友的社会支持与小腿和踝关节骨折儿童较低水平的认知焦虑症状相关。这些结果表明，在儿童骨折后的恢复过程中，考虑躯体和心理因素具有重要意义。
