Mehta M, Bagga A, Pande P, Bajaj G, Srivastava R N
Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Indian Pediatr. 1995 Dec;32(12):1281-6.
To evaluate the adaptive competences and behavioral problems in children with nephrotic syndrome, and whether their mothers also showed features of psychosocial stress.
Prospective case-control study.
Pediatric Out-Patient Department.
Seventy consecutive patients of nephrotic syndrome, between the ages of 4 to 14 years, and their mothers constituted cases. The control group, matched for age, sex and socioeconomic status comprised of 46 children and their mothers. The mother's description of the child's behavior, on the Child Behavior Checklist (CBCL), was obtained to assess behavioral problems and social competences. The level of anxiety in the mother was assessed using the PGI Health Questionnaire N2.
Children with nephrotic syndrome showed features of depressed, hyperactive or aggressive behavior. Somatic complaints, social withdrawal and poor school performance were also observed. These problems did not interfere with compliance to treatment and only 7 patients required psychological interventions. Boys with nephrotic syndrome had more hyperactive and aggressive behavior as compared to girls. The scores on the CBCL were well correlated with the anxiety scores of the mother.
These observations suggest the presence of minor behavior problems in a significant proportion of children with nephrotic syndrome. The severity of these problems may be related to the attitude of the mother towards the child's illness.
评估肾病综合征患儿的适应能力和行为问题，以及其母亲是否也表现出心理社会压力特征。
前瞻性病例对照研究。
儿科门诊。
连续纳入70例年龄在4至14岁之间的肾病综合征患儿及其母亲作为病例组。对照组由46名年龄、性别和社会经济地位相匹配的儿童及其母亲组成。通过获取母亲在儿童行为量表（CBCL）上对孩子行为的描述，来评估行为问题和社会能力。使用PGI健康问卷N2评估母亲的焦虑水平。
肾病综合征患儿表现出抑郁、多动或攻击性行为特征。还观察到躯体不适、社交退缩和学业成绩不佳。这些问题并未影响治疗依从性，仅有7例患者需要心理干预。与女孩相比，患肾病综合征的男孩有更多的多动和攻击性行为。CBCL得分与母亲的焦虑得分密切相关。
这些观察结果表明，相当一部分肾病综合征患儿存在轻微行为问题。这些问题的严重程度可能与母亲对孩子疾病的态度有关。
