Anxiety in children and adolescents with chronic kidney disease - multicenter national study results
| Autor: | Ilona Zagozdzon, Anna Wasilewska, Maria Małgorzata Zajączkowska, Marcin Tkaczyk, Maria Szczepańska, Danuta Zwolińska, Helena Ziółkowska, Ryszard Grenda, Monika Miklaszewska, Katarzyna Zachwieja, Anna Medyńska, Agnieszka Kluska-Jóźwiak, Piotr Adamczak, Katarzyna Kiliś-Pstrusińska, Irena Bałasz Chmielewska, Beata Leszczyńska, Ilona Olszak-Szot |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics lcsh:Diseases of the circulatory (Cardiovascular) system Adolescent Cross-sectional study medicine.medical_treatment Polish population Anxiety Adolescents lcsh:RC870-923 Peritoneal dialysis Renal Dialysis lcsh:Dermatology Medicine Humans Renal Insufficiency Chronic Psychiatry Child Children business.industry General Medicine lcsh:RL1-803 medicine.disease lcsh:Diseases of the genitourinary system. Urology Conservative treatment Cross-Sectional Studies Nephrology lcsh:RC666-701 National study Female Hemodialysis Poland Self Report medicine.symptom Chronic kidney diseases Cardiology and Cardiovascular Medicine business Kidney disease |
| Zdroj: | Kidney & Blood Pressure Research, Vol 37, Iss 6, Pp 579-587 (2013) |
| Popis: | Background/Aims: Chronic medical illness is a significant risk factor for the development of psychiatric disorders. The aims of the study were: to investigate the level of anxiety in children with chronic kidney disease (CKD) and to identify factors associated with the presence of that emotional problem. Methods: CKD children on hemodialysis (HD, n=22), peritoneal dialysis (PD, n=20,) and on conservative treatment (CT, n=95) were enrolled in the study. We used State-Trait Anxiety Inventory (STAI) for adolescents and STAI-C for children. Socio-demographic and physical factors were assessed. Results: There was a significantly higher level of anxiety-state among HD children (8-12 years) compared with other groups of participants of the same age and Polish population norms. The level of anxiety among adolescents (13-18 years), both anxiety-state and anxiety-trait, was significantly higher in the HD group compared with other groups, which did not differ among themselves. In the HD adolescents, there was a correlation between the anxiety-state and the duration of the disease as well as with the number of hospitalizations. PD adolescents in the mainstream education had higher levels of anxiety-state and anxiety-trait compared with home schooled patients. Conclusions: Even though children and adolescents with CKD are at risk of developing a variety of emotional disorders, the level of anxiety among the researched group, with the exception of HD patients, was not significantly different than the level of anxiety among healthy subjects. Adolescents on HD who present a high level of anxiety should undergo long-term psychological treatment. |
| Databáze: | OpenAIRE |
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