Title Razlika u komorbiditetu tjelesnih bolesti između djece školske dobi liječene zbog depresije i anksioznosti i kontrolne skupine
Title (english) Difference in comorbidity of physical illnesses between school-aged children treated for depression and anxiety and a control group
Author Katarina Čavka
Mentor Dolores Britvić (mentor)
Committee member Renata Pecotić (predsjednik povjerenstva)
Committee member Varja Đogaš (član povjerenstva)
Committee member Slavica Kozina (član povjerenstva)
Granter University of Split School of Medicine Split
Defense date and country 2024-07-18, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Psychiatry
Abstract Ciljevi istraživanja: Ispitati postoji li veća učestalost tjelesnih komorbiditeta u djece s psihijatrijskim poremećajem u odnosu na djecu bez psihijatrijskog poremećaja.
Ispitanici i postupci: U istraživanju je sudjelovalo 60 ispitanika. Ispitnu skupinu činila su djeca koja su zbog psihijatrijskog pregleda ili liječenja došli u ambulantu za dječju i adolescentnu psihijatriju, Klinički bolnički centar Split, u razdoblju od 01. veljače do 31. lipnja 2024. godine. Kontrolnu skupinu činila su djeca koja su pohađala peti do osmi razred osnovne škole. Sudjelovali su učenici Osnovne škole prof. Filipa Lukasa, Kaštel Stari te Osnovne škole Vjekoslava Paraća, Vranjic, uz suglasnost roditelja. Kriterij isključenja za kontrolnu skupinu je sadašnje ili prošlo posjećivanje psihologa ili psihijatra. Provedeni su upitnici BAI i CDI, mjerne skale za mjerenje anksioznosti i depresivnosti, te anketa o tjelesnim bolestima i sociodemografskim parametrima. Upitnik BAI sadrži 21 pitanje od simptomima anksioznosti unatrag tjedan dana, upitnik CDI sadrži 27 pitanja o simptomima depresivnosti te anketa tjelesnih bolesti sadrži pitanja o tjelesnim bolestima, lijekovima, bolničkom liječenju i sociodemografskim parametrima.
Rezultati: Učestalost tjelesnih bolesti u ispitivanoj skupini bila je značajno veća nego u kontrolnoj skupini (63,3% vs. 16,7%, P=0.001). Najčešće tjelesne bolesti bile su alergijski rinitis, gastritis ili alergija. U posljednjih mjesec dana je 30% djece iz ispitivane skupine otišlo u svog obiteljskog liječnika u odnosu na 10% djece iz kontrolne skupine, a. Učestalost i duljina dosadašnjeg bolničkog liječenja bile su 70% i jedan dan bolničkog liječenja (0 - 3) u ispitivanoj skupini, a u kontrolnojj 73% i jedan dan bolničkog liječenja (0,25 - 3). Na pitanje osjećaju li se često bolesno u ispitivanoj skupini 8 (27%) je odgovorilo potvrdno u odnosu na 3 (10%) djece u kontrolnoj skupini djece. Dokazali smo da postoji statistički značajna poveznica između jačine depresivnih i/ili anksioznih simptoma izražene mjernim skalama i broja tjelesnih oboljenja za poveznicu depresivnih simptoma i tjelesnih bolesti (P=0,020) i za poveznicu anksioznih simptoma s tjelesnim oboljenjima (P<0,001)).
Zaključci: Skupina djece u dobi od 10 do 15 godina života koja imaju izražene simptome depresivnog i/ili anksioznog poremećaja imala je značajno veću učestalost tjelesnih komorbiditeta u odnosu na kontrolnu skupinu zdrave djece. Nije bilo značajne razlike među skupinama u učestalosti i duljini bolničkog liječenja, u broju odlazaka obiteljskom liječniku te subjektivnog osjećaja česte bolesti. Dokazali smo i kako je intenzitet depresivnog i/ili anksioznog osjećaja povezan s brojem tjelesnih oboljenja.
Abstract (english) Objectives: The aim of the research is to investigate if there is a higher prevalence of physical comorbidities in children with psychiatric disorder in comparison to children who do not have a psychiatric diagnosis.
Materials and methods: The study involved 60 participants. The test group consisted of children who came for psychiatric examination or treatment at the Children's and Adolescent Psychiatry Clinic, Clinical Hospital Center Split, in the period from February 1 to June 31, 2024. The control group consisted of children who attended the fifth to eighth grade of elementary school. Participants were students from Prof. Filip Lukas Elementary School in Kaštel Stari and Vjekoslav Parać Elementary School in Vranjic, with parental consent. The exclusion criterion for the control group was current or past visits to a psychologist or psychiatrist. The BAI and CDI questionnaires, measurement scales for anxiety and depression, and a survey on physical illnesses and sociodemographic parameters were conducted. The BAI questionnaire contains 21 questions about anxiety symptoms over the past week, the CDI questionnaire contains 27 questions about depressive symptoms, and the physical illness survey contains questions about physical illnesses, medications, hospital treatment, and sociodemographic parameters.Results: The frequency of physical illnesses in the examined group was significantly higher than in the control group (63.3% vs. 16.7%, P=0.001). The most common physical illnesses were allergic rhinitis, gastritis, or allergies. In the last month, 30% of children from the examined group visited their family doctor compared to 10% of children from the control group. The frequency and duration of previous hospital treatments were 70% and one day of hospital treatment (0 - 3) in the examined group, compared to 73% and one day of hospital treatment (0.25 - 3) in the control group. When asked if they often feel sick, 8 (27%) children in the examined group responded affirmatively compared to 3 (10%) children in the control group. We demonstrated a statistically significant link between the severity of depressive and/or anxiety symptoms measured by scales and the number of physical illnesses, with a significant link between depressive symptoms and physical illnesses (P=0.020) and between anxiety symptoms and physical illnesses (P<0.001).
Conclusions: The experimental group has a statistically proven higher frequency of physical comorbidities. There are no statistically significant differences between the groups in the frequency and duration of hospital treatment, the number of visits to the family doctor, or the feeling of frequent illness. We have also proven that the intensity of depressive and/or anxious feelings is associated with the number of physical illnesses.
Keywords
dječja psihijatrija
depresija
anksioznost
tjelesne bolesti
komorbiditeti
kontrolna skupina
Keywords (english)
child psychiatry
depression
anxiety
physical illnesses
comorbidity
control group
Language croatian
URN:NBN urn:nbn:hr:171:351410
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
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File origin Born digital
Access conditions Open access Embargo expiration date: 2024-07-18
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Created on 2024-07-16 08:41:51