Assessment of psychosocial functioning and its risk factors in children with pectus excavatum

Health and Quality of Life Outcomes

Research

Bing Xu¹  Gang Yang¹  Xuejun Wang¹  Yunman Tang¹  Wenying Liu¹  Liming Cao¹  Yi Ji²  Siyuan Chen³ 

[1] Department of Pediatric Surgery & Center of Children Medicine, Sichuan Academy of Medical Sciences/Sichuan Provincial People's Hospital, 610072, Chengdu, China;Department of Pediatric Surgery & Center of Children Medicine, Sichuan Academy of Medical Sciences/Sichuan Provincial People's Hospital, 610072, Chengdu, China;Department of Pediatric Surgery, Children's hospital of Fudan University, 201102, Shanghai, China;Research Institute of Pediatrics, Children's hospital of Fudan University, 201102, Shanghai, China;

关键词: Psychosocial Functioning;    Psychosocial Problem;    Total Problem;    Pectus Excavatum;    Problem Item;   

DOI  :  10.1186/1477-7525-9-28

 received in 2010-11-01, accepted in 2011-05-04,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundPsychosocial functioning is poor in patients with pectus excavatum (PE). However, a comprehensive understanding of this issue does not exist. The aim of this study was to assess the severity of psychosocial problems as associated with PE, as well as to identify its risk factors.MethodsA comparative study was performed at the Sichuan Academy of Medical Sciences/Sichuan Provincial People's Hospital in Chengdu, China. Patients age 6 to 16 who admitted to the outpatient department for the evaluation or treatment for PE were included in the study. In addition to parental reports of child psychosocial problems on the Achenbach Child Behavior Checklist (CBCL), parents also filled in other structured questionnaires, including socio-demographic variables, patients' medical and psychological characteristics. The severity of malformation was assessed by CT scan. For comparison, an age- and gender- matched control group was recruited from the general population. The socio-demographic and scores on CBCL were compared between patients and control subjects. Univariate and multivariate analysis were performed to examine risk factors for psychosocial problems in patients.ResultsNo statistically significant differences were found with respect to social-demographic variables between children with PE and control subjects. Compared with control subjects, children with PE displayed higher prevalence of psychosocial problems in the different scales of the CBCL questionnaire such as 'withdraw', 'anxious-depressed', 'social problems' and 'total problems'. Both univariate and multivariate analyses suggested that age, severity of malformation, and being teased about PE were significantly associated with patients' psychosocial problems.ConclusionsThe information derived from this study supports the opinion that children with PE have more psychosocial problems than children from the general population. Multiple medical and psychosocial factors were associated with patients' impairment of psychosocial functioning.

【 授权许可】

Unknown   
© Ji et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.