Identification of factors determining anxiety, depression and aggression, with particular emphasis on pain in Polish adolescents and young adults with cystic fibrosis
Journal Title: Family Medicine & Primary Care Review - Year 2018, Vol 20, Issue 2
Abstract
Background. The prolonged survival of patients with cystic fibrosis leads to the search for predictors that determine their physical health and functioning in social and psycho-emotional areas, and allows for better understanding of the mutual interactions. Objectives. The aim of the study was to assess the incidence of pain in patients with CF and clinical determinants of anxiety, depression and aggression. Material and methods. The study covered 95 patients with CF aged 14–25 years. The analysis included: the intensity of pain (Numeric Rating Scale), the level of anxiety, depression and aggression (Hospital Anxiety and Depression Scale), the quality of sleep (Athens Insomnia Scale), FEV1 and BMI . Results. 42.1% (n = 40) of patients with CF experienced pain, mainly moderate (n = 18; 45%) and severe (n = 14; 35%). In these patients, significantly higher median anxiety scores (6 vs 4) and median depression scores (3.5 vs 2) were recorded than in subjects without pain. Factors considerably determining anxiety scores were AIS scores (ß = 0.56) and sex (ß = 0.22), while depression scores were determined by AIS scores (ß = 0.56), BMI (ß = -0.20) and pain intensity (ß = 0.20). In turn, sex (ß = 0.30) and AIS scores (ß = 0.19) had an influence on aggression scores. Conclusions. Pain occurs in a large proportion of patients with CF. Factors determining emotional disorders in patients with CF are pain, female sex, quality of sleep and body weight. Anxiety, depression and aggression have always been accompanied by poorer sleep quali
Authors and Affiliations
Grażyna Cepuch, Lucyna Tomaszek, Lidia Pawlik
Keywords
Related Articles
- EP ID EP356165
- DOI -
- Views 58
- Downloads 0
Conflict of individual freedom and community health safety: legal conditions on mandatory vaccinations and changes in the judicial approach in the case of avoidance
Background. In Poland, the number of parents or caregivers, mainly declaring concern about the occurrence of vaccine injuries, refusing to subject people under the age of 19 to mandatory vaccinations has increased from 3...
Częstość występowania zespołu metabolicznego wśród mieszkańców Warszawy – uczestników Pikniku Prozdrowotnego Warszawskiego Uniwersytetu Medycznego w roku 2012 i 2011
Wstęp. Zespół metaboliczny dotyczy około 20% polskiej populacji. Profilaktyka i wczesna diagnostyka zmniejszają ryzyko chorób sercowo-naczyniowych i zgonu. Jest to ważny problem niosący za sobą także istotne implikacje e...
Italian Primary Care System: an overview
Italian Primary Care System has been modelled after the NHS in UK and was established in 1978. In 2000 Italy’s healthcare system was regarded, by a World Health Organization’s ranking, as the 2nd best in the world after...
Pourazowe uszkodzenia nerwów obwodowych – diagnostyka elektrofizjologiczna
Pourazowe uszkodzenie nerwów obwodowych wymaga szczegółowej diagnostyki za pomocą badania przewodnictwa (ENG ) we włóknach ruchowych (MCV) i czuciowych (SC V) oraz elektromiografii (EMG). Opierając się na klasyfikacji Se...
Pacjent z przewlekłą białaczką szpikową – wyzwanie dla lekarza rodzinnego
Przewlekła białaczka szpikowa należy do nowotworowych schorzeń hematologicznych, których rokowanie,w odniesieniu do całkowitego przeżycia, znacząco poprawiło się w ostatnich latach. Ma to związek z wprowadzeniem inhibito...