Öz
Amaç: Bu çalışmada “nörojenik mesane” tanılı çocukların anksiyete ve depresyon açısından değerlendirilmesi amaçlanmıştır.
Yöntemler: Adana Şehir Eğitim ve Araştırma Hastanesi Çocuk Ürolojisi ve Nefroloji polikliniklerinde Mayıs 2023-Temmuz 2023 tarihleri arasında takip edilen 33 nörojen mesaneli çocuk hasta ve aynı coğrafi bölgede bulunan devlet okullarından yaş/cinsiyet olarak eşleştirilmiş 20 sağlıklı kontrol çalışmaya dahil edilmiştir. Tüm katılımcılardan Hastane Anksiyete ve Depresyon Ölçeği, Conners Ebeveyn Derecelendirme Ölçeği ve Turgay DSM-IV Yıkıcı Davranış Bozuklukları Derecelendirme Ölçeği'ni doldurmaları istendi.
Bulgular: Ebeveynlerin bildirdiği CPRS global skoru, hastalarda kontrollere göre daha yüksek olarak tespit edildi (p=0.012). Hastaların CPRS Hiperaktivite/Dürtüsellik ve Anksiyete alt ölçek puanları kontrollerden anlamlı olarak yüksekti. Ebeveynler tarafından bildirilen CPRS global puanı, KBH olan hastalarda olmayanlara göre daha yüksekti (p=0.033). KBH olan hastaların CPRS- Öğrenme sorunları alt ölçek puanı da olmayanlara göre daha yüksekti (p=0,023). DSM-IV Toplam puanı ve DSM-IV dikkatsizlik puanı KBH olan hastalarda olmayanlara göre daha yüksekti. Hastane Anksiyete ve Depresyon Ölçeği-çocukların bildirdiği anksiyete alt ölçeği, tekerlekli sandalye bağımlılığı olmayan hastalarda, olanlara göre daha yüksekti (p=0,002). Tekerlekli sandalye bağımlılığı olmayan hastaların CPRS-davranım bozukluğu, CPRS-Hiperaktivite/Dürtüsellik alt ölçek puanları, DSM-IV hiperaktif/dürtüsel alt ölçek puanı tekerlekli sandalye bağımlılığı olan hastalara göre daha yüksekti (p=0,016, p=0,009, p=0,043).
Anahtar Kelimeler: nörojen mesane, anksiyete, depresyon, psikiyatri, pediatri
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