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Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study

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dc.contributor.author신재일-
dc.date.accessioned2019-12-18T00:56:02Z-
dc.date.available2019-12-18T00:56:02Z-
dc.date.issued2019-
dc.identifier.issn0931-041X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/173282-
dc.description.abstractBACKGROUND: Psychosocial development of pediatric chronic kidney disease (CKD) patients is substantially affected due to growth retardation, frequent school absences, and difficulties engaging in normal peer relationship activities. While many studies focus on specific issues such as depression, anxiety, or neurocognitive function, few evaluate prevalence of various types of mental health and psychosocial adjustment problems among children with CKD. This study aimed to investigate these within the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). METHODS: One hundred sixty-six subjects who completed the Korean-Child Behavioral Checklist (K-CBCL) were included. The clinical group comprised subjects with scores indicating psychosocial adjustment or mental health problems using the T scores for the 14 subscales of the K-CBCL. We analyzed associations between mental health or adjustment problems in pediatric CKD and each variable. RESULTS: Mean age was 11.1 (± 3.9) years, number of males was 117 (70.5%), and 20.5% and 22.3% of children had significant mental health problems and psychosocial adjustment problems, respectively. Overall, 33.1% were assigned to the clinical group, and exhibited short stature and higher rates of preterm birth history compared to the non-clinical group. Subjects with adjustment problems had higher comorbidities such as CNS disease, developmental delay, cardiovascular disease, and multi-organ involvement. Logistic regression analysis revealed preterm birth and developmental delay correlated highly with clinical group. CONCLUSIONS: A significant proportion of children and adolescents with CKD experience mental health and adjustment problems. In particular, patients with developmental delay or preterm birth history require screening and targeted follow-up.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfPEDIATRIC NEPHROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleMental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Pediatrics (소아청소년과학교실)-
dc.contributor.googleauthorNa Ri Kang-
dc.contributor.googleauthorYo Han Ahn-
dc.contributor.googleauthorEujin Park-
dc.contributor.googleauthorHyun Jin Choi-
dc.contributor.googleauthorSeong Heon Kim-
dc.contributor.googleauthorHeeyeon Cho-
dc.contributor.googleauthorMin Hyun Cho-
dc.contributor.googleauthorJae Il Shin-
dc.contributor.googleauthorJoo Hoon Lee-
dc.contributor.googleauthorYoung Seo Park-
dc.contributor.googleauthorHae Il Cheong-
dc.contributor.googleauthorHee Gyung Kang-
dc.contributor.googleauthorIl-Soo Ha-
dc.contributor.googleauthorYoung Sook Kwack-
dc.contributor.googleauthorKyoung Hee Han-
dc.identifier.doi10.1007/s00467-019-04292-w-
dc.contributor.localIdA02142-
dc.relation.journalcodeJ02488-
dc.identifier.eissn1432-198X-
dc.identifier.pmid31222663-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00467-019-04292-w-
dc.subject.keywordChildren-
dc.subject.keywordChronic kidney disease-
dc.subject.keywordMental health-
dc.subject.keywordPsychosocial adjustment-
dc.contributor.alternativeNameShin, Jae Il-
dc.contributor.affiliatedAuthor신재일-
dc.citation.volume34-
dc.citation.number10-
dc.citation.startPage1753-
dc.citation.endPage1764-
dc.identifier.bibliographicCitationPEDIATRIC NEPHROLOGY, Vol.34(10) : 1753-1764, 2019-
dc.identifier.rimsid63717-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers

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