Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results

Background/Aims: Chronic medical illness is a significant risk factor for the development of psychiatric disorders. The aims of the study were: to investigate the level of anxiety in children with chronic kidney disease (CKD) and to identify factors associated with the presence of that emotional pro...

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Main Authors: Katarzyna Kiliś-Pstrusińska, Anna Medyńska, Piotr Adamczak, Irena Bałasz- Chmielewska, Ryszard Grenda, Agnieszka Kluska-Jóźwiak, Beata Leszczyńska, Ilona Olszak-Szot, Monika Miklaszewska, Maria Szczepańska, Marcin Tkaczyk, Anna Wasilewska, Katarzyna Zachwieja, Maria Zajączkowska, Helena Ziółkowska, Ilona Zagożdżon, Danuta Zwolińska
Format: Article
Language:English
Published: Karger Publishers 2013-12-01
Series:Kidney & Blood Pressure Research
Subjects:
Online Access:http://www.karger.com/Article/FullText/355738
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author Katarzyna Kiliś-Pstrusińska
Anna Medyńska
Piotr Adamczak
Irena Bałasz- Chmielewska
Ryszard Grenda
Agnieszka Kluska-Jóźwiak
Beata Leszczyńska
Ilona Olszak-Szot
Monika Miklaszewska
Maria Szczepańska
Marcin Tkaczyk
Anna Wasilewska
Katarzyna Zachwieja
Maria Zajączkowska
Helena Ziółkowska
Ilona Zagożdżon
Danuta Zwolińska
author_facet Katarzyna Kiliś-Pstrusińska
Anna Medyńska
Piotr Adamczak
Irena Bałasz- Chmielewska
Ryszard Grenda
Agnieszka Kluska-Jóźwiak
Beata Leszczyńska
Ilona Olszak-Szot
Monika Miklaszewska
Maria Szczepańska
Marcin Tkaczyk
Anna Wasilewska
Katarzyna Zachwieja
Maria Zajączkowska
Helena Ziółkowska
Ilona Zagożdżon
Danuta Zwolińska
author_sort Katarzyna Kiliś-Pstrusińska
collection DOAJ
description Background/Aims: Chronic medical illness is a significant risk factor for the development of psychiatric disorders. The aims of the study were: to investigate the level of anxiety in children with chronic kidney disease (CKD) and to identify factors associated with the presence of that emotional problem. Methods: CKD children on hemodialysis (HD, n=22), peritoneal dialysis (PD, n=20,) and on conservative treatment (CT, n=95) were enrolled in the study. We used State-Trait Anxiety Inventory (STAI) for adolescents and STAI-C for children. Socio-demographic and physical factors were assessed. Results: There was a significantly higher level of anxiety-state among HD children (8-12 years) compared with other groups of participants of the same age and Polish population norms. The level of anxiety among adolescents (13-18 years), both anxiety-state and anxiety-trait, was significantly higher in the HD group compared with other groups, which did not differ among themselves. In the HD adolescents, there was a correlation between the anxiety-state and the duration of the disease as well as with the number of hospitalizations. PD adolescents in the mainstream education had higher levels of anxiety-state and anxiety-trait compared with home schooled patients. Conclusions: Even though children and adolescents with CKD are at risk of developing a variety of emotional disorders, the level of anxiety among the researched group, with the exception of HD patients, was not significantly different than the level of anxiety among healthy subjects. Adolescents on HD who present a high level of anxiety should undergo long-term psychological treatment.
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spelling doaj.art-958cb7184eea44d6a7b57da9e7d35c992022-12-21T20:31:48ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432013-12-0137657958710.1159/000355738355738Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study ResultsKatarzyna Kiliś-PstrusińskaAnna MedyńskaPiotr AdamczakIrena Bałasz- ChmielewskaRyszard GrendaAgnieszka Kluska-JóźwiakBeata LeszczyńskaIlona Olszak-SzotMonika MiklaszewskaMaria SzczepańskaMarcin TkaczykAnna WasilewskaKatarzyna ZachwiejaMaria ZajączkowskaHelena ZiółkowskaIlona ZagożdżonDanuta ZwolińskaBackground/Aims: Chronic medical illness is a significant risk factor for the development of psychiatric disorders. The aims of the study were: to investigate the level of anxiety in children with chronic kidney disease (CKD) and to identify factors associated with the presence of that emotional problem. Methods: CKD children on hemodialysis (HD, n=22), peritoneal dialysis (PD, n=20,) and on conservative treatment (CT, n=95) were enrolled in the study. We used State-Trait Anxiety Inventory (STAI) for adolescents and STAI-C for children. Socio-demographic and physical factors were assessed. Results: There was a significantly higher level of anxiety-state among HD children (8-12 years) compared with other groups of participants of the same age and Polish population norms. The level of anxiety among adolescents (13-18 years), both anxiety-state and anxiety-trait, was significantly higher in the HD group compared with other groups, which did not differ among themselves. In the HD adolescents, there was a correlation between the anxiety-state and the duration of the disease as well as with the number of hospitalizations. PD adolescents in the mainstream education had higher levels of anxiety-state and anxiety-trait compared with home schooled patients. Conclusions: Even though children and adolescents with CKD are at risk of developing a variety of emotional disorders, the level of anxiety among the researched group, with the exception of HD patients, was not significantly different than the level of anxiety among healthy subjects. Adolescents on HD who present a high level of anxiety should undergo long-term psychological treatment.http://www.karger.com/Article/FullText/355738AnxietyChronic kidney diseasesChildrenAdolescents
spellingShingle Katarzyna Kiliś-Pstrusińska
Anna Medyńska
Piotr Adamczak
Irena Bałasz- Chmielewska
Ryszard Grenda
Agnieszka Kluska-Jóźwiak
Beata Leszczyńska
Ilona Olszak-Szot
Monika Miklaszewska
Maria Szczepańska
Marcin Tkaczyk
Anna Wasilewska
Katarzyna Zachwieja
Maria Zajączkowska
Helena Ziółkowska
Ilona Zagożdżon
Danuta Zwolińska
Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results
Kidney & Blood Pressure Research
Anxiety
Chronic kidney diseases
Children
Adolescents
title Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results
title_full Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results
title_fullStr Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results
title_full_unstemmed Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results
title_short Anxiety in Children and Adolescents with Chronic Kidney Disease - Multicenter National Study Results
title_sort anxiety in children and adolescents with chronic kidney disease multicenter national study results
topic Anxiety
Chronic kidney diseases
Children
Adolescents
url http://www.karger.com/Article/FullText/355738
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