Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality

Chronic respiratory diseases affect the personality and emotional state of the people who experience them. Purpose - to determine the incidence of hyperventilation syndrome (HVS) and depressive disorder in patients with organic and functional pathologies of the lungs at the pulmonary department a...

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Main Authors: M.V. Nevoia, L.V. Pypa, Yu.N. Lysytsia, R.V. Svistilnik, V.I. Ruda
Format: Article
Language:English
Published: Group of Companies Med Expert, LLC 2022-05-01
Series:Сучасна педіатрія: Україна
Subjects:
Online Access:http://mpu.med-expert.com.ua/article/view/261070
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author M.V. Nevoia
L.V. Pypa
Yu.N. Lysytsia
R.V. Svistilnik
V.I. Ruda
author_facet M.V. Nevoia
L.V. Pypa
Yu.N. Lysytsia
R.V. Svistilnik
V.I. Ruda
author_sort M.V. Nevoia
collection DOAJ
description Chronic respiratory diseases affect the personality and emotional state of the people who experience them. Purpose - to determine the incidence of hyperventilation syndrome (HVS) and depressive disorder in patients with organic and functional pathologies of the lungs at the pulmonary department and to assess their impact on the life quality of patients. Materials and methods. We have examined 131 patients aged 6-17, among them there were 54.9% (n=72) boys and 45.1% (n=59) girls. The patients were divided into three groups: the children with somatoform disorder (SD) from the respiratory system 33.6% (n=44), those with bronchial asthma (BA) - 34.3% (n=45) and those with pneumonia - 32.1% (n=42). For the diagnosis of depression we used a questionnaire for children’s depression by M. Kovacs (1992), for the diagnosis of HVS we used Nijmegen questionnaire. To determine the patient’s quality of life we used Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q). Results. The main structure of HVS 25 (19.1%) was composed of 17 (68%) children with SD, 5 (20%) children with BA and 3 (12%) children with pneumonia. Mild depression was determined in 56 (81.1%) sick children, an average one was found in 13 (19.9%) sick children. The severity of depression was significantly higher in the patients with SD in comparison to the patients with BA (95% CI: 6.5-15.5; p<0.0001) and in comparison to the patients with pneumonia (95% CI: 3.2-12.0; p<0.0009). The children with SD had the lowest rate of quality of life according to the PQ-LES-Q scale in comparison to the children with BA (95% CI: 5.4-14.6; p<0.0001) and the ones with pneumonia (95% CI: 6.2-12.6; p<0.0001). Conclusions. Hyperventilation syndrome occurs in 25 (19.1%) of the patients with pulmonary pathologies in childhood. In general, 69 (52.6%) of the children had depressive symptoms. Most likely, the basis of low satisfaction with the quality of life in patients with pulmonary pathology might be depressive disorders, as evidenced by the inverse and strong correlation between the data scales for depression and quality of life, whereby r=-0.773 (p<0.0001). The study was conducted in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee for all participants. Informed consent of the child’s parents was obtained for the research. No conflict of interests was declared by the authors.
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spelling doaj.art-bf6ade244828456e98d7665d04a3390c2022-12-22T03:48:58ZengGroup of Companies Med Expert, LLCСучасна педіатрія: Україна2663-75532706-61342022-05-014(124)344110.15574/SP.2022.124.34299001Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life qualityM.V. Nevoia0https://orcid.org/0000-0001-7661-9457L.V. Pypa1https://orcid.org/0000-0002-4448-5308Yu.N. Lysytsia2https://orcid.org/0000-0003-0248-0338R.V. Svistilnik3https://orcid.org/0000-0002-9378-7388V.I. Ruda4https://orcid.org/0000-0002-3736-3572National Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineChronic respiratory diseases affect the personality and emotional state of the people who experience them. Purpose - to determine the incidence of hyperventilation syndrome (HVS) and depressive disorder in patients with organic and functional pathologies of the lungs at the pulmonary department and to assess their impact on the life quality of patients. Materials and methods. We have examined 131 patients aged 6-17, among them there were 54.9% (n=72) boys and 45.1% (n=59) girls. The patients were divided into three groups: the children with somatoform disorder (SD) from the respiratory system 33.6% (n=44), those with bronchial asthma (BA) - 34.3% (n=45) and those with pneumonia - 32.1% (n=42). For the diagnosis of depression we used a questionnaire for children’s depression by M. Kovacs (1992), for the diagnosis of HVS we used Nijmegen questionnaire. To determine the patient’s quality of life we used Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q). Results. The main structure of HVS 25 (19.1%) was composed of 17 (68%) children with SD, 5 (20%) children with BA and 3 (12%) children with pneumonia. Mild depression was determined in 56 (81.1%) sick children, an average one was found in 13 (19.9%) sick children. The severity of depression was significantly higher in the patients with SD in comparison to the patients with BA (95% CI: 6.5-15.5; p<0.0001) and in comparison to the patients with pneumonia (95% CI: 3.2-12.0; p<0.0009). The children with SD had the lowest rate of quality of life according to the PQ-LES-Q scale in comparison to the children with BA (95% CI: 5.4-14.6; p<0.0001) and the ones with pneumonia (95% CI: 6.2-12.6; p<0.0001). Conclusions. Hyperventilation syndrome occurs in 25 (19.1%) of the patients with pulmonary pathologies in childhood. In general, 69 (52.6%) of the children had depressive symptoms. Most likely, the basis of low satisfaction with the quality of life in patients with pulmonary pathology might be depressive disorders, as evidenced by the inverse and strong correlation between the data scales for depression and quality of life, whereby r=-0.773 (p<0.0001). The study was conducted in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee for all participants. Informed consent of the child’s parents was obtained for the research. No conflict of interests was declared by the authors.http://mpu.med-expert.com.ua/article/view/261070depressionbronchial asthmapneumoniasomatoform disorderquality of lifechildren
spellingShingle M.V. Nevoia
L.V. Pypa
Yu.N. Lysytsia
R.V. Svistilnik
V.I. Ruda
Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality
Сучасна педіатрія: Україна
depression
bronchial asthma
pneumonia
somatoform disorder
quality of life
children
title Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality
title_full Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality
title_fullStr Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality
title_full_unstemmed Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality
title_short Affective and somatoform disorders in children in clinical settings of pulmonary department, their prevalence and impact on patient’s life quality
title_sort affective and somatoform disorders in children in clinical settings of pulmonary department their prevalence and impact on patient s life quality
topic depression
bronchial asthma
pneumonia
somatoform disorder
quality of life
children
url http://mpu.med-expert.com.ua/article/view/261070
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