Anxiety and Depression in Pediatric-Onset Traumatic Spinal Cord Injury: A Systematic Review

被引：4

作者：

Mofatteh, Mohammad ^{[1
,2
]}

Mashayekhi, Mohammad Sadegh ^{[3
,4
,5
]}

Arfaie, Saman ^{[6
,7
,8
]}

Chen, Yimin ^{[9
,10
]}

Malhotra, Armaan K. ^{[11
,12
]}

Skandalakis, Georgios P. ^{[13
]}

Alvi, Mohammed Ali ^{[11
,12
,14
]}

Afshari, Fardad T. ^{[15
]}

Meshkat, Shakila ^{[16
]}

Lin, Famu ^{[17
]}

Abdulla, Ebtesam ^{[18
]}

Anand, Ayush ^{[19
]}

Liao, Xuxing ^{[20
,21
]}

McIntyre, Roger S. ^{[12
,16
,22
,23
]}

Santaguida, Carlo ^{[6
]}

Weber, Michael H. ^{[24
,25
,26
]}

Fehlings, Michael G. ^{[27
,28
,29
,30
]}

机构：

[1] Queens Univ Belfast, Sch Med Dent & Biomed Sci, Belfast, North Ireland

[2] Neuro Int Collaborat NIC, London, England

[3] Ottawa Hosp, Dept Surg, Div Neurosurg, Ottawa, ON, Canada

[4] Univ British Columbia, Fac Med, Vancouver, BC, Canada

[5] Neuro Int Collaborat NIC, Ottawa, ON, Canada

[6] McGill Univ, Dept Neurol & Neurosurg, Montreal, PQ, Canada

[7] Univ Calif Berkeley, Dept Mol & Cell Biol, Berkeley, CA USA

[8] Neuro Int Collaborat NIC, Montreal, PQ, Canada

[9] Foshan Sanshui Dist Peoples Hosp, Dept Neurol, Foshan, Peoples R China

[10] Neuro Int Collaborat NIC, Foshan, Peoples R China

[11] Univ Toronto, Dept Surg, Div Neurosurg, Toronto, ON, Canada

[12] Neuro Int Collaborat NIC, Toronto, ON, Canada

[13] Natl & Kapodistrian Univ Athens, Evangelismos Gen Hosp, Dept Neurosurg 1, Athens, Greece

[14] Mayo Clin, Dept Neurol Surg, Rochester, MN USA

[15] Birmingham Childrens Hosp, Dept Neurosurg, Birmingham, England

[16] Univ Hlth Network, Mood Disorders Psychopharmacol Unit, Toronto, ON, Canada

[17] Southern Med Univ, Shunde Hosp, Peoples Hosp Shunde 1, Dept Neurosurg, Foshan, Peoples R China

[18] Salmaniya Med Complex, Dept Neurosurg, Manama, Bahrain

[19] BP Koirala Inst Hlth Sci, Dharan, Nepal

[20] Foshan Sanshui Dist Peoples Hosp, Dept Neurosurg, Foshan, Peoples R China

[21] Foshan First Peoples Hosp, Dept Surg Cerebrovasc Dis, Foshan, Peoples R China

[22] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[23] Brain & Cognit Discovery Fdn, Toronto, ON, Canada

[24] McGill Univ, Div Orthopaed Surg, Montreal, PQ, Canada

[25] McGill Univ, Injury Repair & Recovery Program, Hlth Ctr, Res Inst, Montreal, PQ, Canada

[26] Montreal Gen Hosp, Montreal, PQ, Canada

[27] Univ Hlth Network, Krembil Brain Inst, Div Genet & Dev, Toronto, ON, Canada

[28] Univ Toronto, Inst Med Sci, Fac Med, Toronto, ON, Canada

[29] Univ Toronto, Dept Surg, Div Neurosurg, Toronto, ON, Canada

[30] Univ Toronto, Dept Surg, Spinal Program, Toronto, ON, Canada

来源：

WORLD NEUROSURGERY | 2024年 / 184卷

关键词：

Anxiety; Depression; Pediatric; Spinal cord injury; Spine; Trauma; PSYCHOSOCIAL OUTCOMES; ADULTS; PAIN; CHILDREN; HEALTH; ADOLESCENTS; SYMPTOMS; LIFE; REHABILITATION; CLASSIFICATION;

D O I：

10.1016/j.wneu.2023.12.092

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

- BACKGROUND: Traumatic spinal cord injury (TSCI) is a debilitating neurological condition with significant long-term consequences on the mental health and well-being of affected individuals. We aimed to investigate anxiety and depression in individuals with pediatric-onset TSCI. - METHODS: PubMed, Scopus, and Web of Science databases were searched from inception to December 20th, 2022 following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, and studies were included according to the eligibility criteria. - RESULTS: A total of 1013 articles were screened, and 18 studies with 4234 individuals were included in the final review. Of these, 1613 individuals (38.1%) had paraplegia, whereas 1658 (39.2%) had tetraplegia. A total of 1831 participants (43.2%) had complete TSCI, whereas 1024 (24.2%) had incomplete TSCI. The most common etiology of TSCI with 1545 people (36.5%) was motor vehicle accidents. The youngest mean age at the time of injury was 5.92 +/- 4.92 years, whereas the oldest was 14.6 +/- 2.8 years. Patient Health Questionnaire-9 was the most common psychological assessment used in 9 studies (50.0%). Various risk factors, including pain in 4 studies (22.2%), reduced sleep quality, reduced functional independence, illicit drug use, incomplete injury, hospitalization, reduced quality of life, and duration of injury in 2 (11.1%) studies, each, were associated with elevated anxiety and depression. - CONCLUSIONS: Different biopsychosocial risk factors contribute to elevated rates of anxiety and depression among individuals with pediatric-onset TSCI. Individuals at risk of developing anxiety and depression should be identified, and targeted support should be provided. Future large-scale studies with longterm follow-up are required to validate and extend these findings.

引用

页码：267 / 282.e5

页数：21

共 85 条

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