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Prevalence of Menta...
Prevalence of Mental Health Problems, Associated Factors, and Health-Related Quality of Life in Children with Long-Gap Esophageal Atresia in Sweden
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- Dellenmark-Blom, Michaela (author)
- Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.;Queen Silvia Childrens Hosp, Dept Pediat Surg, S-41685 Gothenburg, Sweden.,Queen Silvia Children’s Hospital
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- Ax, Sofie Örnö (author)
- Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.,Queen Silvia Children’s Hospital
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- Lilja, Helene Engstrand (author)
- Karolinska Institute,Karolinska Institutet,Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.;Karolinska Univ Hosp, Dept Pediat Surg, Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.,Karolinska University Hospital
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- Reilly, Colin (author)
- Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.,Queen Silvia Children’s Hospital
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- Svensson, Jan F. (author)
- Karolinska Institute,Karolinska Institutet,Karolinska Univ Hosp, Dept Pediat Surg, Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.,Karolinska University Hospital
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- Kassa, Ann-Marie, 1955- (author)
- Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Univ Childrens Hosp, Dept Pediat Surg, Uppsala, Sweden.,Uppsala University Hospital
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- Jönsson, Linus (author)
- Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.,Queen Silvia Children’s Hospital
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- Abrahamsson, Kate (author)
- Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.,Queen Silvia Children’s Hospital
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- Gatzinsky, Vladimir (author)
- Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.,Queen Silvia Children’s Hospital
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- Omling, Erik (author)
- Lund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,Skåne University Hospital
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- Tollne, Annamaria (author)
- Karolinska Univ Hosp, Dept Pediat Surg, Stockholm, Sweden.
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- Stenström, Pernilla (author)
- Lund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,Skåne University Hospital
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- Öst, Elin (author)
- Karolinska Institute,Karolinska Institutet,Karolinska Univ Hosp, Dept Pediat Surg, Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.,Karolinska University Hospital
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- Tollne, Anna Maria (author)
- Karolinska University Hospital
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Queen Silvia Childrens Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden;Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat Surg, Gothenburg, Sweden.;Queen Silvia Childrens Hosp, Dept Pediat Surg, S-41685 Gothenburg, Sweden. Queen Silvia Children’s Hospital (creator_code:org_t)
- Elsevier, 2023
- 2023
- English.
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In: Journal of Pediatric Surgery. - : Elsevier. - 0022-3468 .- 1531-5037. ; 58:9, s. 1646-1655
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http://dx.doi.org/10...
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Abstract
Subject headings
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- Background: Children with long-gap esophageal atresia (LGEA) face a high risk of digestive and respiratory morbidity, but their mental health outcomes have not been investigated. We aimed to identify the prevalence of mental health problems in children with LGEA, associated factors and health-related quality of life (HRQOL).Methods: Twenty-six children with LGEA aged 3-17 were recruited nationwide in Sweden. One of their parents and adolescents aged 11-17 completed information on the child's mental health (Strength and Difficulties Questionnaire), generic (PedsQL 4.0) and condition-specific HRQOL (EA-QOL). Parents gave information on current child symptomatology. Mental health level was determined using validated norms; abnormal >= 90 percentile/borderline >= 80 percentile/normal. Elevated levels were considered borderline/abnormal. Data were analyzed using descriptives, correlation and Mann-Whitney-U test. Significance level was p < 0.05.Results: Twelve children with LGEA aged 3-17 (46%) had elevated scores of >= 1 mental health domain in parent-reports, whereas 2 adolescents (15%) in self-reports. In parent-reports, 31% of the children had elevated levels of peer relationship problems, with associated factors being child sex male (p = 0.037), airway infections (p = 0.002) and disturbed night sleep (p = 0.025). Similarly, 31% showed elevated levels of hyperactivity/inattention, and associated factors were male sex (p = 0.005), asthma (p = 0.028) and disturbed night sleep (p = 0.036). Elevated levels of emotional symptoms, seen in 20%, were related to swallowing difficulties (p = 0.038) and vomiting problems (p = 0.045). Mental health problems correlated negatively with many HRQOL domains (p < 0.05).Conclusions: Children with LGEA risk mental health difficulties according to parent-reports, especially peer relationship problems and hyperactivity/inattention, with main risk factors being male sex, airway problems and sleep disturbances. This should be considered in follow-up care and research, particularly since their mental health problems may impair HRQOL.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Keyword
- Mental health
- Health-related quality of life
- Pediatric surgery
- Rare disease
- Congenital malformation
- Esophageal atresia
- Congenital malformation
- Esophageal atresia
- Health-related quality of life
- Mental health
- Pediatric surgery
- Rare disease
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Dellenmark-Blom, ...
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Ax, Sofie Örnö
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Lilja, Helene En ...
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Reilly, Colin
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Svensson, Jan F.
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Kassa, Ann-Marie ...
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show more...
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Jönsson, Linus
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Abrahamsson, Kat ...
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Gatzinsky, Vladi ...
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Omling, Erik
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Tollne, Annamari ...
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Stenström, Perni ...
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Öst, Elin
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Tollne, Anna Mar ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
- Articles in the publication
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Journal of Pedia ...
- By the university
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Uppsala University
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Karolinska Institutet
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Lund University