Psychosocial functioning in pediatric patients with pectus excavatum and pectus carinatum

Abstract

Background/aim: Pectus excavatum and pectus carinatum are the most commonly seen anterior chest wall deformities. Recent studies reveal that minimal invasive repair of pectus deformities improves the quality of life. Our aim is to assess the psychosocial functioning and sociodemographic characteristics of pediatric patients with pectus deformities and evaluate the differences between patients operated on with minimal invasive repair techniques and nonoperated patients.Materials and methods: Thirty-two patients with pectus deformities who were operated on 6 months or more before and 31 nonoperated patients participated in the study. The Children's Depression Inventory, Piers-Harris Children's Self-Concept Scale, Capa Social Phobia Scale for Children and Adolescents, Strengths and Difficulties Questionnaire -Self-Report Version (SDQ-SR), and State-Trait Anxiety Inventory for Children -Trait Version were completed by the patients. The SDQ-Parent Report Version (SDQ-PR) was completed by their parents.Results: There were no statistically significant differences between operated and nonoperated patient groups in terms of total scores on the psychiatric rating scales. Prosocial behavior subscale scores in SDQ-SR (P = 0.013) and SDQ-PR (P = 0.019) were lower in the operated group. Conclusion:Prosocial behavior levels were lower in the operated group. Further exploration of the psychosocial profile of pediatric patients with pectus deformities would better elucidate their needs in the course of their socioemotional development.

Analysis of Psychological Assessments Affecting Patients Undergoing Treatment for Chest Wall Deformities

“…Two studies found no statistically significant results after therapy. 15,17 In conclusion, the literature reveals a great concern for psychosocial issues in CWD patients. Most articles describe improvement in QoL after surgery.…”

“…However, another study published later in 2017 found no statistically significant differences between operated and non-operated patient groups in terms of total scores on the psychiatric rating scales. 15…”

“…Since then, interest in patients' quality of life (QoL) has also increased, evident by the studies that have emerged in the last 2 decades. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] It is important to bear in mind that QoL is a "concept" which comprises general feelings of satisfaction, well-being (physical and emotional), social belonging, and empowerment. 20 Hence, various questionnaires were developed throughout the years in order to assess QoL in pectus patients, such as the Pectus Excavatum Evaluation Questionnaire (PEEQ).…”

Đặc Điểm Lâm Sàng Bệnh Nhân Lõm Ngực Bẩm Sinh

“…Các nghiên cứu khác ở Việt Nam và thế giới cũng cho thấy bệnh lõm ngực gây ra các triệu chứng lâm sàng tương tự [7]. Triệu chứng thiếu sức khi tập luyện có ở 58,8% trường hợp trong nghiên cứu của tác giả Lâm Văn Nút (2014) [6], 67% trong nghiên cứu của tác giả Fonkalsrud (2000) [5] và 82% trong nghiên cứu của tác giả Nuss (2008) [8].…”

Emotional aspects of self-attitude of adolescents with Pectus excavatum (PE) before and after surgery (pilot study)

“…В зарубежных исследованиях, посвященных психологическому состоянию подростков с указан-ным заболеванием [10][11][12], использовались преиму-щественно опросники, оценивающие те или иные признаки в баллах, которые обеспечили обширную базу знаний по данной проблеме. В настоящем ис-следовании мы стремились качественно оценить показатели, отражающие степень психологическо-го благополучия подростков с ВДГК, самооценку и тревожность.…”