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《Journal of Applied Clinical Pediatrics》 2012-20
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Analysis of Depression and Social Support in School Children with Congenital Hypothyroidism

YU Zhang-bin,CHEN Yu-lin,HAN Shu-ping,SUN Qing,GU Xiao-qi(Department of Pediatrics,Nanjing Maternal and Child Health Hospital Affiliated to Nanjing Medical University,Nanjing 210004,Jiangsu Province,China)  
Objective To investigate the depression and social support in school children with congenital hypothyroidism(CH). Methods Forty-five school children with permanent CH(CH group) diagnosed by neonatal screening were studied and compared to 45 matched healthy children(healthy control group) born at the same time.The school children in the 2 groups were investigated by questionnaires,their depression status were evaluated by Zung′s self-rating depression scale(SDS),their social support were analyzed by XIAO Yong-yuan′s social support rating scale. Results The incidence rate of depression in CH group was significantly higher than that in healthy control group(31.11% vs 6.67%),the SDS standard score of children in CH group was significantly higher than that in healthy control group[(47.56±10.13) vs(32.75±7.67)],the difference was significant(P0.05).The scores of subjective support,objective support and availability of social support,the total scores of children in CH group were significantly lower than those in healthy control group(Pa0.05).The CH children′s depression status and subjective support and availability of social support,the total scores had negative correlations(Pa0.05),but was not related with the objective support(P0.05). Conclusions The school children with CH have higher incidence rate of depression,higher SDS standard score and lower social support degree.They should be given to the psychological intervention and subjective support,so as to reduce the occurrence and development of depressive symptoms.
【Fund】: 江苏省医学重点人才基金(RC2011021);; 南京市医学科技发展资金(YKK11054)
【CateGory Index】: R725.8
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