Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study

Na Ri Kang, Yo Han Ahn, Eujin Park, Hyun Jin Choi, Seong Heon Kim, Heeyeon Cho, Min Hyun Cho, Jaeil Shin, Joo Hoon Lee, Young Seo Park, Hae Il Cheong, Hee Gyung Kang, Il Soo Ha, Young Sook Kwack, Kyoung Hee Han

Research output: Contribution to journalArticle

Abstract

Background: Psychosocial development of pediatric chronic kidney disease (CKD) patients is substantially affected due to growth retardation, frequent school absences, and difficulties engaging in normal peer relationship activities. While many studies focus on specific issues such as depression, anxiety, or neurocognitive function, few evaluate prevalence of various types of mental health and psychosocial adjustment problems among children with CKD. This study aimed to investigate these within the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). Methods: One hundred sixty-six subjects who completed the Korean-Child Behavioral Checklist (K-CBCL) were included. The clinical group comprised subjects with scores indicating psychosocial adjustment or mental health problems using the T scores for the 14 subscales of the K-CBCL. We analyzed associations between mental health or adjustment problems in pediatric CKD and each variable. Results: Mean age was 11.1 (± 3.9) years, number of males was 117 (70.5%), and 20.5% and 22.3% of children had significant mental health problems and psychosocial adjustment problems, respectively. Overall, 33.1% were assigned to the clinical group, and exhibited short stature and higher rates of preterm birth history compared to the non-clinical group. Subjects with adjustment problems had higher comorbidities such as CNS disease, developmental delay, cardiovascular disease, and multi-organ involvement. Logistic regression analysis revealed preterm birth and developmental delay correlated highly with clinical group. Conclusions: A significant proportion of children and adolescents with CKD experience mental health and adjustment problems. In particular, patients with developmental delay or preterm birth history require screening and targeted follow-up.

Original languageEnglish
JournalPediatric Nephrology
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Social Adjustment
Chronic Renal Insufficiency
Mental Health
Cohort Studies
Pediatrics
Premature Birth
Reproductive History
Checklist
Mental Health Associations
Central Nervous System Diseases
Comorbidity
Cardiovascular Diseases
Anxiety
Logistic Models
Regression Analysis
Depression
Growth

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Cite this

Kang, Na Ri ; Ahn, Yo Han ; Park, Eujin ; Choi, Hyun Jin ; Kim, Seong Heon ; Cho, Heeyeon ; Cho, Min Hyun ; Shin, Jaeil ; Lee, Joo Hoon ; Park, Young Seo ; Cheong, Hae Il ; Kang, Hee Gyung ; Ha, Il Soo ; Kwack, Young Sook ; Han, Kyoung Hee. / Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study. In: Pediatric Nephrology. 2019.
@article{4270b45baf644a8096a803dc8aac51a4,
title = "Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study",
abstract = "Background: Psychosocial development of pediatric chronic kidney disease (CKD) patients is substantially affected due to growth retardation, frequent school absences, and difficulties engaging in normal peer relationship activities. While many studies focus on specific issues such as depression, anxiety, or neurocognitive function, few evaluate prevalence of various types of mental health and psychosocial adjustment problems among children with CKD. This study aimed to investigate these within the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). Methods: One hundred sixty-six subjects who completed the Korean-Child Behavioral Checklist (K-CBCL) were included. The clinical group comprised subjects with scores indicating psychosocial adjustment or mental health problems using the T scores for the 14 subscales of the K-CBCL. We analyzed associations between mental health or adjustment problems in pediatric CKD and each variable. Results: Mean age was 11.1 (± 3.9) years, number of males was 117 (70.5{\%}), and 20.5{\%} and 22.3{\%} of children had significant mental health problems and psychosocial adjustment problems, respectively. Overall, 33.1{\%} were assigned to the clinical group, and exhibited short stature and higher rates of preterm birth history compared to the non-clinical group. Subjects with adjustment problems had higher comorbidities such as CNS disease, developmental delay, cardiovascular disease, and multi-organ involvement. Logistic regression analysis revealed preterm birth and developmental delay correlated highly with clinical group. Conclusions: A significant proportion of children and adolescents with CKD experience mental health and adjustment problems. In particular, patients with developmental delay or preterm birth history require screening and targeted follow-up.",
author = "Kang, {Na Ri} and Ahn, {Yo Han} and Eujin Park and Choi, {Hyun Jin} and Kim, {Seong Heon} and Heeyeon Cho and Cho, {Min Hyun} and Jaeil Shin and Lee, {Joo Hoon} and Park, {Young Seo} and Cheong, {Hae Il} and Kang, {Hee Gyung} and Ha, {Il Soo} and Kwack, {Young Sook} and Han, {Kyoung Hee}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s00467-019-04292-w",
language = "English",
journal = "Pediatric Nephrology",
issn = "0931-041X",
publisher = "Springer Verlag",

}

Kang, NR, Ahn, YH, Park, E, Choi, HJ, Kim, SH, Cho, H, Cho, MH, Shin, J, Lee, JH, Park, YS, Cheong, HI, Kang, HG, Ha, IS, Kwack, YS & Han, KH 2019, 'Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study', Pediatric Nephrology. https://doi.org/10.1007/s00467-019-04292-w

Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study. / Kang, Na Ri; Ahn, Yo Han; Park, Eujin; Choi, Hyun Jin; Kim, Seong Heon; Cho, Heeyeon; Cho, Min Hyun; Shin, Jaeil; Lee, Joo Hoon; Park, Young Seo; Cheong, Hae Il; Kang, Hee Gyung; Ha, Il Soo; Kwack, Young Sook; Han, Kyoung Hee.

In: Pediatric Nephrology, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study

AU - Kang, Na Ri

AU - Ahn, Yo Han

AU - Park, Eujin

AU - Choi, Hyun Jin

AU - Kim, Seong Heon

AU - Cho, Heeyeon

AU - Cho, Min Hyun

AU - Shin, Jaeil

AU - Lee, Joo Hoon

AU - Park, Young Seo

AU - Cheong, Hae Il

AU - Kang, Hee Gyung

AU - Ha, Il Soo

AU - Kwack, Young Sook

AU - Han, Kyoung Hee

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Psychosocial development of pediatric chronic kidney disease (CKD) patients is substantially affected due to growth retardation, frequent school absences, and difficulties engaging in normal peer relationship activities. While many studies focus on specific issues such as depression, anxiety, or neurocognitive function, few evaluate prevalence of various types of mental health and psychosocial adjustment problems among children with CKD. This study aimed to investigate these within the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). Methods: One hundred sixty-six subjects who completed the Korean-Child Behavioral Checklist (K-CBCL) were included. The clinical group comprised subjects with scores indicating psychosocial adjustment or mental health problems using the T scores for the 14 subscales of the K-CBCL. We analyzed associations between mental health or adjustment problems in pediatric CKD and each variable. Results: Mean age was 11.1 (± 3.9) years, number of males was 117 (70.5%), and 20.5% and 22.3% of children had significant mental health problems and psychosocial adjustment problems, respectively. Overall, 33.1% were assigned to the clinical group, and exhibited short stature and higher rates of preterm birth history compared to the non-clinical group. Subjects with adjustment problems had higher comorbidities such as CNS disease, developmental delay, cardiovascular disease, and multi-organ involvement. Logistic regression analysis revealed preterm birth and developmental delay correlated highly with clinical group. Conclusions: A significant proportion of children and adolescents with CKD experience mental health and adjustment problems. In particular, patients with developmental delay or preterm birth history require screening and targeted follow-up.

AB - Background: Psychosocial development of pediatric chronic kidney disease (CKD) patients is substantially affected due to growth retardation, frequent school absences, and difficulties engaging in normal peer relationship activities. While many studies focus on specific issues such as depression, anxiety, or neurocognitive function, few evaluate prevalence of various types of mental health and psychosocial adjustment problems among children with CKD. This study aimed to investigate these within the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). Methods: One hundred sixty-six subjects who completed the Korean-Child Behavioral Checklist (K-CBCL) were included. The clinical group comprised subjects with scores indicating psychosocial adjustment or mental health problems using the T scores for the 14 subscales of the K-CBCL. We analyzed associations between mental health or adjustment problems in pediatric CKD and each variable. Results: Mean age was 11.1 (± 3.9) years, number of males was 117 (70.5%), and 20.5% and 22.3% of children had significant mental health problems and psychosocial adjustment problems, respectively. Overall, 33.1% were assigned to the clinical group, and exhibited short stature and higher rates of preterm birth history compared to the non-clinical group. Subjects with adjustment problems had higher comorbidities such as CNS disease, developmental delay, cardiovascular disease, and multi-organ involvement. Logistic regression analysis revealed preterm birth and developmental delay correlated highly with clinical group. Conclusions: A significant proportion of children and adolescents with CKD experience mental health and adjustment problems. In particular, patients with developmental delay or preterm birth history require screening and targeted follow-up.

UR - http://www.scopus.com/inward/record.url?scp=85068183968&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068183968&partnerID=8YFLogxK

U2 - 10.1007/s00467-019-04292-w

DO - 10.1007/s00467-019-04292-w

M3 - Article

JO - Pediatric Nephrology

JF - Pediatric Nephrology

SN - 0931-041X

ER -