Evaluation Anxiety Levels of Adult Patients and Parents of Adolescent Patients With Anaphylaxis

E. Emre, A. Kan
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Abstract

Background: Anaphylaxis is a sudden onset condition that may progress with severe systemic symptoms and may be accompanied by life-threatening respiratory failure and cardiovascular shock. Exposure to a traumatic event may cause patients and their parents to fear reliving the same event, so they try to avoid risk factors. It was aimed to determine the anxiety and stress levels in adult patients and in parents of adolescent patients diagnosed with anaphylaxis and to compare them with healthy controls. Materials and Methods: A questionnaire-type study was conducted. Control group (group 1), adult pa-tients diagnosed with anaphylaxis (group 2), and parents (a mother or father) of adolescent diagnosed with anaphylaxis (group 3) were included in the study. The anxiety levels of participants were evaluated by State-Trait Anxiety Inventory (STAI).Results: A total of 163 participants were included in the study. Seventy-one participants were in the con-trol group, forty-four were in group 2, thirty-eight were in group 3. STAI-T and STAI-S scores of groups 2 and 3 were significantly higher than controls. No difference was found between groups 2 and 3 for STAI-T scores (p=0.8) and STAI-S scores (p=0.74). Conclusions: Adult patients diagnosed with anaphylaxis and parents of adolescents are more anxious than the normal healthy population. Anxiety and anaphylactic conditions are often comorbid. Psychosocial assessment should be the first step in adult patients with anaphylaxis and their parents. Physicians should prevent the harm that anxiety may cause. For this purpose, education programs, screening programs, support trainings with patient participation should be organized.
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成人过敏反应患者及青少年过敏反应患者父母的焦虑水平评估
背景:过敏性反应是一种突发性疾病,可发展为严重的全身症状,并可伴有危及生命的呼吸衰竭和心血管休克。接触创伤性事件可能会导致患者及其父母害怕再次经历同样的事件,因此他们试图避免风险因素。目的是确定成年患者和诊断为过敏反应的青少年患者的父母的焦虑和压力水平,并将其与健康对照进行比较。材料与方法:采用问卷式研究。对照组(1组)、诊断为过敏反应的成人患者(2组)和诊断为过敏反应的青少年的父母(母亲或父亲)(3组)被纳入研究。采用状态-特质焦虑量表(STAI)评估被试的焦虑水平。结果:本研究共纳入163名受试者。71名参与者在对照组,44名在第二组,38名在第三组。2、3组患者的sta - t、sta - s评分均显著高于对照组。第2组和第3组之间的STAI-T评分(p=0.8)和STAI-S评分(p=0.74)无差异。结论:诊断为过敏反应的成年患者和青少年家长的焦虑程度高于正常健康人群。焦虑和过敏性疾病通常是合并症。心理社会评估应是过敏反应成年患者及其父母的第一步。医生应该预防焦虑可能造成的伤害。为此,应组织有患者参与的教育项目、筛查项目和支持培训。
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