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Behavioral disorders and low quality of life in children and adolescents with chronic kidney disease

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Abstract

Recent years has seen an increasing interest in the quality of life (QOL) of children with chronic kidney disease (CKD). The objective of this cross-sectional study was to investigate the prevalence of behavioral disorders and to assess the health-related QOL (HRQOL) in 136 patients with CKD. To estimate the prevalence of behavior disorders and analyze HRQOL, we used the Strengths and Difficulties Questionnaire (SDQ) and Pediatric Inventory of Quality of Life (PedsQL) Core Scales as assessment tools for both the patients and caregivers. When compared to healthy controls, the CKD group had significantly lower scores in almost all PedsQL domains. After adjustment, only absence of religion/other religions remained significantly associated with a lower global HRQOL score [odds ratio (OR) 6.2, P = 0.009]. Among the parents, two factors remained significantly associated with a lower global HRQOL score: patients’ age >10 years (OR 5.4, P = 0.033) and absence of religion/other religions (OR  3.2, P = 0.038). The CKD group demonstrated a higher proportion of behavioral and emotional disorders in all SDQ domains. There was a negative correlation between the presence of behavior and emotional disorders and HRQOL score (r = −0.552, P < 0.001). Our findings suggest the importance of evaluating behavioral and social repercussions of CKD in order to improve the life quality of this pediatric population.

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Acknowledgments

This study was partially supported by CNPq (Brazilian National Research Council) and FAPEMIG. Dr. E.A. Oliveira, Dr. E.M. Lima, Dr. A.C. Simões e Silva, and Dr. H. Correa received a research grant from the Brazilian Research Council (CNPq).

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Authors and Affiliations

  1. Pediatric Nephrology Unit, Hospital das Clínicas, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil

    Renata C. Marciano, Cristina M. Bouissou Soares, José Silvério S. Diniz, Eleonora M. Lima, Jose Maria P. Silva, Monica R. Canhestro, Carla Cristina D. Melo, Cristiane S. Dias, Ana Cristina Simões e Silva & Eduardo A. Oliveira

  2. Nursing School, Hospital das Clínicas, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

    Monica R. Canhestro & Andrea Gazzinelli

  3. Laboratory of Neuroscience, Department of Pediatrics, Hospital Das Clínicas, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

    Humberto Correa

  4. Department of Psychiatry, Hospital Das Clínicas, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

    Humberto Correa

  5. Rua Engenheiro Amaro Lanari 389/501, Belo Horizonte, MG, 30.310.580, Brazil

    Eduardo A. Oliveira

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  1. Renata C. Marciano
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  2. Cristina M. Bouissou Soares
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  3. José Silvério S. Diniz
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  4. Eleonora M. Lima
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  7. Andrea Gazzinelli
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  8. Carla Cristina D. Melo
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  12. Eduardo A. Oliveira
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Correspondence to Eduardo A. Oliveira.

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Marciano, R.C., Bouissou Soares, C.M., Diniz, J.S.S. et al. Behavioral disorders and low quality of life in children and adolescents with chronic kidney disease. Pediatr Nephrol 26, 281–290 (2011). https://doi.org/10.1007/s00467-010-1683-y

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  • DOI: https://doi.org/10.1007/s00467-010-1683-y

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