Evaluation of depression among children and adolescents with brucellosis without neurological involvement

Year 2019, Volume: 44 Issue: 2, 587 - 593, 30.06.2019

İsmail Akaltun , Soner Sertan Kara , Hamza Ayaydın , Tayfun Kara

https://doi.org/10.17826/cumj.458278

Abstract

Purpose: Brucella infection may appear with varying clinical manifestations, from subclinical infection to severe bacteremia or central nervous system infections. The aim of this study was to compare depression rates in brucellosis cases without neurobrucellosis with a non-brucellosis control group.

Materials and Methods: One hundred and twenty children and adolescents, 60 with brucellosis and 60 controls, were included in the study. All subjects were administered the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children -Present and Lifetime Version-Turkish Version (K-SADS-PL-T), and psychiatric evaluation was performed on the basis of DSM-5 diagnostic criteria. Subjects were also assessed with the administration of the Children's Depression Inventory (CDI) and a detailed information form.

Results:Depression was diagnosed in 16 (26.7%) of the patients with brucellosis, and in 3 (5%) of the control group, the incidence being significantly higher in the case group (p=0.002). CDI scores were also higher in the case group than in the control group (p< 0.001).

Conclusion:The higher rate of depression in children and adolescents with brucellosis, even in the absence of neurological involvement, suggests the importance of these cases being evaluated in psychological terms.

Keywords

Brusellosis, depression, child and adolescent

Nörolojik tutulumu olmayan brusellozlu çocuk ve ergenlerin depresyon açısından değerlendirilmesi

Abstract

Amaç: Brusella enfeksiyonu, subklinik enfeksiyondan, ağır bakteriyemi veya santral sinir sistemi enfeksiyonlarına kadar değişken kliniklerle karşımıza çıkabilmektedir. Amaç nörobrusellozlu olmayan brusellozlu olguların, brusellozlu olmayan kontrol grubu ile depresyon oranlarını karşılaştırmaktır.

Gereç ve Yöntem: 60 brusellozlu ve 60 kontrol grubu olmak üzere toplamda 120 çocuk ve ergen çalışmaya dahil edildi. Tüm katılımcılara The Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children -Present and Lifetime Version-Turkish Version (K-SADS-PL-T) uygulanmış olup, DSM-5 tanı ölçütlerinin göz önünde bulundurulduğu psikiyatrik değerlendirme yapılmıştır. Katılımcılara ayrıca bilgi formu verilmiş olum tüm katılımcılara The Children's Depression Inventory (CDI) ölçeği verilerek değerlenirildi.

Bulgular:Brusellozlu hastaların 16’sında (%26,7), kontrol grubunun ise 3’ünde (%5) K-SADS-PL-T’ye göre depresyon tanısı, vaka grubunda kontrol grubuna göre istatistiksel olarak yüksek bulunmuştur(p=0.002). CDI puanları açısından karşılaştırıldığında, vaka grubunda kontrol grubuna göre istatistiksel olarak yüksek bulunmuştur (p< 0.001).bulunmuştur (p< 0.001).

Sonuç: Norolojik tutulum olmasa da brusellozlu çocuk ve ergenlerde depresyonun sağlıklı kontrollere göre yüksek oranda görülmesi, bu olguların ruhsal açıdan değerlendirilmesinin önemini düşündürtmektedir.

Keywords

bruselloz, depresyon, çocuk ve ergen

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