Psychosocial liaison-consultation for the children who have undergone repair of imperforate anus and Hirschsprung disease

Syunichi Funakosi, Junko Hayashi, Takamichi Kamiyama, Takashi Ueno, Tomohiro Ishii, Motoshi Wada, Shintaro Amae, Shigehiko Yoshida, Yutaka Hayashi, Hiroo Matsuoka

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

Objective: The aim of this study was to investigate the psychological status of Japanese children with congenital anorectal malformation and their mothers to develop appropriate psychiatric interventions. Method: The subjects comprised 50 children with congenital anorectal malformation aged 0 to 16 years and their mothers. The psychology of children aged 7 to 16 years was investigated by Kovacs' Children's Depression Inventory (CDI). The psychology of their mothers was assessed by Spielberger's State-Trait Anxiety Index (STAI) and Zung's Self-rating Depression Scale (SDS). Results: Depression was more marked in the children aged 12 to 16 years than in those aged 7 to 11 years according to the CDI. The mothers of preschool children showed higher levels of anxiety and depression than those of school-aged children, according to the STAI and SDS. Significant correlations between the CDI score of the children and the STAI or SDS score of the mothers were observed only among children aged 7 to 11 years. Conclusions: The frequency of depression and anxiety among children with congenital anorectal malformation and that among their mothers was associated with the age of the child. Long-term postoperative psychosocial support for the children and their mothers may be required, taking into account the age of the child.

Original languageEnglish
Pages (from-to)1156-1162
Number of pages7
JournalJournal of Pediatric Surgery
Volume40
Issue number7
DOIs
Publication statusPublished - 2005 Jul

Keywords

  • Anorectal malformation
  • Children's depression inventory
  • Liaison-consultation psychiatry
  • Mother-child bond
  • Psychological support

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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