Assessment of Psychological and Behavioural Disorders in Egyptian Children with Chronic Kidney Disease.

Document Type : Original Article

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Department of Pediatrics, Faculty of Medicine, Minia University, Minia, Egypt.

Abstract

Introduction: Chronic Kidney Disease children’s psychosocial disorders often go unnoticed during follow-up in the pediatric nephrology clinic because of their crowdedness, with different complaints, laboratory investigations, and different treatment modalities for the disease or its complications. Many researchers suggest the important role of behavioral and psychosocial disorders in the quality and outcomes of treatment received by CKD children and their families. 
Aim of the study: This study aimed to assess the prevalence of psychological and behavioral disorders in children with chronic kidney disease and the possible risk factors for these disorders.
Methods: This cross-sectional study included 200 CKD children and was conducted at Minia University Hospital of Pediatrics, Egypt, from February 2023 to January 2024. CBCL is a checklist used in this study to detect psychological and behavioral problems in children and adolescents with CKD.
Results: Nearly all the CKD children studied (96%) on regular dialysis and (66%) children not on regular dialysis had psychiatric disorders. Univariate linear regression revealed that duration of disease, school performance, anemia, vitamin D deficiency, and dialysis were the most dependent risk factors for the development of psychiatric disorders in children with CKD. 
Conclusion: Psychological disorders are common in children with CKD and are more common in children on regular dialysis. Dialysis, duration of disease, anemia, and vitamin D deficiency were the most powerful risk factors for psychiatric disorders in CKD children.

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