{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T18:41:26Z","timestamp":1785782486450,"version":"3.56.0"},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"38","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,9,22]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A kr\u00f3nikus f\u00e1jdalom prevalenci\u00e1ja 31,1%, ami\n                    jelent\u0151sen befoly\u00e1solhatja a gyermekek iskolai \u00e9s mindennapi teljes\u00edtm\u00e9ny\u00e9t,\n                    t\u00e1rsas kapcsolataikat, valamint negat\u00edv hat\u00e1ssal lehet testi, pszich\u00e9s \u00e9s\n                    szoci\u00e1lis fejl\u0151d\u00e9s\u00fckre, illetve k\u00e9s\u0151bbi munkak\u00e9pess\u00e9g\u00fckre is. Emiatt k\u00fcl\u00f6n\u00f6sen\n                    fontos a k\u00f3rk\u00e9p megel\u0151z\u00e9se \u00e9s kezel\u00e9se.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    A Bethesda\n                    Gyermekk\u00f3rh\u00e1zban kezelt, kr\u00f3nikus f\u00e1jdalommal \u00e9l\u0151 p\u00e1ciensek szociodemogr\u00e1fiai\n                    jellemz\u0151inek \u00e9s kock\u00e1zati t\u00e9nyez\u0151inek vizsg\u00e1lata.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    A\n                    vizsg\u00e1lati minta a f\u00e1jdalomkezel\u0151 j\u00e1r\u00f3beteg-ell\u00e1t\u00e1st 2013. m\u00e1rcius 1. \u00e9s 2021.\n                    m\u00e1rcius 31. k\u00f6z\u00f6tt ig\u00e9nybe vev\u0151 gyermekek (\u00e1tlag\u00e9letkor: 12,5 \u00e9v, SD = 3,6)\n                    alapsokas\u00e1ga volt (n = 164). A p\u00e1ciensek sz\u00fclei \u00e1ltal kit\u00f6lt\u00f6tt\n                    f\u00e1jdalomk\u00e9rd\u0151\u00edvek retrospekt\u00edv elemz\u00e9se sor\u00e1n a szociodemogr\u00e1fiai mutat\u00f3kat, a\n                    kr\u00f3nikus betegs\u00e9geket, az alv\u00e1si probl\u00e9m\u00e1kat, az \u00e9lethelyzeti neh\u00e9zs\u00e9g\n                    fenn\u00e1ll\u00e1s\u00e1t \u00e9s a csal\u00e1di anamn\u00e9zist is vizsg\u00e1ltuk. A f\u00e1jdalom jellemz\u0151ivel, a\n                    f\u00e1jdalom okozta \u00e9letviteli korl\u00e1tozotts\u00e1ggal (iskolai vagy \u00f3vodai hi\u00e1nyz\u00e1s) \u00e9s\n                    az eg\u00e9szs\u00e9g\u00fcgyi rendszer ig\u00e9nybev\u00e9tel\u00e9vel kapcsolatos k\u00e9rd\u00e9sekre is v\u00e1laszt\n                    kaptunk.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A sz\u00fcl\u0151k 93%-a jelezte, hogy gyermek\u00e9n\u00e9l\n                    kor\u00e1bban fenn\u00e1llt vagy jelenleg is fenn\u00e1ll m\u00e1s eg\u00e9szs\u00e9g\u00fcgyi probl\u00e9ma is a\n                    f\u00e1jdalom mellett. A r\u00e9sztvev\u0151k 95,7%-a vett m\u00e1r r\u00e9szt a f\u00e1jdalom ok\u00e1t tiszt\u00e1z\u00f3\n                    vizsg\u00e1latokon, viszont 66,9%-ukn\u00e1l nem diagnosztiz\u00e1ltak a h\u00e1tt\u00e9rben megh\u00faz\u00f3d\u00f3\n                    betegs\u00e9get. A gyermekek 66%-\u00e1n\u00e1l fordult el\u0151 pozit\u00edv csal\u00e1di anamn\u00e9zis a s\u00falyos,\n                    kr\u00f3nikus betegs\u00e9g vagy f\u00e1jdalom tekintet\u00e9ben. A pozit\u00edv csal\u00e1di anamn\u00e9zis nem\n                    mutatott szignifik\u00e1ns kapcsolatot a f\u00e1jdalom ok\u00e1t tiszt\u00e1z\u00f3 vizsg\u00e1latok\n                    kezdem\u00e9nyez\u00e9s\u00e9vel vagy sz\u00e1m\u00e1val (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (df) = 0,796(1); p = 0,372;\n                    Mann\u2013Whitney-f\u00e9le U-teszt = 2426,000; p = 0,492). A gyermekek 50%-\u00e1n\u00e1l volt\n                    jelen \u00e9lethelyzeti neh\u00e9zs\u00e9g, a vizsg\u00e1latra jelentkez\u00e9st megel\u0151z\u0151 3 h\u00f3napban\n                    65%-uk maradt t\u00e1vol az iskol\u00e1t\u00f3l a f\u00e1jdalom miatt.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A pozit\u00edv csal\u00e1di anamn\u00e9zis \u00e9s a jelen l\u00e9v\u0151\n                    vagy kor\u00e1bbi eg\u00e9szs\u00e9g\u00fcgyi probl\u00e9ma gyakori k\u00eds\u00e9r\u0151je a kr\u00f3nikus f\u00e1jdalomnak. Az\n                    ell\u00e1t\u00e1s sor\u00e1n kiemelten fontos a biopszichoszoci\u00e1lis megk\u00f6zel\u00edt\u00e9s, mert a\n                    fizik\u00e1lis t\u00e9nyez\u0151k mellett sokszor pszich\u00e9s \u00e9s szoci\u00e1lis faktorok is k\u00eds\u00e9r\u0151i a\n                    kr\u00f3nikus f\u00e1jdalomnak, \u00e9s annak fenntart\u00f3 t\u00e9nyez\u0151jek\u00e9nt is szerepelhetnek. Orv\n                    Hetil. 2024; 165(38): 1493\u20131499.\n                  <\/jats:p>","DOI":"10.1556\/650.2024.33114","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T06:29:25Z","timestamp":1727764165000},"page":"1493-1499","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A gyermekkori kr\u00f3nikus f\u00e1jdalom jellemz\u0151i \u00e9s befoly\u00e1sol\u00f3 t\u00e9nyez\u0151i a Bethesda Gyermekk\u00f3rh\u00e1z F\u00e1jdalomkezel\u0151 Centrum\u00e1ban megjelent betegek k\u00f6r\u00e9ben"],"prefix":"10.1556","volume":"165","author":[{"given":"Alexandra S\u00e1ra","family":"Bencsik","sequence":"first","affiliation":[{"name":"Bethesda Gyermekk\u00f3rh\u00e1z Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos","family":"Major","sequence":"additional","affiliation":[{"name":"Bethesda Gyermekk\u00f3rh\u00e1z, F\u00e1jdalomkezel\u0151 Centrum Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Magatart\u00e1studom\u00e1nyi Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienn","family":"Vargay","sequence":"additional","affiliation":[{"name":"Bethesda Gyermekk\u00f3rh\u00e1z, F\u00e1jdalomkezel\u0151 Centrum Budapest Magyarorsz\u00e1g"},{"name":"ELTE E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Pszichol\u00f3giai Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Szilvia","family":"\u00c1d\u00e1m","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9g\u00fcgyi Menedzserk\u00e9pz\u0151 K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Soee A-BL, Skov L, Skovgaard LT, et al. 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