Depressive symptoms in children after tonsillectomy

The psychological impact of an adenoidectomy and adenotonsillectomy on young children

“…Our results show that children with an indication for A&ATE have more behavioural and emotional problems in general in comparison to healthy children of the same age. These findings are in agreement with recent studies, which also found a positive change in behaviour and sleep after A&ATE [8,[35][36][37].…”

“…Observations such as these have led to the awareness that an integral part of A&ATE in children is psychological preparation and support [8]. Paediatric A&ATE, when performed lege artis, now includes this and, as our study shows, Table 4 Outcome on CBCL for girls after surgery in comparison to the Dutch control group.…”

“…However, in most of the previous studies responses of children to A&ATE were examined postoperatively [8]. Because A&ATE are often planned in advance, these surgeries provide an opportunity to investigate this stress response in a prospective way.…”

Use of a children questionnaire of health-related quality of life (KIDSCREEN) as a measure of needs for health care services

“…This might be a consequence of the severity of the disorder suffered by a child during the last year, that is, a reverse relationship. The negative influence of hospitalization on the psychological status of children and their families [21], Table 2 Percentage of visits to a health care professional in the past four weeks and hospitalization in the past 12 The KIDSCREEN scores are categorized as low and high using the 25th percentile of each domain score as a cut-off point. Table 3 Percentage of at least one visit to a health care professional in the past four weeks or hospitalization in the past 12 The KIDSCREEN scores are categorized as low and high using the 25th percentile of each domain score as a cut-off point.…”

Indications for tonsillectomy stratified by the level of evidence

“…This finding contrasts to reports of Lock et al who also registered a better outcome in children between 4 and 15 years of age after TE [401], [414]. One of the trials cited by Barraclough and Anari was not randomized and controlled and quantified postoperative satisfaction of the parents and quality of life, psychological changes and impact on the body growth in operated children [415], [416], [417], [418], [419], [420], [421], [422], [423], [424], [425], [426], [427], [428], [429], [430]. Only 6/16 studies focussed on sore throat, 3 of them did not discuss the issue [419], [429], [431].…”