Prevalence of DSM-IV Disorders in Children and Adolescents with Asthma versus Diabetes

Vila, Gilbert; Nollet-Clémençon, C; Vera, Miriam; Robert, Jean‐Jacques; Blic, J. de; Jouvent, Roland; Mouren-Siméoni, Marie-Christine; Scheinmann, P.

doi:10.1177/070674379904400604

Cited by 60 publications

(39 citation statements)

References 29 publications

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“…Unlike some prior reports, which have emphasized a higher rate of panic disorder in youth with asthma [1][2][3][4][5], our data suggest that there is an increase in all anxiety and depressive disorders in youth with asthma compared to controls (although only the difference in rates of agoraphobia reached statistical significance). These results extend the findings of previous research by including physician diagnoses of asthma and other medical comorbidities, asthma treatments and asthma severity and smoking.…”

Section: Discussioncontrasting

confidence: 55%

“…Cross-sectional studies have repeatedly found an increased prevalence of panic disorder among youth with asthma. [1][2][3][4][5] A large family history study also recently reported that first degree relatives of patients with panic disorder had a significantly higher prevalence of asthma and chronic obstructive lung disease compared to a control group without panic disorder. …”

mentioning

confidence: 99%

“…[1][2][3][4][5] A large family history study also recently reported that first degree relatives of patients with panic disorder had a significantly higher prevalence of asthma and chronic obstructive lung disease compared to a control group without panic disorder. [6] Recent research suggests that youth with asthma also have a high rate of other depressive and anxiety disorders.…”

mentioning

confidence: 99%

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The Prevalence of DSM-IV Anxiety and Depressive Disorders in Youth with Asthma Compared with Controls

Katon

Lozano

Russo

et al. 2007

Journal of Adolescent Health

230

158

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Purpose-To determine the prevalence of anxiety and depressive disorders in youth with asthma compared to a control sample of youth and to determine the sociodemographic and clinical characteristics associated with having ≥1 anxiety/depressive disorders among youth with asthma.Methods-A telephone interview was offered to all youth aged 11 to 17 with asthma (N=781) and a random sample of similar aged controls (N=598) enrolled in a Health Maintenance Organization (HMO). The C-DISC-4.0 was used to diagnose anxiety and depressive disorders and reliable and valid questionnaires were used to assess severity of anxiety and depressive symptoms. Automated diagnostic, pharmacy and health utilization data were used to measure asthma treatment intensity, asthma severity and non-asthmatic medical comorbidity. One parent was interviewed to assess sociodemographic variables, child/adolescent psychiatric symptoms and to confirm the asthma diagnosis.Results-16.3% of youth with asthma compared to 8.6% of youth without asthma met DSM-IV criteria for ≥1 anxiety and depressive disorders (OR = 1.92, 95% CI 1.13-3.28). Independent factors associated with a significantly higher likelihood of meeting criteria for ≥1 anxiety or depressive disorders included female gender [OR = 1.96 (95% CI 1.27, 3.03)], living in a single parent household, [OR = 1.96 (95% CI 1.26, 3.07)], more parent-reported externalizing behaviors [OR = 1.03 (95% CI 1.01, 1.05)], more recent diagnosis of asthma [OR = 0.94 (95% CI 0.89, 0.98)], and more impairment on the asthma physical health scale [OR = 0.95 (95% CI 0.94, 0.96)].Conclusions-Youth with asthma have an almost two-fold higher prevalence of comorbid DSM-IV anxiety and depressive disorders compared to control youth. Clinical factors associated with meeting criteria for ≥1 anxiety and depressive included more recent asthma diagnosis, more impairment on the asthma physical health scale and increased externalizing behaviors. Medicine, 1959 NE Pacific St., Seattle, WA 98195-6560, PH: 206-543-7177, Fax: 206-221-5414, E-Mail: wkaton@u.washington.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Cross-sectional studies have repeatedly found an increased prevalence of panic disorder among youth with asthma. [1][2][3][4][5] A large family history study also recently reported that first degree relatives of patients with panic disorder had a significantly higher prevalence of asthma and chronic obstructive lung disease compared to a control group without panic disorder. NIH Public Access[6] Recent research suggests that youth with asthma also have a high rate of ot...

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Section: Discussioncontrasting

confidence: 55%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Prevalence of DSM-IV Anxiety and Depressive Disorders in Youth with Asthma Compared with Controls

Katon

Lozano

Russo

et al. 2007

Journal of Adolescent Health

230

158

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“…Yaz›n bilgisine bak›ld›¤›nda da ast›m grubunun sa¤l›kl› kontrollerle veya bir baflka kronik hastal›k grubu ile karfl›laflt›r›ld›¤› görülmektedir. Bu çal›flmalar›n bir k›sm›nda di¤er birçok kronik hastal›kta oldu¤u gibi ast›ml› çocuklar›n sa¤l›kl› çocuklara göre daha fazla psikiyatrik tan› ald›klar›, özellikle kayg› bozukluklar›n›n daha fazla saptand›¤› belirtilmekte bir di¤er k›sm›nda ise sa¤-l›kl› kontrollerle aralar›nda fark bulunmad›¤› ifade edilmektedir (28)(29)(30)(31)(32)(33).…”

Section: Tart›flmaunclassified

“…Yap›lan çal›flmalar›n pek ço¤unda bizim sonuçlar›m›-za koflut olacak flekilde ast›m grubunun benlik sayg›s› düzeylerinin sa¤l›kl› gruptan ya da di¤er kronik hastal›k grubundaki çocuklardan farkl› olmad›¤› gösterilmifltir (8,9,36). Di¤er yandan ast›m fliddeti ile benlik sayg›s› dü-zeyi aras›nda iliflki gözlenmemifl olsa da psikiyatrik tan›-s› olan ast›ml›larda, olmayanlara göre daha düflük benlik sayg›s› ve daha zay›f sosyal uyum gözlendi¤i bildirilmifltir (29,37).…”

Section: Tart›flmaunclassified

Astımlı çocukların benlik saygıları ve annelerinin duygu dışavurum düzeylerinin değerlendirilmesi

Ölçer¹,

Fiş²,

Berkem³

et al. 2011

tpa

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A As st t› ›m ml l› › ç ço oc cu uk kl la ar r› ›n n b be en nl li ik k s sa ay yg g› ›l la ar r› › v ve e a an nn ne el le er ri in ni in n d du uy yg gu u d d› ›fl fla av vu ur ru um m d dü üz ze ey yl le er ri in ni in n d de e¤ ¤e er rl le en nd di ir ri il lm me es si i T Th he e r re el la at ti io on ns sh hi ip p i in n b be et tw we ee en n s se el lf f--e es st te ee em m l le ev ve el ls s a an nd d t th he e m mo ot th he er rs s' ' e ex xp pr re es ss se ed d e em mo ot ti io on n i in n c ch hi il ld dr re en n w w› ›i it th h a as st th hm ma a S Se em ma a Ö Öl lç çe er r, , N Ne efl fle e P Pe er rd da ah hl l› › F Fi ifl fl* *, , M Me er ra al l B Be er rk ke em m* *, , B Bü ül le en nt t K Ka ar ra ad da a¤ ¤* ** * Bulgular: Ast›ml› çocuklarda psikiyatrik tan› alma s›kl›¤›n›n (p=0,00) ve davran›fl sorunlar›n›n (p<0,01) daha fazla oldu¤u görülmüfltür. Ast›ml›larda benlik sayg›s› düzeyi kontrol grubu ile benzerlik göstermekle birlikte anne duygu d›flavurumu artt›kça çocuklar›n benlik sayg›s›n›n düfltü¤ü saptanm›flt›r (r=-0,38, p=0,002). Annelerin duygu d›flavurum düzeyi ast›m grubunda daha yüksek bulunmufl (p=0,006), çocukta psikiyatrik tan› alma ve davran›fl sorunlar› s›kl›¤› ile iliflkili oldu¤u görülmüfltür.Ç›kar›mlar: Ast›m varl›¤› benlik sayg›s›n› do¤rudan etkilememekle birlikte efllik eden psikiyatrik bozukluklar, duygusal ve davran›flsal sorunlar ve annenin duygu d›flavurumunun fazla olmas› çocukta benlik sayg›s›n›n azalmas›na neden olmaktad›r. (Türk Ped Arfl 2010; 45: 144-9) Anahtar sözcükler: Ast›m, çocuk, duygu d›flavurumu, kendilik kavram› S Su um mm ma ar ry y Aim: The objective of this study is to evaluate the self-esteem levels of asthmatic children and the maternal emotional expressiveness. Material and Method:Sixty-five children and adolescents with the diagnosis of asthma were compared with a control group of 76 children, without a chronic illness. Presence of psychopathology was evaluated by Kiddie-Schizofrenia Affective Disorders Schedule, behavioral problems were assessed by Child Behaviour Checklist. Additionally, Piers Harris Self-Esteem Inventory and Expressed Emotions Questionnaire were administered to children and adolescents and to their mothers, respectively. In order to compare the groups, chi square and student's t-tests, and to assess the relationship between the variables Pearson's correlation analyses were used.Results: Psychiatric diagnoses (p=0.00) and behavioral problems (p<0.01) were encountered more frequently in children with asthma. Although self-esteem levels of asthmatic children were similar to those of the control group, as maternal emotional expression increased, children tended to have lower self esteem levels (r=-0.38, p=0.002). Maternal emotional expression levels were found to be higher in the asthma group (p=0.006) and it showed positive correlation with the presence of psychopathology and behavioral problems in the children. Conclusions:Although self-esteem was not directly affected by the presence of asthma, co-occurrence of psychiatric disor...

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Medical and Psychiatric Comorbidity and Health Care Use Among Children 6 to 17 Years Old

Spady¹,

Schopflocher²,

Svenson³

et al. 2005

Arch Pediatr Adolesc Med

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Prevalence of DSM-IV Disorders in Children and Adolescents with Asthma versus Diabetes

Abstract: Asthma appears to be associated both with higher overall incidence of psychiatric problems than in IDDM and with particular categories of psychiatric problems. In particular, the problems include anxiety disorders, internalizing symptoms, and disruptive behaviours.

Cited by 60 publications

References 29 publications

The Prevalence of DSM-IV Anxiety and Depressive Disorders in Youth with Asthma Compared with Controls

The Prevalence of DSM-IV Anxiety and Depressive Disorders in Youth with Asthma Compared with Controls

Astımlı çocukların benlik saygıları ve annelerinin duygu dışavurum düzeylerinin değerlendirilmesi

Medical and Psychiatric Comorbidity and Health Care Use Among Children 6 to 17 Years Old

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