Anxiety and depression in adolescents with CF and their caregivers

被引:45
作者
Besier, Tanja [1 ]
Goldbeck, Lutz [1 ]
机构
[1] Univ Hosp Ulm, Dept Child & Adolescent Psychiat Psychotherapy, D-89075 Ulm, Germany
关键词
Cystic fibrosis; Adolescents; Caregivers; Anxiety; Depression; Concordance; Healthcare utilization; QUALITY-OF-LIFE; CYSTIC-FIBROSIS; MENTAL-DISORDERS; HOSPITAL ANXIETY; YOUNG-ADULTS; CHILDREN; PREVALENCE; ADHERENCE; SCALE; SYMPTOMS;
D O I
10.1016/j.jcf.2011.06.012
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
100201 [内科学];
摘要
Background: To examine the prevalence of symptoms of anxiety and depression and the concordance of these symptoms in adolescents with Cystic Fibrosis (CF) and their caregivers, and to analyze their healthcare utilization for mental health problems. Methods: 162 German adolescents with CF (aged 12-17 years) and their parental caregivers (88.3% mothers) completed screening measures for anxiety and depression and described their mental healthcare utilization. Results: Compared to adolescent patients with CF, caregivers reported significantly more anxious and depressive symptoms. An association between adolescent and caregiver anxiety was found. Only a minority of affected patients and caregivers received any form of specialist treatment for their mental health problems. Conclusions: Screening for anxiety/depression and addressing mental health issues within the framework of a family perspective is recommended as an element of routine healthcare for adolescents with CF. (C) 2011 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:435 / 442
页数:8
相关论文
共 46 条
[1]
Anderson Robert N, 2003, Natl Vital Stat Rep, V52, P1
[2]
[Anonymous], J DEV BEHAV PEDIAT
[3]
Anxiety, Depression, and Life Satisfaction in Parents Caring for Children With Cystic Fibrosis [J].
Besier, Tanja ;
Born, Anja ;
Henrich, Gerhard ;
Hinz, Andreas ;
Quittner, Alexandra L. ;
Goldbeck, Lutz .
PEDIATRIC PULMONOLOGY, 2011, 46 (07) :672-682
[4]
The validity of the Hospital Anxiety and Depression Scale - An updated literature review [J].
Bjelland, I ;
Dahl, AA ;
Haug, TT ;
Neckelmann, D .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (02) :69-77
[5]
PSYCHOSOCIAL FUNCTIONING OF YOUNG-ADULTS WITH CYSTIC-FIBROSIS AND THEIR FAMILIES [J].
BLAIR, C ;
CULL, A ;
FREEMAN, CP .
THORAX, 1994, 49 (08) :798-802
[6]
Psychiatric symptomatology and disorders in caregivers of children with asthma [J].
Brown, E. Sherwood ;
Gan, Vanthaya ;
Jeffress, Jala ;
Mullen-Gingrich, Kacy ;
Khan, David A. ;
Wood, Beatrice L. ;
Miller, Bruce D. ;
Gruchalla, Rebecca ;
Rush, A. John .
PEDIATRICS, 2006, 118 (06) :E1715-E1720
[7]
Prevalence and development of psychiatric disorders in childhood and adolescence [J].
Costello, EJ ;
Mustillo, S ;
Erkanli, A ;
Keeler, G ;
Angold, A .
ARCHIVES OF GENERAL PSYCHIATRY, 2003, 60 (08) :837-844
[8]
Anxiety and Depression in Cystic Fibrosis [J].
Cruz, Ivette ;
Marciel, Kristen K. ;
Quittner, Alexandra L. ;
Schechter, Michael S. .
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2009, 30 (05) :569-578
[9]
Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys [J].
Demyttenaere, K ;
Bruffaerts, R ;
Posada-Villa, J ;
Gasquet, I ;
Kovess, V ;
Lepine, JP ;
Angermeyer, MC ;
Bernert, S ;
de Girolamo, G ;
Morosini, P ;
Polidori, G ;
Kikkawa, T ;
Kawakami, N ;
Ono, Y ;
Takeshima, T ;
Uda, H ;
Karam, EG ;
Fayyad, JA ;
Karam, AN ;
Mneimneh, ZN ;
Medina-Mora, ME ;
Borges, G ;
Lara, C ;
de Graaf, R ;
Ormel, J ;
Gureje, O ;
Shen, YC ;
Huang, YQ ;
Zhang, MY ;
Alonso, J ;
Haro, JM ;
Vilagut, G ;
Bromet, EJ ;
Gluzman, S ;
Webb, C ;
Kessler, RC ;
Merikangas, KR ;
Anthony, JC ;
Von Korff, MR ;
Wang, PS ;
Alonso, J ;
Brugha, TS ;
Aguilar-Gaxiola, S ;
Lee, S ;
Heeringa, S ;
Pennell, BE ;
Zaslavsky, AM ;
Ustun, TB ;
Chatterji, S .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (21) :2581-2590
[10]
Depression is a risk factor for noncompliance with medical treatment -: Meta-analysis of the effects of anxiety and depression on patient adherence [J].
DiMatteo, MR ;
Lepper, HS ;
Croghan, TW .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (14) :2101-2107