Zashikhina A, Hagglof B
Division of Child and Adolescent Psychiatry, Umea University, Sweden.
Acta Paediatr. 2007 Jun;96(6):890-6. doi: 10.1111/j.1651-2227.2007.00277.x.
To study the behaviour/emotional problems and depression in adolescents with and without physical illnesses; to compare the same psychological parameters in adolescents with different disorders.
The sample consisted of 148 adolescents aged 13-16 years with one of the following physical chronic conditions: diabetes (n = 55), asthma (n = 59), or epilepsy (n = 59). Comparative data were obtained from a group of 301 schoolchildren. Test batteries (Child Behaviour Check-List, Youth Self Report, Beck Depression Inventory, socio-economic status questions) were individually completed by adolescents and their mothers.
Overall adolescents with physical illness had more behaviour/emotional problems and were more depressed compared to controls although results varied according to the informants and the disease severity. Two risk groups were revealed: girls with asthma and boys with epilepsy.
Our results suggest that mental health in adolescents with chronic physical illnesses is poorer than in controls and their mental health state is very much associated with the disease severity. The findings of the study can help to develop disease targeted and comprehensive interventions in outpatient clinics of Northern Russia in order to reduce behaviour and mood disorders in adolescents with chronic physical illnesses and therefore to smooth the transition through their teenage years.
研究患有和未患有身体疾病的青少年的行为/情绪问题及抑郁情况；比较患有不同疾病的青少年的相同心理参数。
样本包括148名13至16岁的青少年，他们患有以下慢性身体疾病之一：糖尿病（n = 55）、哮喘（n = 59）或癫痫（n = 59）。比较数据来自一组301名学童。测试问卷（儿童行为检查表、青少年自我报告、贝克抑郁量表、社会经济状况问题）由青少年及其母亲单独完成。
总体而言，患有身体疾病的青少年比对照组有更多的行为/情绪问题，且更易抑郁，不过结果因报告者和疾病严重程度而异。发现了两个风险组：患有哮喘的女孩和患有癫痫的男孩。
我们的结果表明，患有慢性身体疾病的青少年的心理健康状况比对照组差，且他们的心理健康状态与疾病严重程度密切相关。该研究结果有助于在俄罗斯北部的门诊诊所制定针对疾病的综合干预措施，以减少患有慢性身体疾病的青少年的行为和情绪障碍，从而使他们平稳度过青少年时期。
