Feldman Jonathan M, Acosta Pérez Edna, Canino Glorisa, McQuaid Elizabeth L, Goodwin Renee D, Ortega Alexander N
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY 10461, USA.
J Nerv Ment Dis. 2011 May;199(5):313-8. doi: 10.1097/NMD.0b013e3182174e84.
The goal of this study was to assess whether the association between asthma attacks and anxiety disorders in youth/young adults is reduced after adjusting for the caregivers' psychiatric disorders. An island-wide probability sample of 641 households in Puerto Rico with youth/young adults between ages 10 and 25 years participated along with their caregivers. The Diagnostic Interview Schedule for Children and the Composite International Diagnostic Interview were conducted to assess anxiety and depressive disorders. Youth/young adults with an anxiety disorder were more likely to have a lifetime history of asthma attacks versus youth/young adults without an anxiety disorder. Caregivers of participants with asthma attacks were more likely to have major depression than did the caregivers of participants without asthma attacks. The association between asthma attacks and anxiety disorders in youth was no longer significant after adjustment for caregiver major depression. It is important to consider the role of caregiver depression in asthma-anxiety comorbidity in youth/young adults.
本研究的目的是评估在调整照顾者的精神障碍后，青少年/青年成人中哮喘发作与焦虑症之间的关联是否会降低。波多黎各全岛范围内对641户有10至25岁青少年/青年成人的家庭及其照顾者进行了概率抽样。采用儿童诊断访谈表和综合国际诊断访谈来评估焦虑症和抑郁症。与没有焦虑症的青少年/青年成人相比，患有焦虑症的青少年/青年成人更有可能有终身哮喘发作史。有哮喘发作的参与者的照顾者比没有哮喘发作的参与者的照顾者更有可能患有重度抑郁症。在调整照顾者的重度抑郁症后，青少年中哮喘发作与焦虑症之间的关联不再显著。考虑照顾者抑郁症在青少年/青年成人哮喘-焦虑共病中的作用很重要。
