Raknes Solfrid, Pallesen Ståle, Himle Joseph A, Bjaastad Jon Fauskanger, Wergeland Gro Janne, Hoffart Asle, Dyregrov Kari, Håland Åshild Tellefsen, Haugland Bente Storm Mowatt
Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health/University of Bergen, Bergen, Norway.
Department of Psychosocial Science, University of Bergen, Bergen, Norway.
Child Adolesc Psychiatry Ment Health. 2017 Jul 20;11:33. doi: 10.1186/s13034-017-0173-4. eCollection 2017.
To examine associations between health-related quality of life (HRQoL) and anxiety symptoms across anxiety domains (obsessions/compulsions, social anxiety, panic disorder, agoraphobia, separation anxiety, physical injury fears, generalised anxiety, and posttraumatic stress) in a general adolescent population. Expanded knowledge about these associations can provide valuable information for improving interventions and prevention strategies for adolescent anxiety.
Cross-sectional data about anxiety were collected via a school survey from a community sample of Norwegian adolescents aged 12-17 ( = 1719). Based on scores from the Spence Children's Anxiety Scale (SCAS), each adolescent was categorized as reporting a low, medium, or high level of anxiety. Each adolescent's HRQoL was then measured using the Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents Revised Version (KINDL-R). Hierarchical regression analyses were performed to determine any relationship between anxiety symptoms and HRQoL.
Across domains of anxiety, anxiety symptoms were inversely associated with overall HRQoL. All HRQoL-dimensions were inversely associated with overall level of anxiety symptoms. In adolescents with medium and high anxiety symptoms, poor HRQoL was documented in all HRQoL dimensions with the exception of the family dimension.
The strong association between elevated levels of anxiety symptoms and poor HRQoL demonstrate the importance of improved mental health interventions and prevention initiatives targeting anxious adolescents.
在一般青少年人群中，研究健康相关生活质量（HRQoL）与焦虑各领域（强迫观念/强迫行为、社交焦虑、惊恐障碍、广场恐惧症、分离焦虑、身体伤害恐惧、广泛性焦虑和创伤后应激）的焦虑症状之间的关联。关于这些关联的更多知识可为改善青少年焦虑的干预措施和预防策略提供有价值的信息。
通过学校调查收集了挪威12至17岁青少年社区样本（n = 1719）的焦虑横断面数据。根据斯彭斯儿童焦虑量表（SCAS）的得分，将每个青少年分为报告低、中或高焦虑水平。然后使用修订版儿童和青少年健康相关生活质量测量问卷（KINDL-R）测量每个青少年的HRQoL。进行分层回归分析以确定焦虑症状与HRQoL之间的关系。
在焦虑的各个领域中，焦虑症状与总体HRQoL呈负相关。所有HRQoL维度均与焦虑症状的总体水平呈负相关。在中度和高度焦虑症状的青少年中，除家庭维度外，所有HRQoL维度均记录到较差的HRQoL。
焦虑症状水平升高与较差的HRQoL之间的强烈关联表明，针对焦虑青少年改善心理健康干预措施和预防举措非常重要。
