Licari Amelia, Ciprandi Riccardo, Marseglia Gianluigi, Ciprandi Giorgio
Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, 27100 Pavia, Italy.
Cystic Fibrosis Unit, Istituto G. Gaslini, 16147 Genoa, Italy.
Behav Sci (Basel). 2019 Jul 13;9(7):78. doi: 10.3390/bs9070078.
Emotional problems, such as anxiety and depression, are a relevant co-morbidity in severe asthma. Anxiety and depression may also be common in the parents of asthmatic adolescents. The current study evaluated anxious and depressive symptoms in 40 adolescents suffering from severe asthma, and in their parents, before and after 1 year of treatment, tailored according to validated asthma guidelines. We used the HADS (Hospital Anxiety Depression Scale) questionnaire for the adolescents, and HADS, STAY (State-Trait Anxiety Inventory), and BDI (Beck Depression Inventory) questionnaires for their parents. We also considered the grade of asthma severity before and after 1 year of treatment. The current study demonstrated that anxiety and depression are common in both the adolescents suffering from severe asthma and their parents. Anxious and depressive symptoms were correlated between adolescents and their parents. Asthma treatment improved the asthma severity in almost all adolescents. However, the parental anxiety and depression remained unchanged at the end of the asthma treatment. Thus, a psychological assessment could be included in the adolescent severe asthma work-up, involving both the adolescents and their parents.
情绪问题,如焦虑和抑郁,是重度哮喘中一种相关的共病情况。焦虑和抑郁在哮喘青少年的父母中也可能很常见。本研究评估了40名重度哮喘青少年及其父母在根据经过验证的哮喘指南进行为期1年的治疗前后的焦虑和抑郁症状。我们对青少年使用了医院焦虑抑郁量表(HADS)问卷,对其父母使用了HADS、状态-特质焦虑量表(STAY)和贝克抑郁量表(BDI)问卷。我们还考虑了治疗1年前后的哮喘严重程度分级。本研究表明,焦虑和抑郁在重度哮喘青少年及其父母中都很常见。青少年与其父母之间的焦虑和抑郁症状存在相关性。哮喘治疗改善了几乎所有青少年的哮喘严重程度。然而,在哮喘治疗结束时,父母的焦虑和抑郁状况并未改变。因此,在青少年重度哮喘检查中可以纳入心理评估,涉及青少年及其父母。