Original articleThe Prevalence of DSM-IV Anxiety and Depressive Disorders in Youth with Asthma Compared with Controls
Section snippets
Setting
Group Health Cooperative (GHC) is a nonprofit health maintenance organization in Washington State with 25 GHC-owned primary care clinics as well as 75 contracted clinics. GHC has computerized cost and accounting systems that have organized cost and use summaries for every GHC enrollee since 1989. The study protocol was reviewed and approved by the institutional review board of GHC.
Participants and recruitment
Potential participants between 11 and 17 years of age who were enrolled in GHC for ≥6 months were identified from
Results
Of the 1458 youth with asthma and parents in the initial sample, 1288 proved eligible (Figure 1). A total of 833 eligible parents gave consent and permission for us to contact their child/adolescent with asthma. Of these, we completed 781 child/adolescent interviews for a final recruitment rate of 60.6%. Of the 1360 control youth without asthma, 1183 proved eligible (Figure 1). A total of 648 eligible parents gave consent and permission to contact their child/adolescent without asthma. Of
Discussion
Youth with asthma compared with controls were found to be almost twice as likely to meet DSM-IV criteria for one or more anxiety and depressive disorders. Unlike some prior reports, which have emphasized a higher rate of panic disorder in youth with asthma [1], [2], [3], [4], [5], our data suggest that there is an increase in all anxiety and depressive disorders in youth with asthma compared with controls (although only the difference in rates of agoraphobia reached statistical significance).
Conclusions
Physicians should be aware of the increased rate of DSM-IV anxiety and depressive disorders in youth with asthma and that factors that raise the risk of meeting criteria for these mental health disorders include female gender, living in a single-parent household, more recent asthma diagnosis, higher parent rated behavior problems, and greater asthma physical impairment. Given the high rate of comorbid anxiety and depressive disorders in youth with asthma and the adverse effect on asthma symptom
Acknowledgments
This study was supported by grants from the National Institute of Mental Health to Dr. Katon (MH-067587 and MH-069741).
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