Comorbidity of Asthma and Anxiety and Depression in Puerto Rican Children

Department of Epidemiology, Columbia University, New York, New York, United States
Psychosomatics (Impact Factor: 1.86). 03/2004; 45(2):93-9. DOI: 10.1176/appi.psy.45.2.93
Source: PubMed


Studies have reported that childhood asthma is associated with internalizing disorders, but most of these studies have used global measures of depressive and anxiety symptoms. The Diagnostic Interview Schedule for Children was administered to a group of 1891 youth ages 4 to 17 and their caregivers in Puerto Rico to determine DSM-IV symptoms and diagnoses. Asthma diagnosis and having had an asthma attack were assessed by parental report. A diagnosis of asthma was associated with having any depressive disorder and one symptom of separation anxiety. An asthma attack was associated with any depressive disorder and any anxiety disorder and, more specifically, with separation anxiety disorder, major depressive disorder, and symptoms of depression, separation anxiety, and generalized anxiety. Possible explanations for the findings are discussed.

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Available from: Alexander N Ortega
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    • "Several previous studies have shown that youth and young adults with asthma are more likely to have an anxiety disorder than are participants without asthma (Bruzzese et al., 2009; Feldman et al., 2010; Goodwin et al., 2004; Goodwin et al., 2005; Katon et al., 2007; Ortega et al., 2004b). However, this relationship may be partially explained by major depression in the caregivers. "
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    ABSTRACT: 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.
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    • "Likewise the association between asthma and anxiety is well established (Ortega, McQuaid et al. 2004; Goodwin, Chuang et al. 2007; Koinis-Mitchell, McQuaid et al. 2007; Roy-Byrne, Davidson et al. 2008). Puerto Ricans, the largest of the Latino subgroups in New York State and in the study sample, have the highest rate of asthma of any racial/ethnic group in the United States (Fritz, Racer et al. 1999; Lara, Morgenstern et al. 1999; Ortega, McQuaid et al. 2004). Given the preventable nature of many of these conditions and the seriousness of the complications if not well managed, engagement with healthcare providers is essential. "
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    ABSTRACT: Several studies have examined the factors associated with juvenile delinquency, but this literature remains limited largely because it has not moved beyond traditional factors generally and because of the lack of research conducted on minority—especially Hispanic—youth. This study seeks to overcome these two limitations by using data from a longitudinal study of 2,491 Hispanic (Puerto Rican) youth ages 5–13 (48.5% female) socialized in two different cultural contexts, Bronx, New York and San Juan, Puerto Rico, in an effort to examine the relationship between parental suicidality and offspring delinquency. Results indicate that while traditional risk/protective factors and parental mental health issues relate to delinquency in expected ways, youths whose parents attempted suicide engaged in more frequent and varied delinquency over time. Implications for theory and future research are addressed.
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