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Adolescence through Mid-adolescence
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Feb 12 2017
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Source: Acad Pediatr. 17(6):649-655.
[PDF-325.13 KB]
Details:
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Alternative Title:Acad Pediatr
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Description:Background/Objectives
Chronic physical health conditions are highly prevalent in youth, frequently persisting into adulthood and contributing to the current and future healthcare burden in the United States. Our study evaluates associations of chronic physical health conditions with depressive and physiological anxiety symptoms in a community sample of youth, and examines how those associations change from early to mid-adolescence.
Methods
In this longitudinal study of 5,147 youth, students and their caregivers were interviewed when youth were in grades 5 (M age = 11), 7 (M age = 13), and 10 (M age = 16). Caregivers reported family sociodemographics, youth race/ethnicity, and youth chronic physical health history at baseline. Youth reported their depressive symptoms at each time point and their physiological anxiety symptoms at grades 7 and 10.
Results
At age 11, 28.5% had experienced a chronic physical health condition. Having any chronic physical health condition was related to elevated depressive symptoms at age 11 (2.05 ± 0.05 vs. 1.89 ± 0.03; mean ± standard error; p<.01) and anxiety symptoms at age 16 (2.72 ± 0.06 vs. 2.55 ± 0.04; p<.05). Experiencing multiple conditions was also related to experiencing more depressive symptoms (b=0.13; p<.01) and physiological anxiety symptoms (b=0.13; p<.05). After adjusting for previous mental health symptoms, having any condition still predicted anxiety at age 16.
Conclusions
Children with chronic physical health conditions have an increased risk of depressive symptoms and physiological anxiety symptoms, especially in early and mid-adolescence. Repeated screening for these symptoms may help identify children in need of interventions.
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Pubmed ID:28215656
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Pubmed Central ID:PMC5545161
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