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Screening and assessing adolescent asthmatics for anxiety disorders
Carolyn J M Ross1, Terry M A Davis, D Y Hogg
1University of Alberta, Edmonton, Alberta, Canada. carolyn.ross@ualberta.ca
Clinical Nursing Research
|January 6, 2007
Summary
Early detection of anxiety disorders in adolescents with asthma is crucial. A trained nurse using the Anxiety Disorders Interview Schedule-IV (ADIS-IV) accurately diagnosed conditions, aiding early intervention.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Health
- Pediatric Pulmonology
Background:
- Asthma is a common chronic condition in adolescents.
- Coexisting anxiety disorders can complicate asthma management and impact quality of life.
- Early detection and treatment of anxiety are essential for improved health outcomes.
Purpose of the Study:
- To evaluate a strategy for early detection of anxiety disorders in adolescents with asthma.
- To assess the effectiveness of specific screening tools and a structured diagnostic interview.
- To determine the prevalence of anxiety disorders in this population.
Main Methods:
- Adolescents with asthma (N=53) were screened using the State-Trait Anxiety Inventory for Children (STAI-C) and the Multidimensional Anxiety Scale for Children (MASC).
- A nurse administered the Anxiety Disorders Interview Schedule-IV: Parent and Child Versions (ADIS-IV: P&C) for individual evaluation.
- Diagnostic criteria for anxiety disorders were assessed based on interview results.
Main Results:
- 40% (21/53) of adolescent asthmatics met diagnostic criteria for at least one anxiety disorder.
- The STAI-C (Trait) demonstrated higher effectiveness in screening for anxiety risk compared to the MASC.
- Nurses trained in ADIS-IV: P&C achieved high diagnostic accuracy for anxiety disorders.
Conclusions:
- A nurse-led strategy using the ADIS-IV: P&C is effective for accurate anxiety disorder diagnosis in adolescents with asthma.
- The STAI-C (Trait) is a valuable screening tool for identifying at-risk adolescents.
- Addressing unrecognized anxiety disorders is vital for comprehensive care in adolescent asthmatics.
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