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Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being

Physical disorders and anxiety are frequently comorbid. This study investigates the characteristics of physical disorders, self-rated heath, subjective well-being and anxiety in adolescents. Data were drawn from the Saving and Empowering Young Lives in Europe cohort study. From 11 countries 11,230 a...

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Autores principales: Balázs, Judit, Miklósi, Mónika, Keresztény, Agnes, Hoven, Christina W., Carli, Vladimir, Wasserman, Camilla, Hadlaczky, Gergö, Apter, Alan, Bobes, Julio, Brunner, Romuald, Corcoran, Paul, Cosman, Doina, Haring, Christian, Kahn, Jean-Pierre, Postuvan, Vita, Kaess, Michael, Varnik, Airi, Sarchiapone, Marco, Wasserman, Danuta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121583/
https://www.ncbi.nlm.nih.gov/pubmed/30096890
http://dx.doi.org/10.3390/ijerph15081698
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author Balázs, Judit
Miklósi, Mónika
Keresztény, Agnes
Hoven, Christina W.
Carli, Vladimir
Wasserman, Camilla
Hadlaczky, Gergö
Apter, Alan
Bobes, Julio
Brunner, Romuald
Corcoran, Paul
Cosman, Doina
Haring, Christian
Kahn, Jean-Pierre
Postuvan, Vita
Kaess, Michael
Varnik, Airi
Sarchiapone, Marco
Wasserman, Danuta
author_facet Balázs, Judit
Miklósi, Mónika
Keresztény, Agnes
Hoven, Christina W.
Carli, Vladimir
Wasserman, Camilla
Hadlaczky, Gergö
Apter, Alan
Bobes, Julio
Brunner, Romuald
Corcoran, Paul
Cosman, Doina
Haring, Christian
Kahn, Jean-Pierre
Postuvan, Vita
Kaess, Michael
Varnik, Airi
Sarchiapone, Marco
Wasserman, Danuta
author_sort Balázs, Judit
collection PubMed
description Physical disorders and anxiety are frequently comorbid. This study investigates the characteristics of physical disorders, self-rated heath, subjective well-being and anxiety in adolescents. Data were drawn from the Saving and Empowering Young Lives in Europe cohort study. From 11 countries 11,230 adolescents, aged 14–16 years were included. Zung Self-Rating Anxiety Scale (SAS), WHO-5 Well-Being Index and five questions prepared for this study to evaluate physical illnesses and self-rated heath were administered. Anxiety levels were significantly higher in adolescents who reported having physical disability (p < 0.001, Cohen’s d = 0.40), suffering from chronic illnesses (p < 0.001, Cohen’s d = 0.40), impairments associated to health conditions (p < 0.001, Cohen’s d = 0.61), or reported poor to very poor self-rated health (p < 0.001, Cohen’s d = 1.11). Mediational analyses revealed no direct effect of having a chronic illness/physical disability on subjective well-being, but the indirect effects through higher levels of anxiety were significant. Functional impairment related to health conditions was both directly and indirectly (through higher levels of anxiety) associated with lower well-being. The co-occurrence of anxiety and physical disorders may confer a greater level of disability and lower levels of subjective well-being. Clinicians have to screen anxiety, even in a subthreshold level in patients with choric physical illness or with medically unexplained physical symptoms.
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spelling pubmed-61215832018-09-07 Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being Balázs, Judit Miklósi, Mónika Keresztény, Agnes Hoven, Christina W. Carli, Vladimir Wasserman, Camilla Hadlaczky, Gergö Apter, Alan Bobes, Julio Brunner, Romuald Corcoran, Paul Cosman, Doina Haring, Christian Kahn, Jean-Pierre Postuvan, Vita Kaess, Michael Varnik, Airi Sarchiapone, Marco Wasserman, Danuta Int J Environ Res Public Health Article Physical disorders and anxiety are frequently comorbid. This study investigates the characteristics of physical disorders, self-rated heath, subjective well-being and anxiety in adolescents. Data were drawn from the Saving and Empowering Young Lives in Europe cohort study. From 11 countries 11,230 adolescents, aged 14–16 years were included. Zung Self-Rating Anxiety Scale (SAS), WHO-5 Well-Being Index and five questions prepared for this study to evaluate physical illnesses and self-rated heath were administered. Anxiety levels were significantly higher in adolescents who reported having physical disability (p < 0.001, Cohen’s d = 0.40), suffering from chronic illnesses (p < 0.001, Cohen’s d = 0.40), impairments associated to health conditions (p < 0.001, Cohen’s d = 0.61), or reported poor to very poor self-rated health (p < 0.001, Cohen’s d = 1.11). Mediational analyses revealed no direct effect of having a chronic illness/physical disability on subjective well-being, but the indirect effects through higher levels of anxiety were significant. Functional impairment related to health conditions was both directly and indirectly (through higher levels of anxiety) associated with lower well-being. The co-occurrence of anxiety and physical disorders may confer a greater level of disability and lower levels of subjective well-being. Clinicians have to screen anxiety, even in a subthreshold level in patients with choric physical illness or with medically unexplained physical symptoms. MDPI 2018-08-09 2018-08 /pmc/articles/PMC6121583/ /pubmed/30096890 http://dx.doi.org/10.3390/ijerph15081698 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Balázs, Judit
Miklósi, Mónika
Keresztény, Agnes
Hoven, Christina W.
Carli, Vladimir
Wasserman, Camilla
Hadlaczky, Gergö
Apter, Alan
Bobes, Julio
Brunner, Romuald
Corcoran, Paul
Cosman, Doina
Haring, Christian
Kahn, Jean-Pierre
Postuvan, Vita
Kaess, Michael
Varnik, Airi
Sarchiapone, Marco
Wasserman, Danuta
Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being
title Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being
title_full Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being
title_fullStr Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being
title_full_unstemmed Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being
title_short Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being
title_sort comorbidity of physical and anxiety symptoms in adolescent: functional impairment, self-rated health and subjective well-being
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121583/
https://www.ncbi.nlm.nih.gov/pubmed/30096890
http://dx.doi.org/10.3390/ijerph15081698
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