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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...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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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. |
format | Online Article Text |
id | pubmed-6121583 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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