Change in quality of life, anxiety and depressive symptoms with asthma severity in children

KADER, Şebnem; TAŞKIN, Oryal; Yüksel, Hasan; YILMAZ, Özge; SÖĞÜT, Ayhan

Change in quality of life, anxiety and depressive symptoms with asthma severity in children

Özge YILMAZ, (Celal Bayar Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Manisa, Türkiye)

Ayhan SÖĞÜT, (Sağlık Bakanlığı, Erzurum Bölge Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Erzurum, Türkiye)

Şebnem KADER, (Celal Bayar Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Manisa, Türkiye)

Oryal TAŞKIN, (Celal Bayar Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Manisa, Türkiye)

Hasan YÜKSEL (Celal Bayar Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Manisa, Türkiye)

Astım Allerji İmmünoloji

1 0

Yıl: 2013 Cilt: 11 Sayı: 3 Sayfa Aralığı: 146 - 152 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Change in quality of life, anxiety and depressive symptoms with asthma severity in children

Öz:

Giriş: Bu çalışmanın amacı çocuklarda astım ilişkili semptom skoru ve yaşam kalitesindeki değişikliklerle ilişkili anksiyete-depresyon semptomlarındaki değişimi incelemektir. Gereç ve Yöntem: Bu kohorta 6 ile 16 yaş arasında 35 astımlı çocuk alındı. Semptom skorları kaydedildi ve tüm çocuklar Pediatrik Astım Yaşam Kalitesi Anketi (PAQLQ), Hastane Anksiyete DepresyonSkalası (HADS) ve Epidemiyolojik Çalışmalar Depresyon Skalası (CES-D)’nı doldurdu. Dört hafta sonra tekrar çağrılarak tüm parametrelerdeki değişimdeğerlendirildi. Bulgular: İlk başvuru ve izlemdeki değerler karşılaştırıldığında semptom skoru, alevlenme ve acil servis başvuru sayısında anlamlı azalma saptandı (sırasıyla p< 0.001, p= 0.001 ve p= 0.004). Benzer şekilde, HADS anksiyete ve depresyon puanlarıyla birlikte CES-D puanı da ilk başvuruya göre kontrolde belirgin iyileşti (sırasıyla p< 0.001, p= 0.001 ve p< 0.001). Semptom skorundaki değişiklik, CES-Dpuanıyla beraber PAQLQ semptom, duygu ve totalpuanlarındaki değişikliklerle belirgin koreleydi (sırasıyla r= 0.39 p= 0.04, r= -0.57 p< 0.001, r= -0.66 p< 0.001, r= -0.66 p< 0.001). PAQLQ total puanın- daki değişiklik HADS anksiyete skoruyla anlamlınegatif korelasyon gösterdi (r= -0.42, p= 0.02). Sonuç: Çocuklarda astım semptomları ve yaşam kalitesindeki iyileşme depresyon-anksiyete semptomlarında düzelmeyle ilişkilidir.

Anahtar Kelime:

Konular: İmmünoloji

Pediatrik astım şiddeti ile yaşam kalitesi, anksiyete ve depresif semptomlarda değişme

Öz:

Objective: The aim of this study was to evaluatethe change in anxiety-depression symptoms withthe change in asthma related symptom score andquality of life in children.Materials and Methods: Thirty five childrenwith asthma aged 6 to 16 years were enrolled inthis cohort. Symptom scores were recorded and allchildren filled in Pediatric Asthma Quality of LifeQuestionnaire (PAQLQ), Hospital Anxiety Depression Scale (HADS) and Center for Epidemiologic Studies Depression Scale (CES-D). They were called inagain four months later to evaluate for change inall parameters.Results: When initial presentation and follow-up values were compared, significant decrease in symptom score, number of exacerbations and num- ber of emergency visits was detected (p< 0.001, p= 0.001 and p= 0.004 respectively). Similarly, HADSanxiety and depression scores as well as CES-D score improved significantly at follow-up when compared to the initial presentation (p< 0.001, p= 0.001and p< 0.001 respectively). Change in symptomscore was significantly correlated with changes inCES-D score as well as PAQLQ symptom, emotionand total scores (r= 0.39 p= 0.04, r= -0.57 p< 0.001,r= -0.66 p< 0.001, r= -0.66 p< 0.001 respectively).Change in PAQLQ total score demonstrated significant negative correlation with the change in HADSanxiety score (r= -0.42, p= 0.02).Conclusion: Improvement in asthma symptomsand QoL is associated with improvement in depression-anxiety symptoms.

Anahtar Kelime:

Konular: İmmünoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Adams RJ, Wilson DH, Taylor AW, Daly A, Tursan d'Espaignet E, Dal Grande E, et al. Psychological factors and asthma quality of life: a population based study. Thorax 2004;59:930-5.
2. Alvim CG, Picinin IM, Camargos PM, Colosimo E, Lasmar LB, Ibiapina CC, et al. Quality of life in asthmatic adolescents: an overall evaluation of disease control. J Asthma 2009;46:186-90.
3. Yuksel H, Sogut A, Yilmaz O. Attention deficit and hyperactivity symptoms in children with asthma. J Asthma 2008;45:545-7.
4. Schmitz N, Wang J, Malla A, Lesage A. The impact of psychological distress on functional disability in asthma: results from the Canadian community health survey. Psychosomatics 2009;50:42-9.
5. Vanderbilt D, Young R, MacDonald HZ, Grant-Knight W, Saxe G, Zuckerman B. Asthma severity and PTSD symptoms among inner city children: a pilot study. J Trauma Dissociation 2008;9:191-207.
6. Strine TW, Mokdad AH, Balluz LS, Berry JT, Gonzalez O. Impact of depression and anxiety on quality of life, health behaviors, and asthma control among adults in the United States with asthma, 2006. J Asthma 2008; 45:123-33.
7. Goodwin RD, Fergusson DM, Horwood LJ. Asthma and depressive and anxiety disorders among young persons in the community. Psychol Med 2004;34:1465- 74.
8. Deshmukh VM, Toelle BG, Usherwood T, O'Grady B, Jenkins CR. The association of comorbid anxiety and depression with asthma-related quality of life and symptom perception in adults. Respirology 2008;13: 695-702.
9. Everhart RS, Fiese BH. Asthma severity and child quality of life in pediatric asthma: a systematic review. Patient Educ Couns 2009;75:162-8.
10. Pedersen S. From asthma severity to control: a shift in clinical practice. Prim Care Respir J 2010:19:3-9.
11. Dean BB, Calimlim BM, Kindermann SL, Khandker RK, Tinkelman D. The impact of uncontrolled asthma on absenteeism and health-related quality of life. J Asthma 2009;46:861-66.
12. http://www.ginasthma.com/GuidelinesResources.asp? l1= 2&l2= 0
13. Yuksel H, Sogut A, Yilmaz O, Demet M, Ergin D, Kir- maz C. Evaluation of sleep quality and anxiety-depression parameters in asthmatic children and their mot- hers. Respir Med 2007;101:2550-54.
14. Montalto D, Bruzzese JM, Moskaleva G, Higgins- D'Alessandro A, Webber MP. Quality of life in young urban children: does asthma make a difference? J Asthma 2004;41:497-505.
15. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res 1996;5:35-46.
16. Yüksel H, Yilmaz O, Kirmaz C, Eser E. Validity and reliability of the Turkish translation of the Pediatric Asthma Quality of Life Questionnaire. Turk J Pediatr 2009;51:154-60.
17. Juniper EF. How important is quality of life in pediatric asthma? Pediatr Pulmonol 1997;15(Suppl):17-21.
18. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatry Scand 1983;667:361- 70.
19. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and reliability of the Turkish version of Hospital anxiety and depression scale. Türk Psikiyatri Dergisi 1997;8: 280-7.
20. Spijker J, van der Wurff FB, Poort EC, Smits CH, Verhoeff AP, Beekman AT. Depression in first generation labour migrants in Western Europe: the utility of the Center for Epidemiologic Studies Depression Scale (CES-D). Int J Geriatr Psychiatry 2004;19:538-44.
21. Richardson LP, Lozano P, Russo J, McCauley E, Bush T, Katon W. Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms. Pediatrics 2006;118:1042-51.
22. Katon WJ, Richardson L, Lozano P, McCauley E. The relationship of asthma and anxiety disorders. Psychosom Med 2004;66:349-55.
23. Richardson LP, Russo JE, Lozano P, McCauley E, Katon W. The effect of comorbid anxiety and depressive disorders on health care utilization and costs among adolescents with asthma. Gen Hosp Psychiatry 2008; 30:398-406.

APA	YILMAZ Ö, SÖĞÜT A, KADER Ş, TAŞKIN O, Yüksel H (2013). Change in quality of life, anxiety and depressive symptoms with asthma severity in children. , 146 - 152.
Chicago	YILMAZ Özge,SÖĞÜT Ayhan,KADER Şebnem,TAŞKIN Oryal,Yüksel Hasan Change in quality of life, anxiety and depressive symptoms with asthma severity in children. (2013): 146 - 152.
MLA	YILMAZ Özge,SÖĞÜT Ayhan,KADER Şebnem,TAŞKIN Oryal,Yüksel Hasan Change in quality of life, anxiety and depressive symptoms with asthma severity in children. , 2013, ss.146 - 152.
AMA	YILMAZ Ö,SÖĞÜT A,KADER Ş,TAŞKIN O,Yüksel H Change in quality of life, anxiety and depressive symptoms with asthma severity in children. . 2013; 146 - 152.
Vancouver	YILMAZ Ö,SÖĞÜT A,KADER Ş,TAŞKIN O,Yüksel H Change in quality of life, anxiety and depressive symptoms with asthma severity in children. . 2013; 146 - 152.
IEEE	YILMAZ Ö,SÖĞÜT A,KADER Ş,TAŞKIN O,Yüksel H "Change in quality of life, anxiety and depressive symptoms with asthma severity in children." , ss.146 - 152, 2013.
ISNAD	YILMAZ, Özge vd. "Change in quality of life, anxiety and depressive symptoms with asthma severity in children". (2013), 146-152.

APA	YILMAZ Ö, SÖĞÜT A, KADER Ş, TAŞKIN O, Yüksel H (2013). Change in quality of life, anxiety and depressive symptoms with asthma severity in children. Astım Allerji İmmünoloji, 11(3), 146 - 152.
Chicago	YILMAZ Özge,SÖĞÜT Ayhan,KADER Şebnem,TAŞKIN Oryal,Yüksel Hasan Change in quality of life, anxiety and depressive symptoms with asthma severity in children. Astım Allerji İmmünoloji 11, no.3 (2013): 146 - 152.
MLA	YILMAZ Özge,SÖĞÜT Ayhan,KADER Şebnem,TAŞKIN Oryal,Yüksel Hasan Change in quality of life, anxiety and depressive symptoms with asthma severity in children. Astım Allerji İmmünoloji, vol.11, no.3, 2013, ss.146 - 152.
AMA	YILMAZ Ö,SÖĞÜT A,KADER Ş,TAŞKIN O,Yüksel H Change in quality of life, anxiety and depressive symptoms with asthma severity in children. Astım Allerji İmmünoloji. 2013; 11(3): 146 - 152.
Vancouver	YILMAZ Ö,SÖĞÜT A,KADER Ş,TAŞKIN O,Yüksel H Change in quality of life, anxiety and depressive symptoms with asthma severity in children. Astım Allerji İmmünoloji. 2013; 11(3): 146 - 152.
IEEE	YILMAZ Ö,SÖĞÜT A,KADER Ş,TAŞKIN O,Yüksel H "Change in quality of life, anxiety and depressive symptoms with asthma severity in children." Astım Allerji İmmünoloji, 11, ss.146 - 152, 2013.
ISNAD	YILMAZ, Özge vd. "Change in quality of life, anxiety and depressive symptoms with asthma severity in children". Astım Allerji İmmünoloji 11/3 (2013), 146-152.