TAILIEUCHUNG - Quality of life in anxious adolescents

To examine associations between health-related quality of life (HRQoL) and anxiety symptoms across anxiety domains (obsessions/compulsions, social anxiety, panic disorder, agoraphobia, separation anxiety, physical injury fears, generalised anxiety, and posttraumatic stress) in a general adolescent population. | Raknes et al. ChildAdolesc PsychiatryMent Health 2017 11 33 DOI S13034-017-0173-4 Child and Adolescent Psychiatry and Mental Health RESEARCH ARTICLE Quality of life in anxious adolescents Open Access Solfrid Raknes 1 Stale Pallesen2 Joseph A. Himle3 Jon Fauskanger Bjaastad1 4 Gro Janne Wergeland1 5 Asle Hoffart6 Kari Dyregrov7 Ẳshild Tellefsen Haland8 and Bente Storm Mowatt Haugland1 Abstract Purpose To examine associations between health-related quality of life HRQoL and anxiety symptoms across anxiety domains obsessions compulsions social anxiety panic disorder agoraphobia separation anxiety physical injury fears generalised anxiety and posttraumatic stress in a general adolescent population. Expanded knowledge about these associations can provide valuable information for improving interventions and prevention strategies for adolescent anxiety. Methods Cross-sectional data about anxiety were collected via a school survey from a community sample of Norwegian adolescents aged 12-17 N 1719 . Based on scores from the Spence Children s Anxiety Scale SCAS each adolescent was categorized as reporting a low medium or high level of anxiety. Each adolescent s HRQoL was then measured using the Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents Revised Version KINDL-R . Hierarchical regression analyses were performed to determine any relationship between anxiety symptoms and HRQoL. Results Across domains of anxiety anxiety symptoms were inversely associated with overall HRQoL. All HRQoL-dimensions were inversely associated with overall level of anxiety symptoms. In adolescents with medium and high anxiety symptoms poor HRQoL was documented in all HRQoL dimensions with the exception of the family dimension. Conclusions The strong association between elevated levels of anxiety symptoms and poor HRQoL demonstrate the importance of improved mental health interventions and prevention initiatives targeting anxious adolescents. Keywords .

• Sức khỏe trẻ em
• Adolescent psychiatry
• Mental health
• Quality of life
• Adolescent at risk
• Health policy
• Teaching child and adolescent psychiatry
• German speaking countries
• Child psychiatry
• Child mental health
• Clinician rated mental health
• Adolescent mental health services
• Teacher and adolescent ratings
• Non suicidal self injury
• Borderline personality disorder
• Forensic psychiatry
• Ethical issues
• Juvenile offenders
• The mentally disordered offender
• Ethics in forensic psychiatry
• Deviant and sick medical staff
• Cross institutional cooperation
• Youth welfare services
• Child and adolescent psychiatry
• Health care
• Social services
• Growing public health
• Mental disorder
• World Psychiatric Association
• World Association for Infant Mental Health
• Child mental health services
• Clinic profile
• Substance use
• Photo elicitation
• Family functioning
• Qualitative methods
• Mental disorders
• Health system
• Therapeutic alliance
• Residential psychiatry
• Multilevel analyses
• Routine outcome measurement
• Youth psychiatry
• Child semi residential psychiatric
• BMC Pediatrics
• Sleep medications
• Adolescent psychiatrists
• Canadian Academy of Child and Adolescent Psychiatry
• Psychotropic drugs
• Adolescent girls
• Anorexia nervosa
• Body image dissatisfaction
• Body image figure drawings
• Ethnic differences
• Child and adolescent psychiatric care
• Ethical considerations
• Diary method
• Qualitative content analysis
• Gender dysphoria
• Sex reassignment
• Adolescent development
• Clinical characteristics
• Adolescent females
• Children Depression Inventory
• Adolescent psychiatric clinics
• Neighbourhood social characteristics
• Psychiatric care
• Parent experiences questionnaire
• Outpatient child
• Self harm
• Adolescent health
• Subsequent risk
• Genetic diagnose
• Prognostic information
• Child mental health curriculum
• Low income country
• Capacity building
• WHO mhGAP intervention guide
• Program evaluation
• Migrating workers
• Child policy
• Advanced education
• Knowledge transfer
• Knowledge dissemination
• Open access
• Adolescent Psychiatry and Mental Health
• Standardized assessment
• Mental health service
• Adolescent psychiatric
• Evidence based practice
• Treatment planning