Can Childhood Behavioural Characteristics Predict Adolescent Boys’ Health?

Dobkin, Patricia L.; Tremblay, Richard E.; McDuff, Pierre

doi:10.1177/135910539700200402

Cited by 6 publications

(9 citation statements)

References 29 publications

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“…In one study, parents and children with anxiety disorders, recruited from an anxiety disorders clinic, reported higher levels of internalizing problems if the child had an additional diagnosis of asthma compared to children without asthma 26. There was also a trend for children with an additional diagnosis of asthma to present with higher levels of externalizing problems, which is consistent with other studies that have found associations between physical illnesses and oppositional defiant/conduct disorder 27-29…”

supporting

confidence: 78%

The Impact of Medical Comorbidity on Mental Health and Functional Health Outcomes Among Children with Anxiety Disorders

Chavira¹,

Garland²,

Daley³

et al. 2008

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective-Medical comorbidity is common among children with anxiety disorders; however, little is known about the impact of such comorbidity on mental and functional health outcomes. Even less is known about these problems in high-risk samples of youth.Method-Participants in this study were youth with at least one DSM-IV anxiety disorder with a physical illness (N=77) and without a physical illness (N=73), as well as youth with at least one physical illness (but no anxiety disorder) (N = 438). These youth were recruited as part of the Patterns of Care study in which the original set of participants (N = 1715) were randomly sampled from one of five public sectors of care (e.g., juvenile justice, child welfare, mental health, alcohol and substance use services, school services for children with serious emotional disturbance) in San Diego County. Psychiatric diagnoses were assessed with a structured interview and three standardized measures were used to assess child health, emotional, and behavior functioning.Results-At least half of children with anxiety disorders had a comorbid physical illness. Allergies and asthma were the most common comorbid physical illnesses. Children with anxiety disorders who had a comorbid physical illness exhibited greater levels of emotional problems, more somatic complaints, and more functional impairment than anxious children without a physical illness as well as than children with physical illness alone. Parents of children in the comorbid group also reported greater caregiver strain than the other two groups.Conclusions-Children with anxiety disorders have high rates of chronic illnesses such as asthma and allergies. These children experience considerable impairment and likely have unique needs that may complicate usual care. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptData from clinical and community studies suggest that children with anxiety disorders frequently present with chronic illnesses and physical health problems including asthma, 1-3 respiratory problems, 4-5 gastrointestinal disorders, 6 and headaches 7 . The nature of these relationships is likely bidirectional with anxiety contributing directly to physical illness through a general weakening of the immune system or as a byproduct of stress and less directly through unhealthy behaviors that are often exhibited by anxious youth (e.g., alcohol and drug use, poor sleeping and eating habits, and less exercise). 8-9 Furthermore, physical illness can often trigger the onset or exacerbate existing anxiety symptoms, such as by increasing the presence of somatic sensations which through misinterpretation may lead to panic attacks or by providing stimuli for additional worries.In general, symptoms of child anxiety are associated with educational underachievement, 10-11 low-self esteem and loneliness, 12 and increased risk for later psychiatric disorders including depression, substance use, and suicide attempts. 13-15 Chronic physical illnesses are also associated with significant impairment ...

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supporting

confidence: 78%

The Impact of Medical Comorbidity on Mental Health and Functional Health Outcomes Among Children with Anxiety Disorders

Chavira¹,

Garland²,

Daley³

et al. 2008

Journal of Developmental &Amp; Behavioral Pediatrics

View full text Add to dashboard Cite

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“…The remaining tests reported null effects regarding the prediction of alcohol use disorders (Biederman, 1996) or alcohol use involvement as a function of anxiety disorders (Costello, Erkanli, Federman, & Angold, 1999; King, Iacono, & McGue, 2004) or anxiety symptoms (Dobkin, Tremblay, & McDuff, 1997; Little et al, 2013). …”

Section: Resultsmentioning

confidence: 99%

A systematic review of the unique prospective association of negative affect symptoms and adolescent substance use controlling for externalizing symptoms.

Hussong¹,

Ennett²,

Cox³

et al. 2017

Psychology of Addictive Behaviors

150

132

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This systematic review examines whether negative affect symptoms (i.e., anxiety, depression, and internalizing symptoms more broadly) predict subsequent adolescent substance use after controlling for co-occurring externalizing symptoms. Following PRISMA procedures, we identified 61 studies that tested the association of interest. Findings varied depending on the type of negative affect symptom and to some extent on the substance use outcome. The most consistent associations were evident for depressive symptoms, particularly as predictors of substance use composite scores. No clear association between anxiety and substance use or between internalizing symptoms and substance use was evident, and indeed these associations were as often negative as positive. Mixed findings regarding the depression-substance use association, however, also call for greater attention to potential moderating factors that may help define who, when, and in what context depression serves as an important risk factor for later substance use above and beyond risk associated with externalizing symptoms.

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“…For instance, depression is associated with poor self-care [20], and people with depression often sleep less, exercise less, have poorer diets, smoke more, and use more alcohol and other drugs than those who are not depressed [15]. Research has also shown that psychiatric disorders in adolescents are often related to risky behaviors, including substance abuse, unsafe sex, and suicide attempts resulting in health problems [4,11,12]. Finally, anxiety, depression, and disruptive disorders have been linked to poor eating habits and lack of exercise, leading to elevated weight status that is maintained from childhood into adulthood [21,22].…”

Section: Nih Public Accessmentioning

confidence: 99%

“…Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. [4,6,9,10], oppositional defiant disorder (ODD), and conduct disorder (CD) [4,11,12]. However, studies of adolescents tend to be either crosssectional or conducted in clinical samples focused only on one type of disorder.…”

mentioning

confidence: 99%

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Aarons

Monn

Leslie

et al. 2008

Journal of Adolescent Health

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Purpose-This longitudinal study examined the relationship between mental and physical health problems in a sample of high-risk youth served in the public sector.Methods-Participants included youth ages 9 to 18 at baseline, randomly sampled from one of five public service sectors in San Diego County, California and youths may have been active to more than one sector. Diagnoses for mood, anxiety, and disruptive disorders based on structured diagnostic interviews were determined at baseline and data regarding health-related problems were collected two years post-baseline.Results-Mood and disruptive behavior disorders were related to cumulative health problem incidence, as well as aggregate measures of health problems and severe health problems. Additionally, mood disorder diagnosis was associated with higher rates of infectious diseases, respiratory problems, and weight problems. Disruptive disorder diagnosis was related to higher rates of risk-behavior related health problems.Conclusions-The present work extends the research on the relationship between mental and physical health problems to adolescents served in the public sector, who are at especially high risk for behavioral and emotional problems. Potential mechanisms by which mental health problems may impact health problems are discussed. We suggest the development of effective interagency cooperation between medical and mental health systems in order to improve the care of youth with comorbid mental and physical disorders.There is increasing concern and attention to the relation of mental health disorders and physical health problems as evidenced by published studies and by the National Institutes of Health (NIH) support for research addressing this issue. Adults with mental illness are at higher risk for physical health problems than those without mental illness [1][2][3], but less is known about Correspondence to: Gregory A. Aarons, Ph.D., Associate Professor of Psychiatry, University of California, San Diego, Child & Adolescent Services Research Center, 3020 Children's Way, MC-5033, San Diego, CA 92123-4282, Tel: 858.966.7703 ext. 3550, Fax: 858.966.7704, gaarons@ucsd.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. [4,6,9,10], oppositional defiant disorder (ODD), and conduct disorder (CD) [4,11,12]. However, studies of adolescents tend to be either crosssectional or conducted in clinical samples focused only on one type of disorder. NIH Public AccessMental illness may have a direct or indirect impact on physical health. For instance, mental disorders, such as depression, may directly lead to physical...

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Can Childhood Behavioural Characteristics Predict Adolescent Boys’ Health?

Cited by 6 publications

References 29 publications

The Impact of Medical Comorbidity on Mental Health and Functional Health Outcomes Among Children with Anxiety Disorders

The Impact of Medical Comorbidity on Mental Health and Functional Health Outcomes Among Children with Anxiety Disorders

A systematic review of the unique prospective association of negative affect symptoms and adolescent substance use controlling for externalizing symptoms.

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

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