Psychological effects of illness in adolescence. I. Anxiety, self-esteem, and perception of control

Kellerman, Jonathan; Zeltzer, Lonnie K.; Ellenberg, Leah; Dash, Jerry; Rigler, David

doi:10.1016/s0022-3476(80)80152-1

Cited by 238 publications

(78 citation statements)

References 10 publications

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“…This elevated rate was also surprising, as studies of anxiety rates among chronically ill children and adolescents tend to suggest that anxiety rates are comparable to rates among healthy population controls. This has been observed in cancer (64,65) and among adolescents with a variety of chronic illnesses (66). We wondered if the elevation in anxiety might be related to the interview.…”

Section: Discussionmentioning

confidence: 96%

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Penkower¹,

Dew²,

Ellis³

et al. 2003

American Journal of Transplantation

103

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This longitudinal pilot study of adolescent renal transplant recipients (a) describes the prevalence of psychological distress, (b) describes the prevalence of nonadherence, and (c) explores the association between the recipient's psychological distress and his/her subsequent medical adherence. Twenty-two adolescents, aged 13-18 years, completed two interviews that were separated by approximately 12 months. Psychological distress was assessed in three domains: symptoms of depression, anxiety, and anger. Adherence was assessed in three domains: medication taking, blood work, and clinic attendance. At the initial interview, 36.4% had symptoms of depression, 36.4% endorsed anxiety, and 18.2% endorsed excessive state anger. Non-adherence rates were 13.6% for medication, 22.7% for blood work, and 50% for missed clinic. At the second interview, nonadherence with medication remained the same and the other domains decreased. Our small pilot sample, however, limited our ability to detect statistically significant changes over time. Predictive analyses demonstrated that adolescents with excessive anger were at greater risk for subsequently missing medications than adolescents without excessive anger. These findings suggest that while symptoms of depression and anxiety are observed among some adolescents with renal transplants, only anger is associated with elevated risk for nonadherence with medication.

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Section: Discussionmentioning

confidence: 96%

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Penkower¹,

Dew²,

Ellis³

et al. 2003

American Journal of Transplantation

103

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“…We focused on five domains from the data available in early childhood, making an effort to select variables, if available, that corresponded to previously reported measures of adversity (e.g., Kessler & Magee, 1993) and those noted in anxiety or depression research as mentioned previously: marital relations (mothers' relationships with partner), economic hardship, parental deviance, maternal stressful life events, and early childhood health problems. The latter topic has been explored in several studies of children's anxiety disorders or internalizing symptoms, with some, although not all, studies finding an association between early-onset chronic medical problems and anxiety (Allen, Lewinsohn, & Seeley, 1998;Bandelow et al, 2002;Cohen, Velez, Brook, & Smith, 1989;Gortmaker, Walker, Weitzman, & Sobol, 1990;Kellerman, Zeltzer, Ellenberg, Dash, & Rigler, 1980). The adversities to be included in the present analyses represent a variety of potential loss or threat occurrences for young children, but the actual perceptions of the children were not available for study.…”

mentioning

confidence: 99%

Early Adversity and the Prospective Prediction of Depressive and Anxiety Disorders in Adolescents

Phillips

Hammen

Brennan

et al. 2005

J Abnorm Child Psychol

148

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The current study was a prospective exploration of the specificity of early childhood adversities as predictors of anxiety and depressive disorders in adolescents. Participants were 816 adolescents (414 males, 402 females) with diagnostic information collected at age 15; information on early adversities had been collected from the mothers during pregnancy, at birth, age 6 months, and age 5 years for a related study. Adolescents with "pure" anxiety disorders were compared with adolescents with "pure" depressive disorders (major depressive disorder, dysthymia), and these groups were compared to never-ill controls. Analyses controlled for gender and maternal depression and anxiety disorders. Results indicated that adolescents with anxiety disorders were more likely than depressed youth to have been exposed to various early stressors, such as maternal prenatal stress, multiple maternal partner changes, and more total adversities, whereas few early childhood variables predicted depressive disorders. Even when current family stressors at age 15 were controlled, early adversity variables again significantly predicted anxiety disorders. Results suggest that anxiety disorders may be more strongly related to early stress exposure, while depressive disorders may be related to more proximal stressors or to early stressors not assessed in the current study.KEY WORDS: depression; anxiety; early adversity; longitudinal. Kessler and Magee (1993) investigated the power of retrospectively reported childhood adversities occurring through age 16 to predict depression in an epidemiological sample. Eight adversities were studied, and many were found to be associated with incidence and prevalence of major depressive disorder. Parental drinking, parental mental illness, violence in the family, parents' marital problems, death of mother or father, and absence of a close adult relationship in childhood were significantly associated with onset of depression by age 20. These results are consistent with psychological models of depression that commonly emphasize the influence of negative childhood experiences in the family affecting the qual-

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“…Nearly any chronic medical condition can affect freedom of movement, interfere with peer or family relationships, school attendance, or cause changes in physical appearance. Concerns about these issues are certainly not expected to be pathological (54).…”

Section: Behavioral and Attentional Disordersmentioning

confidence: 99%

The Coordinated Psychosocial and Neurologic Care of Children with Seizures and Their Families

Ziegler

Erba

Holden³

et al. 2000

Epilepsia

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Summary: As the medical and surgical management of epilepsy continues to advance, issues associated with the quality of life of patients and their families can be addressed. Whenever associated with other handicaps, such as learning disabilities, attentional or behavioral disorders, and problems in psychological adjustment, dual-diagnosis issues must be identified. To provide comprehensive care for children with epilepsy, a team approach to psychosocial assessment and treatment must be provided and coordinated with neurologic care. When the agerelated needs in the life stage of the individual and family are identified, the best possible adaptation of the patient and his or her family can be supported.

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Psychological effects of illness in adolescence. I. Anxiety, self-esteem, and perception of control

Cited by 238 publications

References 10 publications

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Early Adversity and the Prospective Prediction of Depressive and Anxiety Disorders in Adolescents

The Coordinated Psychosocial and Neurologic Care of Children with Seizures and Their Families

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