Adolescent Adult Anxiety Disorders - epidemiology Anxiety Disorders - etiology Anxiety Disorders - psychology Asthma - epidemiology Asthma - etiology Asthma - psychology Caregivers - psychology Caregivers - statistics & numerical data Chi-Square Distribution Child Child, Preschool Comorbidity Depressive Disorder, Major - epidemiology Depressive Disorder, Major - etiology Depressive Disorder, Major - psychology Female Humans Interviews as Topic Logistic Models Male Odds Ratio Puerto Rico - epidemiology Severity of Illness Index Socioeconomic Factors Young Adult
The goal of this study was to assess whether the association between asthma attacks and anxiety disorders in youth/young adults is reduced after adjusting for the caregivers' psychiatric disorders. An island-wide probability sample of 641 households in Puerto Rico with youth/young adults between ages 10 and 25 years participated along with their caregivers. The Diagnostic Interview Schedule for Children and the Composite International Diagnostic Interview were conducted to assess anxiety and depressive disorders. Youth/young adults with an anxiety disorder were more likely to have a lifetime history of asthma attacks versus youth/young adults without an anxiety disorder. Caregivers of participants with asthma attacks were more likely to have major depression than did the caregivers of participants without asthma attacks. The association between asthma attacks and anxiety disorders in youth was no longer significant after adjustment for caregiver major depression. It is important to consider the role of caregiver depression in asthma-anxiety comorbidity in youth/young adults.