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The prevalence of anxiety and depression in Italian patients with cystic fibrosis and their caregivers
Author(s) -
Catastini Paola,
Di Marco Serena,
Furriolo Maria,
Genovese Carmela,
Grande Alessia,
Iacinti Eugenia,
Iusco Danila Rosa,
Nobili Rita Maria Vittoria,
Pescini Rita,
Ragni Roberto,
Randazzo Roberto,
Risso Cristiana,
Tabarini Paola,
Braggion Cesare,
De Masi Salvatore,
McGreevy Kathleen S.
Publication year - 2016
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.23566
Subject(s) - anxiety , depression (economics) , medicine , cystic fibrosis , hospital anxiety and depression scale , center for epidemiologic studies depression scale , risk factor , psychiatry , depressive symptoms , economics , macroeconomics
Summary Background: Cystic fibrosis, like other chronic diseases, is a risk factor for the development of elevated symptoms of depression and anxiety. The objective of this study was to investigate the prevalence of anxiety and depression in Italian patients with CF and their parents. Methods: The Hospital Anxiety and Depression Scale (HADS) and Center for Epidemiologic Studies Depression Scale (CES‐D) questionnaires were administered to a sample of patients and their parents recruited at the cystic fibrosis centers in Italy. Results: Elevated levels of anxiety were higher in mothers than in fathers, and also higher in female patients than in male patients. A correlation between elevated levels of anxiety/depression and geographical area also emerged. Patient anxiety (OR 2.33) and depression (OR 4.09) were significantly associated with forced expiratory volume in one second (FEV1) <40% and forced vital capacity (FVC) <80% (OR 1.60 and 1.61, respectively). Conclusions: Cystic fibrosis increases the risk of developing anxiety and depression in female patients and in mothers. Geographical differences were observed, with higher anxiety and depression in southern Italy for parents, but not for patients. Anxiety and depression levels also depend on clinical status. Pediatr Pulmonol. 2016;51:1311–1319. © 2016 Wiley Periodicals, Inc.