한국 청소년의 현증 알레르기질환과 정신건강 문제의 연관성: 2022년 한국 청소년건강행태조사 분석
Higher anxiety, stress, and suicidal behaviors in allergic adolescents: A Nationwide Korea Youth Risk Behavior Web-Based Survey 2022
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Purpose: Allergic diseases are prevalent among adolescents, while mental health issues significantly contribute to their disease burden. This study investigated the relationship between the onset time points of specific allergic diseases and the prevalence of perceived mental health problems in adolescents. Methods: We used data from the 2022 Korea Youth Risk Behavior Web-based Survey (KYRBS) to examine the prevalence of allergic diseases and psychological issues such as stress, anxiety, depression, and suicidal behaviors. Participants were classified into three groups: current (diagnosis within the past year), remote (previous but not current diagnosis), and never (no history of such diseases), where the prevalence of psychological issue was assessed and compared. Results: Of the 51,850 respondents, 1.2% had current asthma, 16.7% allergic rhinitis, and 5.9% atopic dermatitis. Conversely, 94.3%, 64.7%, or 77.9% of the patients had never been diagnosed with these conditions, respectively. High stress was reported by 41.3% of the patients, substantial depression by 12.7% of the patients, and moderate-to-severe anxiety by 28.8% of the patients, with 14.2% of the patients contemplating suicide. Most of the allergic conditions and across the 3 onset time points, there were significant differences in the prevalence of mental health issues (namely, high stress, substantial depression, moderate-to-severe anxiety), as well as suicidal behaviors including suicidal ideation, planning, and attempts, with the highest prevalence in the current group and the lowest in the never group. Conclusion: There may be a significant association between allergic diseases and mental health problems in adolescents. The prevalence of mental issues is the highest in those with current allergic diagnosis, suggesting a need for integrated care strategies.
Abstract
Purpose: Allergic diseases are prevalent among adolescents, while mental health issues significantly contribute to their disease burden. This study investigated the relationship between the onset time points of specific allergic diseases and the prevalence of perceived mental health problems in adolescents. Methods: We used data from the 2022 Korea Youth Risk Behavior Web-based Survey (KYRBS) to examine the prevalence of allergic diseases and psychological issues such as stress, anxiety, depression, and suicidal behaviors. Participants were classified into three groups: current (diagnosis within the past year), remote (previous but not current diagnosis), and never (no history of such diseases), where the prevalence of psychological issue was assessed and compared. Results: Of the 51,850 respondents, 1.2% had current asthma, 16.7% allergic rhinitis, and 5.9% atopic dermatitis. Conversely, 94.3%, 64.7%, or 77.9% of the patients had never been diagnosed with these conditions, respectively. High stress was reported by 41.3% of the patients, substantial depression by 12.7% of the patients, and moderate-to-severe anxiety by 28.8% of the patients, with 14.2% of the patients contemplating suicide. Most of the allergic conditions and across the 3 onset time points, there were significant differences in the prevalence of mental health issues (namely, high stress, substantial depression, moderate-to-severe anxiety), as well as suicidal behaviors including suicidal ideation, planning, and attempts, with the highest prevalence in the current group and the lowest in the never group. Conclusion: There may be a significant association between allergic diseases and mental health problems in adolescents. The prevalence of mental issues is the highest in those with current allergic diagnosis, suggesting a need for integrated care strategies.
참고문헌 (33)
- Calvo M, "Pediatric Respiratory Diseases", pp.383~392 (2020), Springer
- Pawankar R, "Allergic diseases and asthma : a global public health concern and a call to action", World Allergy Organ J, 7, pp.12~ (2014)
- Asher I, "Global burden of asthma among children", Int J Tuberc Lung Dis, 18, pp.1269~1278 (2014)
- Knibb RC, "The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions : a systematic review", Allergy, 75, pp.1881~1898 (2020)
- Sterner T, "The southern Sweden adolescent allergy-cohort : prevalence of allergic diseases and cross-sectional associations with individual and social factors", J Asthma, 56, pp.227~235 (2019)
- Oh J, "Depressive symptoms, emotional aggression, school adjustment, and mobile phone dependency among adolescents with allergic diseases in South Korea", J Pediatr Nurs, 47, pp.e24~e29 (2019)
- Korczak DJ, "Diagnosis and management of depression in adolescents", CMAJ, 195, pp.E739~E746 (2023)
- Ahn DH, "Mental disorders in adolescents", J Korean Med Assoc, 52, pp.745~757 (2009)
- Remschmidt H, "Mental health care for children and adolescents worldwide : a review", World Psychiatry, 4, pp.147~153 (2005)
- Tzeng NS, "Increased risk of psychiatric disorders in allergic diseases : a nationwide, population-based, cohort study", Front Psychiatry, 24, pp.133~ (2018)
- Budu-Aggrey A, "Investigating the causal relationship between allergic disease and mental health", Clin Exp Allergy, 51, pp.1449~1458 (2021)
- Ferro MA, "Condition-specific associations of symptoms of depression and anxiety in adolescents and young adults with asthma and food allergy", J Asthma, 53, pp.282~288 (2016)
- Nguyen CM, "Psychodermatologic effects of atopic dermatitis and acne : a review on self-esteem and identity", Pediatr Dermatol, 33, pp.129~135 (2016)
- Dave ND, "Stress and allergic diseases", Immunol Allergy Clin North Am, 31, pp.55~68 (2011)
- Kim Y, "Data resource profile : the Korea youth risk behavior web-based survey(KYRBS)", Int J Epidemiol, 45, pp.1076~1076 (2016)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
- Byrd-Bredbenner C, "GAD-7, GAD-2, and GAD-mini : psychometric properties and norms of university students in the United States", Gen Hosp Psychiatry, 69, pp.61~66 (2021)
- Chun YH, "Examining impacts of allergic diseases on psychological problems and tobacco use in Korean adolescents : the 2008-2011 Korean national health and nutrition examination survey", PLoS One, 10, pp.e0125172~ (2015)
- Mallol J, "The international study of asthma and allergies in childhood(ISAAC)phase three : a global synthesis", Allergol Immunopathol(Madr), 41, pp.73~85 (2013)
- Lee YH, "Analysis of regional prevalence of allergic diseases in Korean school children", Allergy Asthma Respir Dis, 3, pp.62~69 (2015)
- Survey on the mental health of adolescent, "Choi JW", National Youth Policy Institute, 10~14 (2021)
- Park CH, "Mental health in adolescents with allergic diseases-using data from the 2020 Korean youth’s risk behavior web-based study", J Ind Converg, 20, pp.87~96 (2022)
- Jafferany M, "Psychodermatology : a guide to understanding common psychocutaneous disorders", Prim Care Companion J Clin Psychiatry, 9, pp.203~213 (2007)
- Blaiss MS, "The burden of allergic rhinitis and allergic rhinoconjunctivitis on adolescents : a literature review", Ann Allergy Asthma Immunol, 121, pp.43~52 (2018)
- Beasley R, "Reducing the burden of asthma : time to set research and clinical priorities", Lancet Respir Med, 8, pp.943~944 (2020)
- Fasseeh AN, "Burden of atopic dermatitis in adults and adolescents : a systematic literature review", Dermatol Ther(Heidelb), 12, pp.2653~2668 (2022)
- Wertz DA, "Impact of asthma control on sleep, attendance at work, normal activities, and disease burden", Ann Allergy Asthma Immunol, 105, pp.118~123 (2010)
- Koinis-Mitchell D, "Sleep and allergic disease : a summary of the literature and future directions for research", J Allergy Clin Immunol, 130, pp.1275~1281 (2012)
- Voorhees JL, "Prolonged restraint stress increases IL-6, reduces IL-10, and causes persistent depressive-like behavior that is reversed by recombinant IL-10", PLoS One, 8, pp.e58488~ (2013)
- Trueba AF, "The role of the microbiome in the relationship of asthma and affective disorders", Adv Exp Med Biol, 874, pp.263~288 (2016)
- Park JS, "Leukotriene receptor antagonists and risk of neuropsychiatric events in children, adolescents and young adults : a self-controlled case series", Eur Respir J, 60, pp.2102467~ (2022)
- Yang HJ, "Unmet primary physicians’ needs for allergic rhinitis care in Korea", Allergy Asthma Immunol Res, 9, pp.265~271 (2017)