Clinical Nursing Research

 

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Clinical Nursing Research, Vol. 16, No. 1, 5-24 (2007)
DOI: 10.1177/1054773806295235

Screening and Assessing Adolescent Asthmatics for Anxiety Disorders

Carolyn J. M. Ross

University of Alberta, Edmonton, Alberta, Canada, carolyn.ross{at}ualberta.ca

Terry M. A. Davis

University of Alberta, Edmonton, Alberta, Canada

D. Y. Hogg

Alberta Association of Registered Nurses, Edmonton, Alberta, Canada

The purpose of this study was to evaluate a strategy designed to permit early detection of anxiety disorders in adolescent asthmatics. Adolescents with asthma (N = 53) were screened for anxiety disorders using the Trait subscale of the State-Trait Anxiety Inventory for Children [STAI-C (Trait)] and the Multidimensional Anxiety Scale for Children (MASC). Adolescents and their parents were individually evaluated by a nurse trained in the administration of the Anxiety Disorders Interview Schedule-IV: Parent and Child Versions (ADIS-IV: P&C). Of the participants, 21 (40%) met the diagnostic criteria for one or more anxiety disorders. The STAI-C (Trait) was more effective than the MASC in screening adolescents for risk of coexisting anxiety disorders. Nurses trained to administer the ADIS-IV: P&C diagnosed anxiety disorders with a high degree of accuracy. These results have important implications for resolving the problem of unrecognized and untreated anxiety disorders in the adolescent asthmatic population.

Key Words: adolescents • asthma • anxiety disorders


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