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Comorbidity of Asthma and Anxiety and Depression in Puerto Rican Children

Presented in part at a conference on Critical Research Issues in Latino Mental Health, Princeton, N.J., Nov. 9, 2002. Received July 30, 2002; revision received May 7, 2003; accepted May 17, 2003. From the Division of Health Behavior and Health Promotion, Ohio State University School of Public Health; the Department of Psychiatry and Human Behavior, Rhode Island Hospital, Brown University Medical School, Providence, R.I.; the Behavioral Sciences Research Institute, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico; and the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Address reprint requests to Dr. Ortega, Ohio State University School of Public Health, B-209 Starling Loving Hall, 320 West 10th Ave., Columbus, OH 43210; aortega{at}sph.osu.edu (e-mail).

Studies have reported that childhood asthma is associated with internalizing disorders, but most of these studies have used global measures of depressive and anxiety symptoms. The Diagnostic Interview Schedule for Children was administered to a group of 1,891 youth ages 4 to 17 and their caregivers in Puerto Rico to determine DSM-IV symptoms and diagnoses. Asthma diagnosis and having had an asthma attack were assessed by parental report. A diagnosis of asthma was associated with having any depressive disorder and one symptom of separation anxiety. An asthma attack was associated with any depressive disorder and any anxiety disorder and, more specifically, with separation anxiety disorder, major depressive disorder, and symptoms of depression, separation anxiety, and generalized anxiety. Possible explanations for the findings are discussed.

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