Comparison of depression and its components in primary school children with and without generalized anxiety disorder

How to Cite:Sepahvand T. Comparison of depression and its components in primary school children with and without generalized anxiety disorder. koomesh. 2022;24(1):e154090. doi:

Abstract

Introduction: Generalized anxiety disorder is probably the most prevalent disorder that has a high comorbidity with another psychological disorder including depression. The aim of present research was to compare depression and its components in primary school children with and without generalized anxiety disorder. Materials and Methods: This research was a study with a causal-comparative design. The statistical population included all of the primary school students (fourth to sixth grade) of Arak province (Iran). Convenience sampling method was used to select the research sample. First, Children Depression Inventory and Generalized Anxiety Scale administered to 300 of these children. Then, based on the cut-off score of generalized anxiety scale (scores of 10 or higher) two groups of children with generalized anxiety disorder (n=39) and without generalized anxiety (n=40) were selected, and compared in terms of depression. Results: The results of multivariate analysis of variance showed a significant difference in the linear composition of components of depression in the two groups. (P=0.016). Univariate analysis of variance also showed that children with generalized anxiety disorder were more depressed in the components of negative mood and negative self-esteem than children without generalized anxiety, but were not significantly different from them in the components of interpersonal problems, ineffectiveness and anhedonia. Independent T-test also did not show any difference in total score of depression of the two groups. Conclusion: Due to the greater vulnerability of children with generalized anxiety disorder to depression, these children are more in need of specific methods of prevention and treatment of generalized anxiety disorder and comorbid depression.

Keywords

References

1.
Alotaibi A. Combating anxiety and depression among school children and adolescents through student counselling in Saudi Arabia. Procedia Soc Behav Sci 2015; 205: 18-29. https://doi.org/10.1016/j.sbspro.2015.09.006.
2.
Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry 2015; 56: 345-365. https://doi.org/10.1111/jcpp.12381 PMid:25649325.
3.
Charlson F, Van Ommeren M, Flaxman A, Cornett J, Whiteford H, Saxena S. New WHO prevalence estimates of mental disorders in conflict settings: A systematic review and meta-analysis. Lancet 2019; 394: 240-248. https://doi.org/10.1016/S0140-6736(19)30934-1.
4.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Translated to persian by: Avadisyance H, Hashemi Minabad H, Arab Ghahestani D. Tehtan: Roshd. 2015.
5.
Mohammadi MR, Pourdehghan P, Mostafavi SA, Hooshyari Z, Ahmadi N, Khaleghi A. Generalized anxiety disorder: Prevalence, predictors, and comorbidity in children and adolescents. J Anxiety Disord 2020; 34: 1-8. https://doi.org/10.1016/j.janxdis.2020.102234 PMid:32470794.
6.
Costello EJ, Egger H, Angold A. 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry 2005; 44: 972-986. https://doi.org/10.1097/01.chi.0000172552.41596.6f PMid:16175102.
7.
Sadock NJ, Sadock VA, Ruiz P. Kaplan and Sadock,s synopsis of psychiatry: behavioral sciences/clinical psychiatry (11th ed.). Translated by Farzin Rezaei. Tehran: Arjmand. 2015.
8.
Kovacs M, Feinberg T, Crouse-Novak M, Paulauskas S, Filkenstein R. Depressive disorders in childhood: I. A longitudinal perspective study of characteristics and recovery. Arch Gen Psychiatr 1984; 41: 229-237. https://doi.org/10.1001/archpsyc.1984.01790140019002 PMid:6367688.
9.
Garber J, Weersing VR. Comorbidity of anxiety and depression in youth: Implications for treatment and prevention. Clin Psychol Sci Pract 2010; 17: 293-306. https://doi.org/10.1111/j.1468-2850.2010.01221.x PMid:21499544 PMCid:PMC3074295.
10.
Al-Asadi AM, Klein B, Meyer D. Multiple comorbidities of 21 psychological disorders and relationships with psychosocial variables: A study of the online assessment and diagnostic system within a web-based population. J Med Internet Res 2015; 17: e55. https://doi.org/10.2196/jmir.4143 PMid:25803420 PMCid:PMC4392551.
11.
Wittchen HU. Generalized anxiety disorder: Prevalence, burden, and cost to society. Depress Anxiety 2002; 16: 162-171. https://doi.org/10.1002/da.10065 PMid:12497648.
12.
Olfson M, Gameroff MJ. Generalized anxiety disorder, somatic pain and health care costs. Gen Hosp Psychiatr 2007; 29: 310-316. https://doi.org/10.1016/j.genhosppsych.2007.04.004 PMid:17591507.
13.
Turk CL, Heimberg RG, Luterek JA, Mennin DS, Fresco DM. Delineating emotion regulation deficits in generalized anxiety disorder: A comparison with social anxiety disorder. Cognit Ther Res 2005; 29: 89-106. https://doi.org/10.1007/s10608-005-1651-1.
14.
Copeland WE, Shanahan L, Erkanli A, Costello EJ, Angold A. Indirect comorbidity in childhood and adolescence. Front Psychiatr 2013; 4: 1-8. https://doi.org/10.3389/fpsyt.2013.00144 PMid:24204349 PMCid:PMC3816229.
15.
Melegari MG, Bruni O, Sacco R, Barni D, Sette S, Donfrancesco R. Comorbidity of attention deficit hyperactivity disorder and generalized anxiety disorder in children and adolescents. Psychiatr Res 2018; 270: 780-785. https://doi.org/10.1016/j.psychres.2018.10.078 PMid:30551325.
16.
Heller W, Nitschke JB. The puzzle of regional brain activity in depression and anxiety: The importance of subtypes and comorbidity. Cogn Emot 1998; 12: 421-447. https://doi.org/10.1080/026999398379664.
17.
Fichter MM, Quadflieg NN, Fischer UC, Kohlboeck GG. Twenty-fiveyear course and outcome in anxiety and depression in the upper bavarian longitudinal community study. Acta Psychiatr Scand 2010; 122: 75-85. https://doi.org/10.1111/j.1600-0447.2009.01512.x PMid:19922523.
18.
Garber J, Weersing VR. Comorbidity of anxiety and depression in youth: implications for treatment and prevention. Clin Psychol (New York) 2010; 17: 293-306. https://doi.org/10.1111/j.1468-2850.2010.01221.x PMid:21499544 PMCid:PMC3074295.
19.
Behzadpour S, Pouretemad HR, Akbari Zardkhaneh S. Conceptualization of comorbid anxiety in autism spectrum disorder: An integrative literature review. Koomesh 2021; 23: 11-19. (Persian). https://doi.org/10.29252/koomesh.23.1.11.
20.
Kovacs M, Beck AT. An empirical-clinical approach toward a definition of childhood depression. In Schulterbrandt JG, Raskin A. (eds). Depression in childhood: Diagnosis, treatment, and conceptual models. New York: Raven Press 1977; 1-25.
21.
Smukher MR, Craighead WE, Craighead LW, Green BJ. Normative and reliability data for the Children's Depression Inventory. J Abnorm Child Psychol 1986; 14: 25-39. https://doi.org/10.1007/BF00917219 PMid:3950219.
22.
Kovacs M. Children's depression inventory: Manual. Toronto, ON: Multi-Health Systems. 1992.
23.
Dehshiri GR, Najafi M, Shikhi M, Habibi Askarabad M. Investigating primary psychometric properties of Children's Depression Inventory (CDI). J Fam Res 2009; 5: 159-177. (Persian).
24.
Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med 2006; 166: 1092-1097. https://doi.org/10.1001/archinte.166.10.1092 PMid:16717171.
25.
Naeinian MR, Shaeiri MR, Sharif M, Hadian M. To study reliability and validity for a brief measure for assessing generalized anxiety disorder (GAD-7). Clin Psychol Pers 2011; 3: 41-50. (Persian).
26.
Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: Developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatr 2003; 60: 709-717. https://doi.org/10.1001/archpsyc.60.7.709 PMid:12860775.
27.
Gazelle H, Ladd GW. Anxious solitude and peer exclusion: A diathesis-stress model of internalizing trajectories in childhood. Child Dev 2003; 74: 257-278. https://doi.org/10.1111/1467-8624.00534 PMid:12625449.

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Tooraj Sepahvand:[PubMed][Scholar]

Journal of Semnan University of Medical Sciences

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Comparison of depression and its components in primary school children with and without generalized anxiety disorder

Abstract

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