Allergy, Asthma & Respiratory Disease

The Korean Academy of Asthma, Allergy and Clinical Immunology (대한천식알레르기학회)
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Higher anxiety, stress, and suicidal behaviors in allergic adolescents: A Nationwide Korea Youth Risk Behavior Web-Based Survey 2022

한국 청소년의 현증 알레르기질환과 정신건강 문제의 연관성: 2022년 한국 청소년건강행태조사 분석

  • Min Jeong Lee (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Ji Soo Park (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Dong In Suh (Department of Pediatrics, Seoul National University College of Medicine)
  • 이민정 (서울대학교 의과대학 서울대학교병원 소아청소년과) ;
  • 박지수 (서울대학교 의과대학 서울대학교병원 소아청소년과) ;
  • 서동인 (서울대학교 의과대학 서울대학교병원 소아청소년과)
  • Received : 2024.03.12
  • Accepted : 2024.04.16
  • Published : 2024.10.30
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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.

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References

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