Correlates of depressive and anxiety symptoms in young adults with spina bifida

Melissa H. Bellin; T. Andrew Zabel; Brad E. Dicianno; Eric Levey; Kim Garver; Ronna Linroth; Patricia Braun

doi:10.1093/jpepsy/jsp094

Correlates of depressive and anxiety symptoms in young adults with spina bifida

Melissa H. Bellin, T. Andrew Zabel, Brad E. Dicianno, Eric Levey, Kim Garver, Ronna Linroth, Patricia Braun

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

Objective Based on social ecological theory, this study was designed to examine the unique relationships between multi-level ecological factors and psychological symptoms in young adults with spina bifida (SB).Method A sample of 61 individuals with SB, 18-25 years of age, completed standardized self-report measures of attitude toward SB, satisfaction with family functioning, Chronic Care Model (CCM) services, and depressive and anxiety symptoms. A chart review yielded SB clinical data. Results High rates of depressive and anxiety symptoms were found. Hierarchical regression analysis identified the proximal individual (attitude toward SB) and family (satisfaction with family functioning) factors as more strongly related to depressive symptoms than the distal healthcare system factor (CCM services). Self-reported pain was the only ecological factor associated with anxiety symptoms. Conclusions Study findings provide a potential foundation for multi-factor screening of young adults with SB at risk for psychological symptoms.

Original language	English (US)
Pages (from-to)	778-789
Number of pages	12
Journal	Journal of pediatric psychology
Volume	35
Issue number	7
DOIs	https://doi.org/10.1093/jpepsy/jsp094
State	Published - Aug 2010
Externally published	Yes

Keywords

psychosocial functioning
social ecological perspective
spina bifida

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Developmental and Educational Psychology

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10.1093/jpepsy/jsp094

Cite this

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title = "Correlates of depressive and anxiety symptoms in young adults with spina bifida",

abstract = "Objective Based on social ecological theory, this study was designed to examine the unique relationships between multi-level ecological factors and psychological symptoms in young adults with spina bifida (SB).Method A sample of 61 individuals with SB, 18-25 years of age, completed standardized self-report measures of attitude toward SB, satisfaction with family functioning, Chronic Care Model (CCM) services, and depressive and anxiety symptoms. A chart review yielded SB clinical data. Results High rates of depressive and anxiety symptoms were found. Hierarchical regression analysis identified the proximal individual (attitude toward SB) and family (satisfaction with family functioning) factors as more strongly related to depressive symptoms than the distal healthcare system factor (CCM services). Self-reported pain was the only ecological factor associated with anxiety symptoms. Conclusions Study findings provide a potential foundation for multi-factor screening of young adults with SB at risk for psychological symptoms.",

keywords = "psychosocial functioning, social ecological perspective, spina bifida",

author = "Bellin, {Melissa H.} and Zabel, {T. Andrew} and Dicianno, {Brad E.} and Eric Levey and Kim Garver and Ronna Linroth and Patricia Braun",

note = "Funding Information: This study was supported by the Spina Bifida Association Young Investigator Award and the University of Maryland Designated Research Initiative Funds (PI Bellin).",

year = "2010",

month = aug,

doi = "10.1093/jpepsy/jsp094",

language = "English (US)",

volume = "35",

pages = "778--789",

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T1 - Correlates of depressive and anxiety symptoms in young adults with spina bifida

AU - Bellin, Melissa H.

AU - Zabel, T. Andrew

AU - Dicianno, Brad E.

AU - Levey, Eric

AU - Garver, Kim

AU - Linroth, Ronna

AU - Braun, Patricia

N1 - Funding Information: This study was supported by the Spina Bifida Association Young Investigator Award and the University of Maryland Designated Research Initiative Funds (PI Bellin).

PY - 2010/8

Y1 - 2010/8

N2 - Objective Based on social ecological theory, this study was designed to examine the unique relationships between multi-level ecological factors and psychological symptoms in young adults with spina bifida (SB).Method A sample of 61 individuals with SB, 18-25 years of age, completed standardized self-report measures of attitude toward SB, satisfaction with family functioning, Chronic Care Model (CCM) services, and depressive and anxiety symptoms. A chart review yielded SB clinical data. Results High rates of depressive and anxiety symptoms were found. Hierarchical regression analysis identified the proximal individual (attitude toward SB) and family (satisfaction with family functioning) factors as more strongly related to depressive symptoms than the distal healthcare system factor (CCM services). Self-reported pain was the only ecological factor associated with anxiety symptoms. Conclusions Study findings provide a potential foundation for multi-factor screening of young adults with SB at risk for psychological symptoms.

AB - Objective Based on social ecological theory, this study was designed to examine the unique relationships between multi-level ecological factors and psychological symptoms in young adults with spina bifida (SB).Method A sample of 61 individuals with SB, 18-25 years of age, completed standardized self-report measures of attitude toward SB, satisfaction with family functioning, Chronic Care Model (CCM) services, and depressive and anxiety symptoms. A chart review yielded SB clinical data. Results High rates of depressive and anxiety symptoms were found. Hierarchical regression analysis identified the proximal individual (attitude toward SB) and family (satisfaction with family functioning) factors as more strongly related to depressive symptoms than the distal healthcare system factor (CCM services). Self-reported pain was the only ecological factor associated with anxiety symptoms. Conclusions Study findings provide a potential foundation for multi-factor screening of young adults with SB at risk for psychological symptoms.

KW - psychosocial functioning

KW - social ecological perspective

KW - spina bifida

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Correlates of depressive and anxiety symptoms in young adults with spina bifida

Abstract

Keywords

ASJC Scopus subject areas

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