The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
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Effect of Allergy Related Disease on Suicide Ideation among Adolescents in Korea

청소년 알레르기성 질환의 복합성과 중증도가 자살 생각에 미치는 영향

  • Wang, Jin Woo (Department Health Policy & Management, School of Public Health Science, Korea University) ;
  • Kim, Eun Young (Department Health Policy & Management, School of Public Health Science, Korea University) ;
  • Park, Su Jin (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Lee, Jun Hyup (Department Health Policy & Management, School of Public Health Science, Korea University) ;
  • Rhim, Kook Hwan (Department Health Policy & Management, School of Public Health Science, Korea University)
  • 왕진우 (고려대학교, 보건과학대학 보건정책관리학부) ;
  • 김은영 (고려대학교, 보건과학대학 보건정책관리학부) ;
  • 박수진 (고려대학교, 대학원 보건과학과 BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 이준협 (고려대학교, 보건과학대학 보건정책관리학부) ;
  • 임국환 (고려대학교, 보건과학대학 보건정책관리학부)
  • Received : 2016.11.01
  • Accepted : 2016.12.29
  • Published : 2016.12.31
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Abstract

Background & Objectives: There were increasing evidence about the relationship between allergy related disease such as asthma, atopic dermatitis and allergic rhinitis and suicide ideation. However little was known about the concrete relatedness between severity and comorbidity of allergy related disease with suicide ideation. The objective of this study was to investigate the cases of the prevalence of suicide ideation among adolescents with allergy related disease such as asthma, atopic dermatitis and allergic rhinitis, and examine the association between allergy related disease and suicidal ideation among adolescents in South Korea. Methods: Data was based on Korean Youth Risk Behavior Web-based Survey(2014) which was a cross-sectional study containing 34,874 Korean middle and high school students who diagnosed with allergy related disease. We used the weights, strata and primary sampling unit information provided by the public use dataset to compute descriptive statistics and logistic regressions. Computations were done with SPSS version 20.0. Results: 19.9%, 15.6%, 13.8% of adolescents who suffered from one, two and three of allergy related diseases respectively reported having been thought of suicide ideation. Socio-demographic factors were adjusted as control variables. Students with greater severity of disease were more likely to have suicide ideation. Odds ratio for students who were absent one to three days from school because of allergies was 1.96(95% CI 1.51-2.46), and odds ratio for those who were absent more than four days from school was 3.60(95% CI 2.46-5.28). Conclusions: Given that adolescents' severity and comorbidity of allergy related disease were clearly associated with suicide ideation, suicide prevention programs for adolescents with allergy related disease should be improved by strategic approaches towards the severity and comorbidity of disease.

Keywords

References

  1. 김우경. 종설: 소아 알레르기비염의 진단과 치료, Allergy Asthma & Respiratory Disease. 2004;14(3):183-195.
  2. 김은영, 이서준, 박수진, 이성규, 임국환. 위기의 청소년들: 자살 생각, 계획, 시도에 영향을 미치는 요인 비교. 대한보건연구 2014;40(3):93-104.
  3. 보건복지부. 2013 자살실태조사보고서. 서울:보건복지부, 2014.
  4. 손정남. 청소년의 충동적 자살생각에 대한 모형구축. 정신간호학회지 2009;18(4): 418-430.
  5. Aberg N, Hesselmar B, Aberg B, Eriksson B. Increase of asthma, allergic rhinitis and eczema in Swedish schoolchildren between 1979 and 1991. Clinical and experimental allergy. Journal of the British Society for Allergy and Clinical Immunology 1995;25(9):815-9. https://doi.org/10.1111/j.1365-2222.1995.tb00023.x
  6. B. Cuffel, M.Wamboldt, L. Borish, S. Kennedy, and J. Crystal-Peters, Economic consequences of comorbid depression, anxiety, and allergic rhinitis. Psychosomatics 1999;40(6):491-496. https://doi.org/10.1016/S0033-3182(99)71187-4
  7. Ballardini N, Kull I, Lind T, Hallner E, Almqvist C, Ostblom E, et al. Development and comorbidity of eczema, asthma and rhinitis to age 12: data from the BAMSE birth cohort. Allergy 2012;67(4):537-44. https://doi.org/10.1111/j.1398-9995.2012.02786.x
  8. Carlson, Gabrielle A., and Dennis P. Cantwell. Suicidal behavior and depression in children and adolescents. Journal of the American Academy of Child Psychiatry 1982;21(4):361-368. https://doi.org/10.1016/S0002-7138(09)60939-0
  9. Clarke DE, Goodwin RD, Messias ELA, Eaton WW. Asthma and suicidal ideation with and without suicide attempts among adults in the United States: what is the role of cigarette smoking and mental disorders? Ann Allerg Asthma Im 2008;100(5):439-46. https://doi.org/10.1016/S1081-1206(10)60468-1
  10. Fang BJ, Tonelli LH, Soriano JJ, Postolache TT. Disturbed sleep: linking allergic rhinitis, mood and suicidal behavior. Frontiers in Bioscience 2010;2:30-46.
  11. Gil, K. M., Keefe, F. J., Sampson, H. A., McCaskill, C. C., Rodin, J., Crisson, J. E.. The relation of stress and family environment to atopic dermatitis symptoms in children. Journal of Psychosomatic Research 1987;31(6):673-684. https://doi.org/10.1016/0022-3999(87)90016-X
  12. Gulbas, L. E., Hausmann-Stabile, C., De Luca, S. M., Tyler, T. R., Zayas, L. H.. An exploratory study of nonsuicidal self-injury and suicidal behaviors in adolescent Latinas. American Journal of Orthopsychiatry 2015;85(4):302. https://doi.org/10.1037/ort0000073
  13. Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. The British Journal of Dermatology 1998;139(5):846-50. https://doi.org/10.1046/j.1365-2133.1998.02511.x
  14. Gupta, M. A., Gupta, A. K.. Depression Modulates Pruritus Perception: A Study of Pruritus in Psoriasis, Atopic Dermatitis and Chronic Idiopathic Urticariaa. Annals of the New York Academy of Sciences 1999;885(1):394-395. https://doi.org/10.1111/j.1749-6632.1999.tb08697.x
  15. Helmbold P, Gaisbauer G, Kupfer J, Haustein UF. Longitudinal case analysis in atopic dermatitis ACTA DERMATOVENEREOLOGICASTOCKHOLM-2000;80(5):348-352.
  16. Hong, S., Son, D. K., Lim, W. R., Kim, S. H., Kim, H., Yum, H. Y., & Kwon, H.. The prevalence of atopic dermatitis, asthma, and allergic rhinitis and the comorbidity of allergic diseases in children. Environmental Health and Toxicology 2012;27:e2012006. https://doi.org/10.5620/eht.2012.27.e2012006
  17. Bell, I. R., Jasnoski, M. L., Kagan, J., King, D. S.. Depression and allergies: survey of a nonclinical population. Psychotherapy and Psychosomatics 1991;55(1):24-31. https://doi.org/10.1159/000288404
  18. Kim, J. W., So, W. Y., Kim, Y. S.. Association between asthma and physical activity in Korean adolescents: the 3rd Korea Youth Risk Behavior Web-based Survey (KYRBWS-III). The European Journal of Public Health 2011;ckr175.
  19. Kwon, J. A., Park, E. C., Lee, M., Yoo, K. B., & Park, S.. Does stress increase the risk of atopic dermatitis in adolescents? results of the Korea Youth Risk Behavior Web-based Survey (KYRBWS-VI). PloS One 2013;8(8):e67890. https://doi.org/10.1371/journal.pone.0067890
  20. Kilpelainen, M., Koskenvuo, M., Helenius, H., Terho, E. O.. Stressful life events promote the manifestation of asthma and atopic diseases. Clinical & Experimental Allergy 2002;32(2):256-263. https://doi.org/10.1046/j.1365-2222.2002.01282.x
  21. Kim, H. Y., Kwon, E. B., Baek, J. H., Shin, Y. H., Yum, H. Y., Jee, H. M., Han, M. Y.. Prevalence and comorbidity of allergic diseases in preschool children. Korean Journal of Pediatrics 2013;56(8):338-342. https://doi.org/10.3345/kjp.2013.56.8.338
  22. Kim, K. L., Cushman, G. K., Weissman, A. B., Puzia, M. E., Wegbreit, E., Tone, E. B., Dickstein, D. P.. Behavioral and emotional responses to interpersonal stress: A comparison of adolescents engaged in non-suicidal self-injury to adolescent suicide attempters. Psychiatry Research 2015;228(3):899-906. https://doi.org/10.1016/j.psychres.2015.05.001
  23. Kimyai-Asadi, A., Usman, A.. The role of psychological stress in skin disease. Journal of Cutaneous Medicine and Surgery 2001;5(2):140-145. https://doi.org/10.1007/BF02737869
  24. King, R. M., Wilson, G. V.. Use of a diary technique to investigate psychosomatic relations in atopic dermatitis. Journal of Psychosomatic Research 1991;35(6):697-706. https://doi.org/10.1016/0022-3999(91)90120-D
  25. Kodama, A., Horikawa, T., Suzuki, T., Ajiki, W., Takashima, T., Harada, S., Ichihashi, M.. Effect of stress on atopic dermatitis: investigation in patients after the great hanshin earthquake. Journal of Allergy and Clinical Immunology 1999;104(1):173-176. https://doi.org/10.1016/S0091-6749(99)70130-2
  26. Kuo, C. J., Chen, V. C. H., Lee, W. C., Chen, W. J., Ferri, C. P., Stewart, R., Ko, Y. C.. Asthma and suicide mortality in young people: a 12-year follow-up study. American Journal of Psychiatry 2010;167(9):1092-1099. https://doi.org/10.1176/appi.ajp.2010.09101455
  27. Richardson, L. P., Lozano, P., Russo, J., McCauley, E., Bush, T., Katon, W.. Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms. Pediatrics 2006;118(3):1042-1051. https://doi.org/10.1542/peds.2006-0249
  28. Leynaert, B., Neukirch, C., Kony, S., Guénégou, A., Bousquet, J., Aubier, M., European Community Respiratory Health Survey.. Association between asthma and rhinitis according to atopic sensitization in a population-based study. Journal of Allergy and Clinical Immunology 2004;113(1):86-93. https://doi.org/10.1016/j.jaci.2003.10.010
  29. Meltzer, E. O., Blaiss, M. S., Derebery, M. J., Mahr, T. A., Gordon, B. R., Sheth, K. K., Boyle, J. M.. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey. Journal of Allergy and Clinical Immunology 2009;124(3):S43-S70. https://doi.org/10.1016/j.jaci.2009.05.013
  30. Molzon, E. S., Suorsa, K. I., Hullmann, S. E., Ryan, J. L., & Mullins, L. L.. The relationship of allergy severity to depressive and anxious symptomatology: the role of attitude toward illness. ISRN allergy 2012;2011.
  31. Morren, M. A., Przybilla, B., Bamelis, M., Heykants, B., Reynaers, A., Degreef, H.. Atopic dermatitis: triggering factors. Journal of the American Academy of Dermatology 1994; 31(3):467-473. https://doi.org/10.1016/S0190-9622(94)70213-6
  32. Picardi, A., & Abeni, D.. Stressful life events and skin diseases: disentangling evidence from myth. Psychotherapy and Psychosomatics 2001;70(3):118-136. https://doi.org/10.1159/000056237
  33. Prevention KCFDC. Korean Youth Risk Behavior Web-based Survey(2013). Korea Centers For Disease Control & Prevention. 2013.
  34. Rajka, G.. Atopic dermatitis. International Journal of Dermatology 1986;25(5):301-305. https://doi.org/10.1111/j.1365-4362.1986.tb02249.x
  35. Shin, M. S., Park, K. B., & Oh, K. J.. The effect of depression and impulsivity on adolescent suicide behaviors. Korean Journal of Clinical Psychology 1991;10;286-297.
  36. Spergel JM, Paller AS. Atopic dermatitis and the atopic march. The Journal of Allergy and Clinical Immunology 2003 Dec;112(6 Suppl):S118-27. https://doi.org/10.1016/j.jaci.2003.09.033
  37. Katon, W. Asthma, suicide risk, and psychiatric comorbidity. The American Journal of Psychiatry 2010;167(9):1092-1099. https://doi.org/10.1176/appi.ajp.2010.09101455
  38. Yuksel, H., Dinc, G., Sakar, A., Yilmaz, O., Yorgancioglu, A., Celik, P., & Ozcan, C.. Prevalence and comorbidity of allergic eczema, rhinitis, and asthma in a city in western Turkey. Journal of Investigational Allergology & Clinical Immunology 2008;18(1):31-35.
  39. Zheng, T., Yu, J., Oh, M. H., Zhu, Z.. The atopic march: progression from atopic dermatitis to allergic rhinitis and asthma. Allergy, Asthma & Immunology Research 2011;3(2):67-73. https://doi.org/10.4168/aair.2011.3.2.67