Hubungan Gangguan Ansietas dan Gangguan Depresi terhadap Kejadian Sakit Perut Berulang pada Remaja

Abstract

Background: Anxiety and depression disorders affect the academic performance and social aspect of school activities. Adolescents with these disorders tend to develop recurrent abdominal pain. Objective: To assess the association of anxiety and depression disorders to recurrent abdominal pain in adolescents. Methods: A cross sectional study was conducted at three junior and three senior high schools in Secanggang Sub-district, Langkat District, Sumatera Utara Province from August to September 2009. The samples for this study were selected through consecutive sampling technique. The samples were instructed to fill out the CBCL form. Those with anxious/depressed score ≥ 12 for boys aged 12 to 18 years old and ≥14 for girls and those with suspected depression (CDI score ≥13) were then examined by psychiatrist. The adolescent diagnosed with anxiety and depression disorder were instructed to fill out a recurrent abdominal pain questionnaire based on Apley and Naish criteria. We have got a number of adolescents with and without recurrent abdominal pain. Results: The 144 students participated in this study were divided into two groups consisting of 84 students with anxiety disorder and 60 students with depression disorder. Sixty students of the anxiety disorder group and 31 students of the depression disorder group experienced recurrent abdominal pain. The prevalence of anxiety and depression disorder was 8,7% and 6,25% respectively. There was a significant relationship between anxiety disorder (P=0.008) and depression disorder (P=0.04) with recurrent abdominal pain. Conclusion The anxiety and depression disorder were associated to recurrent abdominal pain in adolescents.

Background: Anxiety and depression disorders affect the academic performance and social aspect of school activities. Adolescents with these disorders tend to develop recurrent abdominal pain. Objective: To assess the association of anxiety and depression disorders to recurrent abdominal pain in adolescents. Methods: A cross sectional study was conducted at three junior and three senior high schools in Secanggang Sub-district, Langkat District, Sumatera Utara Province from August to September 2009. The samples for this study were selected through consecutive sampling technique. The samples were instructed to fill out the CBCL form. Those with anxious/depressed score ≥ 12 for boys aged 12 to 18 years old and ≥14 for girls and those with suspected depression (CDI score ≥13) were then examined by psychiatrist. The adolescent diagnosed with anxiety and depression disorder were instructed to fill out a recurrent abdominal pain questionnaire based on Apley and Naish criteria. We have got a number of adolescents with and without recurrent abdominal pain. Results: The 144 students participated in this study were divided into two groups consisting of 84 students with anxiety disorder and 60 students with depression disorder. Sixty students of the anxiety disorder group and 31 students of the depression disorder group experienced recurrent abdominal pain. The prevalence of anxiety and depression disorder was 8,7% and 6,25% respectively. There was a significant relationship between anxiety disorder (P=0.008) and depression disorder (P=0.04) with recurrent abdominal pain. Conclusion The anxiety and depression disorder were associated to recurrent abdominal pain in adolescents.