Anxiety, depression and global distress among African American young adults with uncontrolled asthma.
| Autor: | Gibson-Scipio W; Wayne State University College of Nursing, Detroit, MI, USA., Dinaj V; Wayne State University School of Medicine, Detroit, MI, USA., Hall A; Wayne State University College of Nursing, Detroit, MI, USA., Kormelink A; Medical University of South Carolina, Charleston, SC, USA., Bruzzese JM; Columbia University School of Nursing, New York, NY, USA., MacDonell KK; Wayne State University College of Nursing, Detroit, MI, USA.; Wayne State University School of Medicine, Detroit, MI, USA.; Florida State University College of Medicine, Tallahassee, FL, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma [J Asthma] 2023 Oct; Vol. 60 (10), pp. 1836-1842. Date of Electronic Publication: 2023 Apr 27. |
| DOI: | 10.1080/02770903.2023.2193632 |
| Abstrakt: | Background: Anxiety and depression are mental health disorders that are often comorbid with asthma. Urban African American young adults with asthma often experience increased risk of anxiety and depression. Objective: To explore relationships between symptoms of psychological distress and asthma-related anxiety with asthma outcomes among urban African American young adults with poorly controlled persistent asthma. Methods: A secondary analysis of baseline data from a larger study of 141 African American young adults with uncontrolled persistent asthma was examined. Participants completed the Brief Symptom Inventory (BSI-18), Youth Asthma-related Anxiety Scale , Asthma Control Test (ACT), a daily diary to assess asthma symptoms; and number of asthma attacks. Spirometry assessed airway obstruction. Generalized linear models tested associations. Results: In multivariable models testing, higher somatization scores were significantly associated with lower ACT scores (adjusted β = -0.49; 95% CI = -0.69, -0.28; p < 0.01), and higher symptoms (adjusted β = 0.39; 95% CI = 0.14, 0.65; p < 0.01). After adding asthma-related anxiety to the model, the somatization subscale and asthma-related anxiety were significantly associated with ACT scores (adjusted β = -0.36; 95% CI = -0.57, -0.15; p < 0.01), (adjusted β = -0.32; 95% CI = -0.50, -0.14; p < 0.01), respectively. Asthma-related anxiety was also significantly associated with asthma attacks (adjusted β = 0.24; 95% CI = 0.05, 0.43; p < 0.05). Conclusion: This study suggests, asthma-related anxiety may differ from general anxiety and be related to poorly controlled asthma among African American young adults. |
| Databáze: | MEDLINE |
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