Impact of anxiety and depression on disease control and quality of life in asthma patients
Autor: | Isabel Urrutia, Itziar Arrizubieta, Cristóbal Esteban, Silvia Pascual, Aitor Ballaz, Iñaki Larrea, Urko Aguirre |
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Rok vydání: | 2012 |
Předmět: |
Pulmonary and Respiratory Medicine
Spirometry Adult Male medicine.medical_specialty Adolescent Cross-sectional study Comorbidity Anxiety Quality of life Internal medicine Forced Expiratory Volume medicine Immunology and Allergy Humans Depression (differential diagnoses) Asthma Aged medicine.diagnostic_test business.industry Depression Odds ratio Middle Aged medicine.disease Cross-Sectional Studies Mental Health Pediatrics Perinatology and Child Health Physical therapy Quality of Life Female medicine.symptom business |
Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma. 49(2) |
ISSN: | 1532-4303 |
Popis: | Patients with asthma also tend to have anxiety and depression. These comorbidities may affect asthma control and quality of life. The objective of this study was to assess the impact of anxiety and depression on asthma control and quality of life.Cross-sectional study of asthma outpatients was conducted at two hospitals in the Basque Country (northern Spain). Data collected included sociodemographic variables, asthma symptoms, treatment, number of exacerbations, level of control, quality of life, presence of psychological morbidities, and level of physical activity. Spirometry was performed in accordance with the recommendations of the Spanish Society of Pneumology and Thoracic Surgery.Among 354 asthmatics, 77% had poor or partial control of their condition, 31% had anxiety alone, 2% had depression alone, and 10% had anxiety plus depression. Poor asthma control was associated with anxiety plus depression (odds ratio (OR): 3.61; 95% confidence interval (CI): 1.05-12.41) as well as with female patients (OR: 1.85; 95% CI: 1.11-3.10). Anxiety had an independent effect on reduced quality of life across all domains; anxiety plus depression had an even greater effect.Among patients with asthma, anxiety and depression adversely affect asthma control and quality of life, raising the possibility that treating these psychological comorbidities could improve asthma control and quality of life. |
Databáze: | OpenAIRE |
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