Association of Anxiety With Asthma: Subjective and Objective Outcome Measures

Fernandes, Lia; Fonseca, João; Martins, Sónia; Delgado, Luís; Pereira, Altamiro Costa; Vaz, Mário; Branco, Gabriel

doi:10.1176/appi.psy.51.1.39

Cited by 30 publications

(29 citation statements)

References 47 publications

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“…In contradiction to a study made by Fernandes et al [30], but coinciding with Feldman et al [34], in our country there were no significant differences between asthma severity and the presence of greater association with psychiatric comorbidities. The discrepancy with the first results could be due to the first one taking place in a hospital where 66.2% of asthmatic patients included were severe persistent type.…”

Section: Interpretation Of Findings In Relation To Previously Publishcontrasting

confidence: 99%

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Asthma, Anxiety and Depression are they walking together? Cross- Sectional Descriptive Study

Flor-Escriche¹,

Poblet-Cortés²,

Lamarca-Fornell³

et al. 2016

Arch Pulmonol Respir Care

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Background/Objectives: The association between asthma and mental health disorders is well known, both anxiety and depression being the most common ones. The aim is to determine the proportion of anxiety and/or depression in an asthmatic population compared to a non-asthmatic one in a Primary Care centre. Secondary objectives: Assess the association between the severity of asthma and its level of control and anxiety and/or depression. Methods:Cross-sectional descriptive study, 317 patients diagnosed of asthma and 306 without asthma, aged between 17 to 70 years old, recruited from a primary care centre. Goldberg test was performed to detect anxiety and/or depression. Other variables analysed were: age, sex, previous diagnosis of anxiety and/or depression, associated chronic diseases, type of asthma and degree of its control.Results: 70% of the people in the asthmatic group were women and 52% in the non-asthmatic group. The mean age was of 43 (SD 16.89) and 48 (SD 14.09) years old, respectively. 57.1% had intermittent asthma. 62.7% of asthmatics had good control. Goldberg test in the group of asthmatic patients showed 51.1% (p = 0.0001) of anxiety and 57.4% (p = 0.0001) of depression. The results were adjusted for age and sex maintaining the association between asthma and anxiety with an OR = 1.8 (95% CI: 1.3-2.6) and depression OR = 2.1 (95% CI: 1.5 to 3.0). Patients with a higher level of asthma control had less anxiety (p = 0.002) and depression (p = 0.004). Conclusions:Asthmatic patients had more anxiety and depression. Higher asthma control was associated with less anxiety and depression.

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Section: Interpretation Of Findings In Relation To Previously Publishcontrasting

confidence: 99%

“…Anxiety has higher prevalence among females. Coinciding with other studies [27,[30][31][32][33][34], we also observed greater psychiatric comorbidity in women.…”

Section: Interpretation Of Findings In Relation To Previously Publishsupporting

confidence: 90%

Asthma, Anxiety and Depression are they walking together? Cross- Sectional Descriptive Study

Flor-Escriche¹,

Poblet-Cortés²,

Lamarca-Fornell³

et al. 2016

Arch Pulmonol Respir Care

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show abstract

“…Different surveys using different methodologies and instruments indicate that anxiety and depression disorders are up to six times more common in people with asthma than in the general population (Goodwin & Eaton, 2003;Lavoie et al, 2006). In a recent study (Fernandes et al, 2010) the high prevalence of anxiety in asthmatic patients as well as its associations with worse subjective asthma outcomes and increased used of medications/healthcare services was confirmed. Anxiety and depression are also particularly reported with severe and difficult to control asthma (Heaney et al, 2005) and impaired emotional coping mechanisms (Lavoie et al, 2010).…”

Section: Clinical Reviewmentioning

confidence: 91%

Psychological Factors in Asthma and Psychoeducational Interventions

Fernandes¹

2012

Allergic Diseases - Highlights in the Clinic, Mechanisms and Treatment

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“…Similar to depression, researchers have Asthma and Anxiety sought to elucidate the relationship between anxiety and asthma. Collectively, the current literature indicates an increased likelihood of anxious symptoms in children with asthma (Bennett, 1994;Bloomberg & Chen, 2005;Katon et al, 2007;Gillaspy et al, 2002) and in adults with asthma (Adams et al, 2004;Fernandes et al, 2010;McCauley et al, 2007).…”

Section: Asthma and Depressionmentioning

confidence: 93%

“…Researchers have found that the prevalence of anxiety symptoms in adults with asthma has also been associated with decreased control of asthma symptoms and increased health care utilization (Fernandes et al, 2010;Strine, Mokdad, Balluz, Berry, & Gonzalez, 2008), such that individuals with higher levels of anxiety symptoms have increased urgent and routine medical visits due to asthma related health concerns (Fernandes et al, 2010). Thus, anxiety symptoms may increase healthcare utilization in individuals with asthma.…”

Section: Asthma and Depressionmentioning

confidence: 99%

Depression, Anxiety, and Health-Related Quality of Life in Adolescents and Young Adults With Allergies and Asthma

Molzon

Hullmann

Eddington

et al. 2011

Journal of Asthma & Allergy Educators

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The current study sought to compare rates of depressive symptoms, anxious symptoms, and healthrelated quality of life (HRQOL) in adolescents and young adults (AYAs) with allergies, asthma, and healthy controls. Participants were undergraduate students aged 18 to 29 years with self-reported allergies (N = 79), asthma (N = 79), and with no history of a chronic illness (N = 79). Participants completed the Center for Epidemiologic Studies Depression Scale, the Zung Self-Rating Anxiety Scale, and the SF-36 Health Survey Questionnaire as self-report measures of depressive symptoms, anxious symptoms, and HRQOL, respectively. A series of ANCOVAs (analysis of covariance; allergies vs asthma vs healthy controls) was conducted to examine differences between the groups. The results of the current examination suggest that AYAs with allergies are indeed at risk for experiencing higher rates of depressive and anxious symptoms and poorer HRQOL than healthy AYAs. Furthermore, they are experiencing psychosocial concerns on par with or worse than those of AYAs with asthma. Allergies, often perceived as a relatively benign illness, have commonly been overlooked in discussions of psychosocial concerns related to chronic illnesses. The results of the current study suggest that young adults with allergies are also an important population to examine.

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Association of Anxiety With Asthma: Subjective and Objective Outcome Measures

Abstract: Anxiety seems to influence patients' perception/awareness of asthma symptoms.

Cited by 30 publications

References 47 publications

Asthma, Anxiety and Depression are they walking together? Cross- Sectional Descriptive Study

Asthma, Anxiety and Depression are they walking together? Cross- Sectional Descriptive Study

Psychological Factors in Asthma and Psychoeducational Interventions

Depression, Anxiety, and Health-Related Quality of Life in Adolescents and Young Adults With Allergies and Asthma

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