Psychological distress and associated risk factors in bronchial asthma patients in Kuwait

Panicker, NR; Sharma, Pawan; Al-Duwaisan, A.

doi:10.4103/0019-5359.38915

Cited by 10 publications

(7 citation statements)

References 24 publications

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“…There are studies showing that asthmatic females are more psychologically distressed than asthmatic males. [14] Stress, anxiety and psychosomatic factors are all implicated in asthma and in IBS, and these may influence the pathogenesis of IBS in asthma. Our finding of passing frequent stools (more than three per day) in asthmatics having IBS may be explained on the basis of this anxiety and stress.…”

Section: Discussionmentioning

confidence: 99%

Association and symptom characteristics of irritable bowel syndrome among bronchial asthma patients in Kuwait

et al. 2010

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CONTEXT:Excess prevalence of irritable bowel syndrome in asthma has been reported, suggesting a link between these two conditions.AIMS:To investigate the association between irritable bowel syndrome (IBS) and asthma, and explore the symptoms of IBS among asthma patients in Kuwait.SETTINGS AND DESIGN:Case control study.METHODS:In a tertiary center, for allergy and asthma, 138 patients aged 20-65 years, with asthma, diagnosed clinically and by spirometry, were compared with 145 healthy, non-asthmatic controls matched for age, gender and nationality. Cases and controls completed a self-administered questionnaire of irritable bowel syndrome diagnosis (ROME II criteria).STATISTICAL ANALYSIS USED:The data were analyzed using SPSS software, and proportions were tested with Chi-square or Fisher's test. Odds ratio (OR) with 95% Confidence Interval (CI) were calculated to identify the associated risk factors. The demographic variables were selected for logistic regression analysis.RESULTS:A significantly large proportion (39.13%) of asthmatics had IBS as compared to 7.93% controls (P < 0.001). A higher proportion of females with IBS were observed in cases and controls (74%, 61.54%). IBS was seen in 87% cases using inhalers, and in 13% with additional oral theophylline (P < 0.001). As many as 66.6% cases, had IBS with relatively short duration of asthma (1-5 years, P < 000). Predominant symptoms of IBS in asthmatics were abdominal discomfort or distension (64.8% vs. 11.5%), (P < 0.000, OR = 14.1; 95%CI: 3.748-53.209), bloated feeling of abdomen (74.1% vs. 34.62% (P < 0.001, OR = 5.38; 95%CI:1.96-14.84)), increased frequency of stools (63%, P < 0.006).CONCLUSIONS:Irritable bowel syndrome in asthmatics was significantly high, more in the female asthmatics. Abdominal discomfort, persistent bloated feeling, increased frequency of passing stools were the most common IBS symptoms observed.

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Section: Discussionmentioning

confidence: 99%

Association and symptom characteristics of irritable bowel syndrome among bronchial asthma patients in Kuwait

et al. 2010

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“…Previous studies have examined the prevalence of PD among people with chronic conditions, but have sometimes been limited by the use of patient samples (Hislop et al 2008;Keefe and Williams 1990;Panicker et al 2008) or have not compared the relationship across different age groups (CDC 2004;Hislop et al 2008;Keefe and Williams 1990;Kokkonen et al 2001;Rasul et al 2007;Surtees et al 2008). Other studies have investigated PD among different age groups, but have not examined the factors associated with PD within different age groups.…”

Section: Introductionmentioning

confidence: 99%

Age differences in associations between psychological distress and chronic conditions

Chittleborough

Winefield

Gill

et al. 2010

Int J Public Health

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“… Mansour et al 2014 [ 50 ] Egypt A convenience sample of 130 students with bronchial asthma (mean age of 14 years) and a random control group of students without bronchial asthma Cognitive functioning (assessed through an Arabic version of the Revised Wechsler Intelligence scale for Children (WISC-R), the Auditory Vigilance Test, and the Figural Memory Test) and academic achievement (measured through mid-year test scores in of Arabic and mathematics subjects) Bronchial asthma had a significant negative impact on academic achievement and cognitive functioning of students with bronchial asthma. Panicker et al 2008 [ 51 ] Kuwait A sample of 102 patients with asthma and a control group of 102 individuals without asthma aged 20–60 years Psychological distress in patients with bronchial asthma as measured by the World Health Organization (WHO) - Five Well-Being Index Patients with asthma were significantly more psychologically distressed than the control group. The level of psychological distress was significantly higher among younger, female patients with shorter duration of asthma.…”

Section: Resultsmentioning

confidence: 99%

Research on psychosocial aspects of asthma in the Arab world: a literature review

Al-khateeb

Khateeb

2015

Multidiscip Respir Med

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The importance of psychosocial factors in the management of bronchial asthma has long been recognized. This paper offers a review of research published in the English language related to psychosocial aspects of bronchial asthma in Arab countries. Several databases (PubMed, Science Direct, Springer Link, ERIC, and PsychInfo) were searched using the following keywords: bronchial asthma, Arab countries, Algiers, Bahrain, Comoros, Djibouti, Egypt, Iraq, Jordan, Kuwait, Lebanon, Libya, Mauritania, Morocco, Oman, Palestine (West Bank, Gaza), Qatar, Saudi Arabia, Syria, Tunisia, Sudan, Somalia; United Arab Emirates, and Yemen. Thirty-two studies were conducted in 9 Arab countries. Almost all studies found were published in the last fourteen years with an apparent increasing rate in the last five years. In descending order, these studies addressed: knowledge of and attitudes toward asthma, quality of life, behavioral and emotional problems and factors related to academic achievement.The main results of the studies reviewed were: (a) physicians’, school staff’s, and parents’ knowledge of and attitudes toward asthma were generally unsatisfactory, (b) in-service asthma education programs significantly impacted parent and staff knowledge and attitudes, and asthma management practices, (c) quality of life in children and adolescents was significantly adversely affected by asthma, (d) asthma was a common cause of school absenteeism, and had a significant negative impact on academic achievement of students, and (e) students with asthma had significantly higher rates of behavioral and emotional difficulties compared to students without asthma. The paper concludes with a discussion about the implications of these results and a call for further research in this area.

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Psychological distress and associated risk factors in bronchial asthma patients in Kuwait

Cited by 10 publications

References 24 publications

Association and symptom characteristics of irritable bowel syndrome among bronchial asthma patients in Kuwait

Association and symptom characteristics of irritable bowel syndrome among bronchial asthma patients in Kuwait

Age differences in associations between psychological distress and chronic conditions

Research on psychosocial aspects of asthma in the Arab world: a literature review

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