The relationship between allergy and asthma control, quality of life, and emotional status in patients with asthma: a cross-sectional study

Abstract

BackgroundPsychiatric comorbidities are prevalent in patients with chronic somatic disorders such as asthma. But, there is no clear evidence regarding the effect of atopic status and the type of sensitized allergen on emotional status. The aim of the present study was to investigate the effects of house dust mites and pollen allergies on emotional status, asthma control and the quality of life in patients with atopic asthma.MethodsThe study included 174 consecutive patients who were diagnosed with asthma accoring to the GINA criteria and who did not receive therapy for their allergy. All patients underwent a skin prick test. The asthma control, quality of life, and emotional status were evaluated using the ACT (asthma control test), AQLQ (asthma-specific quality of life questionnaire), and HAD (hospital anxiety depression questionnaire).ResultsAtopy was detected in 134 (78.7%) patients. Of those patients: 58 (33.3%) had anxiety and 83 (47.7%) had depression. There was no relationship between emotional status, atopic status, and the type of indoor/outdoor allergen. Furthermore, there was no relationship between atopy and asthma severity, asthma control, and the quality of life. The anxiety and depression scores were significantly higher and the quality of life scores lower in the uncontrolled asthma group. The ACT and AQLQ scores were also lower in the anxiety and depression groups.ConclusionsIt was concluded that anxiety and depression are prevalent in patients with uncontrolled asthma, and atopic status did not affect the scores in ACT, AQLQ, and emotional status tests.

The evaluation of asthma and COPD patients in emotional status: A cross-sectional study.

“…Cooper et al showed that, the prevalence of anxiety was 47.3%, depression was in 22.3% in asthmatic patients (18). Another study in Turkey, revealed that 33.3% had anxiety, and 47.7% had depression in asthmatic patients (19). Our study results are consistent with those findings.…”

“…Previous studies examining the association between asthma severity and depression have suggested that positive association (19)(20)(21). In another study, anxiety and depression were more frequent among patients with "difficult" asthma (5).…”

Associations between allergic diseases and attention deficit hyperactivity/oppositional defiant disorders in children

“…Problems with depression in patients with bronchial asthma have been reported in the literature (20). Depression plays a major role in children's internalizing disorder.…”

Integruotas Požiūris Į Vaikų Atopinio Dermatito Raišką: Psichosomatinis Aspektas Ir Sąsajos Su Emocinių Sunkumų Patyrimu

“…Atopinių ligų ir emocinės disfunkcijos sąsajas skirtingo amžiaus vaikų grupėse patvirtina dauguma tyrimų: ikimokykliniame amžiuje, viduriniojoje vaikystėje, taip pat ir paauglystėje atskleidžiamos sąsajos su miego sutrikimais, aukštesniu depresiškumo ir nerimo lygiu [34,35,37,38].…”

“…Tačiau pati liga taip pat veikia asmens emocinę būseną bei per įtampos išgyvenimą atsiliepia artimiems santykiams [9,24,26,38]. Atsižvelgiant į įvairiapusiškas sąsajas, būtų svarbu pamėginti atskleisti vidinius, psichikoje vykstančius procesus.…”