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Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment
- Source :
- The Journal of Allergy and Clinical Immunology: In Practice. 6:1953-1959
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background It has been documented that anxiety and depression are prevalent in patients with asthma and are associated with greater frequency of exacerbations, increased use of health care resources, and poor asthma control. Objective To examine the association of asthma diagnosis with symptoms of depression/anxiety and asthma control not only at baseline but also over a 6-month period of specialist supervision. Methods We enrolled 3182 patients with moderate to severe asthma. All were evaluated with spirometry, the Asthma Control Test, and the Hospital Anxiety and Depression Scale at baseline and at 6 months. Treatments were decided by specialists according to published guidelines. Results At baseline, 24.2% and 12% of the patients were diagnosed with anxiety and depression, respectively, according to the Hospital Anxiety and Depression Scale. After 6 months, anxiety and depression improved, affecting 15.3% and 8.1% of patients, respectively (P Conclusion Under standardized asthma care and after a specific visit with the specialist, patients present significant improvement in these psychological disorders and exhibit better asthma control and functional parameters.
- Subjects :
- Adult
Male
Spirometry
medicine.medical_specialty
Vital capacity
Anxiety
Hospital Anxiety and Depression Scale
Severity of Illness Index
03 medical and health sciences
FEV1/FVC ratio
0302 clinical medicine
Forced Expiratory Volume
Internal medicine
Health care
Humans
Immunology and Allergy
Medicine
030212 general & internal medicine
Depression (differential diagnoses)
Asthma
medicine.diagnostic_test
Depression
business.industry
Middle Aged
medicine.disease
respiratory tract diseases
030228 respiratory system
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 22132198
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- The Journal of Allergy and Clinical Immunology: In Practice
- Accession number :
- edsair.doi.dedup.....09b527f45a1ee06d8188211b6effbc30