The Relationship between the Severity of Asthma and the Severity of Symptoms of Anxiety and Depression: A Cross-Sectional Study

Document Type : Original Article (s)

Authors

1 Associate Professor, Behavioral Sciences Research Center AND Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Internal Medicine, School of Medicine, Shahrekurd University of Medical Sciences, Shahrekurd, Iran

3 Assistant Professor, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

4 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Student of Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

6 Resident, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Depression and anxiety are two common mood disorders in modern societies with global expansion, which reduce the quality of life. A number of recent studies have investigated the relationship between anxiety and depression in patients with asthma. Due to the lack of studies in this area, especially in Iran, we studied this issue in Iranian population.Methods: This was a cross-sectional study on 151 patients with asthma referred to lung subspecialty clinics in Isfahan and Shahrekord cities, Iran, in 2016. The participants were included using sequential sampling method. The Hospital Anxiety and Depression Scale (HADS) questionnaire was used as an instrument for measuring anxiety and depression. Data were analyzed using t and Spearman correlation tests via SPSS software.Findings: 151 patients with asthma entered the study. By controlling demographic characteristics, and considering the underlying disease, the relationship of depression scores with the severity of asthma was not significant. Anxiety scores related to having the disease and gender.Conclusion: It can be concluded that the level of anxiety and depression was not related to the severity of asthma. Considering the high prevalence of asthma and the role of depression and anxiety in people's quality of life, more studies, using different tools to measure the level of anxiety and depression, shows to be needed.

Keywords

References

  1. O'Byrne PM. Global guidelines for asthma management: Summary of the current status and future challenges. Pol Arch Med Wewn 2010; 120(12): 511-7.
  2. Stipic-Markovic A, Pevec B, Pevec MR, Custovic A. Prevalence of symptoms of asthma, allergic rhinitis, conjunctivitis and atopic eczema: ISAAC (International Study of Asthma and Allergies in Childhood) in a population of schoolchildren in Zagreb. Acta Med Croatica 2003; 57(4): 281-5. [In Croatian].
  3. Trzcinska H, Zwierzchowska B, Kozlowski B, Derdowski S, Przybylski G. Analysis of the role of selected demographic and psychological variables (anxiety and depression) as risk factors of inadequate control of bronchial asthma. Ann Agric Environ Med 2013; 20(3): 504-8.
  4. Brown D, Lewis SM. Lewis's medical-surgical nursing: Assessment and management of clinical problems. Chatswood, NSW, Australia” Elsevier Australia; 2007.
  5. Reddel HK, Bateman ED, Becker A, Boulet LP, Cruz AA, Drazen JM, et al. A summary of the new GINA strategy: A roadmap to asthma control. Eur Respir J 2015; 46(3): 622-39.
  6. Vieira AA, Santoro IL, Dracoulakis S, Caetano LB, Fernandes AL. Anxiety and depression in asthma patients: Impact on asthma control. J Bras Pneumol 2011; 37(1): 13-8.
  7. Alvarez GG, FitzGerald JM. A systematic review of the psychological risk factors associated with near fatal asthma or fatal asthma. Respiration 2007; 74(2): 228-36.
  8. Barber B. The relationship of asthma to suicidal thoughts and behavior in United States youth [PhD Thesis]. Chicago, IL: The Chicago School of Professional Psychology; 2018.
  9. Sajjadi H, Mohaqeqi Kamal SH, Rafiey H, Vameghi M, Forouzan AS, Rezaei M. A systematic review of the prevalence and risk factors of depression among Iranian adolescents. Glob J Health Sci 2013; 5(3): 16-27.
  10. Petito A, Altamura M, Iuso S, Padalino FA, Sessa F, D'Andrea G, et al. The relationship between personality traits, the 5HTT polymorphisms, and the occurrence of anxiety and depressive symptoms in elite athletes. PLoS One 2016; 11(6): e0156601.
  11. Xu R, Zhang Q. understanding online health groups for depression: Social network and linguistic perspectives. J Med Internet Res 2016; 18(3): e63.
  12. Kessler RC, Greenberg PE. The economic burden of anxiety and stress disorders. In: Davis KL, Coyle CJT, Nemeroff C, editors. Neuropsychopharmacology-The fifth generation of progress. Philadelphia, PA: Lippincott, Williams and Wilkins; 2002. p. 982-92.
  13. Barlow DH. Anxiety and its disorders: The nature and treatment of anxiety and panic. 2nd ed. New York, NY: Guilford Press; 2002.
  14. Baxter AJ, Scott KM, Vos T, Whiteford HA. Global prevalence of anxiety disorders: A systematic review and meta-regression. Psychol Med 2013; 43(5): 897-910.
  15. Hoffman DL, Dukes EM, Wittchen HU. Human and economic burden of generalized anxiety disorder. Depress Anxiety 2008; 25(1): 72-90.
  16. Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, et al. One-month prevalence of mental disorders in the United States. Based on five Epidemiologic Catchment Area sites. Arch Gen Psychiatry 1988; 45(11): 977-86.
  17. Pateraki E, Vance Y, Morris PG. the interaction between asthma and anxiety: an interpretative phenomenological analysis of young people's experiences. J Clin Psychol Med Settings 2018; 25(1): 20-31.
  18. Gao YH, Zhao HS, Zhang FR, Gao Y, Shen P, Chen RC, et al. The relationship between depression and asthma: A meta-analysis of prospective studies. PLoS One 2015; 10(7): e0132424.
  19. Opolski M, Wilson I. Asthma and depression: A pragmatic review of the literature and recommendations for future research. Clin Pract Epidemiol Ment Health 2005; 1: 18.
  20. Akula M, Kulikova A, Khan DA, Brown ES. The relationship between asthma and depression in a community-based sample. J Asthma 2018; 55(12): 1271-7.
  21. Greenberg PE, Sisitsky T, Kessler RC, Finkelstein SN, Berndt ER, Davidson JR, et al. The economic burden of anxiety disorders in the 1990s. J Clin Psychiatry 1999; 60(7): 427-35.
  22. Brandsted R, Sindwani R. Impact of depression on disease-specific symptoms and quality of life in patients with chronic rhinosinusitis. Am J Rhinol 2007; 21(1): 50-4.
  23. Centanni S, Di Marco F, Castagna F, Boveri B, Casanova F, Piazzini A. Psychological issues in the treatment of asthmatic patients. Respir Med 2000; 94(8): 742-9.
  24. Goodwin RD, Jacobi F, Thefeld W. Mental disorders and asthma in the community. Arch Gen Psychiatry 2003; 60(11): 1125-30.
  25. Nascimento I, Nardi AE, Valenca AM, Lopes FL, Mezzasalma MA, Nascentes R, et al. Psychiatric disorders in asthmatic outpatients. Psychiatry Res 2002; 110(1): 73-80.
  26. Moharreri F, Rezaeitalab F, Sadjadi SAR, Sarjamei S. The comparison of anxiety and depression among patients with bronchial asthma, chronic obstructive pulmonary disease and lung tuberculosis. J Fundam Ment Health 2013; 15(58): 82-90. [In Persian].
  27. Vaziri S, Dehestani M, Soltani Gord Framarzi H. Surveying depression in asthmatic patients. Med Sci J Islamic Azad Univ Tehran Med Branch 2007; 17(3): 161-4. [In Persian].
  28. Nejtek VA, Brown ES, Khan DA, Moore JJ, Van WJ, Perantie DC. Prevalence of mood disorders and relationship to asthma severity in patients at an inner-city asthma clinic. Ann Allergy Asthma Immunol 2001; 87(2): 129-33.
  29. Strine TW, Mokdad AH, Balluz LS, Gonzalez O, Crider R, Berry JT, et al. Depression and anxiety in the United States: findings from the 2006 Behavioral Risk Factor Surveillance System. Psychiatr Serv 2008; 59(12): 1383-90.
  30. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes 2003; 1: 14.
  31. Coban H, Aydemir Y. The relationship between allergy and asthma control, quality of life, and emotional status in patients with asthma: A cross-sectional study. Allergy Asthma Clin Immunol 2014; 10(1): 67.
  32. Janson C, Bjornsson E, Hetta J, Boman G. Anxiety and depression in relation to respiratory symptoms and asthma. Am J Respir Crit Care Med 1994; 149(4 Pt 1): 930-4.
  33. Trzcinska H, Przybylski G, Kozlowski B, Derdowski S. Analysis of the relation between level of asthma control and depression and anxiety. Med Sci Monit 2012; 18(3): CR190-CR194.
  34. Amelink M, Hashimoto S, Spinhoven P, Pasma HR, Sterk PJ, Bel EH, et al. Anxiety, depression and personality traits in severe, prednisone-dependent asthma. Respir Med 2014; 108(3): 438-44.
  35. Van Lieshout RJ, Macqueen G. Psychological factors in asthma. Allergy Asthma Clin Immunol 2008; 4(1): 12-28.
  36. Rietveld S, Everaerd W, Creer TL. Stress-induced asthma: A review of research and potential mechanisms. Clin Exp Allergy 2000; 30(8): 1058-66.
  37. Ghaleiha A, Emami F, Naghsh Tabrizi B, Ali Hassani, R. A Survey on the frequency of depression and anxiety in the patients with acute coronary syndrome, Ekbatan Hospital of Hamadan City. Avicenna J Clin Med 2011; 17(4): 43-9. [In Persian].
  38. Faridhosseini F, Torkamani M, Layegh P, Nehedi Y, Nahidi, M. Effectiveness of cognitive-behavioral stress management on anxiety, depression and quality of life in patients with psoriasis. Med J Mashad Univ Med Sci 2016; 59(5): 337-44. [In Persian].
  39. Aghajani M, Afaze MR, Morasai F. The effect of spirituality counseling on anxiety and depression in hemodialysis patients. Evid Basic Care 2014; 3(4): 19-28. [In Persian].
Journal of Isfahan Medical School
Volume 37, Issue 524 - Serial Number 524
March and April 2019
Pages 404-411

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History

  • Receive Date: 19 December 2018
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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