Negative Mood and Quality of Life in Patients with Asthma
Abstract
The aim of this study was to evaluate the effect of negative mood states at the moment of questionnaire, and other patient and disease characteristics on quality of life (QoL) in patients with asthma. The study groups were composed of 116 stable adult asthmatic patients and 116 age and sex matched healthy subjects. We used Short-Form Health Survey-36 (SF-36) for the assessment of general QoL in all participants, and the Asthma Quality of Life Questionnaire (AQLQ) for the assessment of disease specific QoL in patients with asthma. We evaluated negative mood in all subjects with a questionnaire including six mood subscales in three categories (nervous-anxious, hostile-angry and fearful-panicky). Negative mood scores were not different between asthmatic and comparison groups (p=0.4), but both SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were significantly lower in asthmatic group (p=0.003 and p=0.001, respectively). Multiple linear regression analysis in all study population indicated that both reduced PCS and MCS scores of SF-36 were associated with negative mood score (beta=-0.28, p<0.001 and beta=-0.37, p<0.001, respectively) and with FEV(1)% (beta=0.19, p=0.001 and beta=0.25, p<0.001, respectively) after adjusting for age, female sex, and the presence of asthma. On the other hand, multiple linear regression analysis in patients with asthma revealed that negative mood score and disease severity score were significant predictors for overall score of AQLQ after adjusting for other patient and disease characteristics (beta=-0.17, p=0.008 and beta=-0.64, p<0.001, respectively). The level of negative mood and disease severity in asthmatics significantly impair QoL. Thus, considering that one of the main objectives of health care should be preserving a satisfactory QoL in asthmatics, the presence and seriousness of negative mood and their effects on QoL should be taken into account as part of the clinical evaluation in asthmatics.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
Standardization of Spirometry, 1994 Update. American Thoracic Society
(1995) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.152.3.7663792 · Cited by 6,572 · see citing works
Lung volumes and forced ventilatory flows
Quanjer, P. H., Tammeling, G. J., Cotes, J. E., Pedersen, O. F., Peslin, R., & Yernault, J. (1993) · European Respiratory Journal · doi:10.1183/09041950.005s1693 · Cited by 5,484 · see citing works
(1993) · PubMed · Cited by 3,827 · see citing works
Constitution of the World Health Organization
(1946) · American Journal of Public Health and the Nations Health · doi:10.2105/ajph.36.11.1315 · Cited by 2,527 · see citing works
(1987) · American Review of Respiratory Disease · doi:10.1164/ajrccm/136.1.225 · Cited by 2,229 · see citing works
Juniper, E. F., Guyatt, G. H., Epstein, R. S., Ferrie, P. J., Jaeschke, R., & Hiller, T. K. (1992) · Thorax · doi:10.1136/thx.47.2.76 · Cited by 1,225 · see citing works
The role of acute and chronic stress in asthma attacks in children
Sandberg, S., Paton, J. Y., Ahola, S., McCann, D. C., McGuinness, D., Hillary, C. R., & Oja, H. (2000) · The Lancet · doi:10.1016/s0140-6736(00)02715-x · Cited by 464 · see citing works
Underdiagnosis and Undertreatment of Asthma in the Elderly
Enright, P., Clelland, R. L. M., Newman, A. B., Gottlieb, D. J., & Lebowitz, M. D. (1999) · CHEST Journal · doi:10.1378/chest.116.3.603 · Cited by 330 · see citing works
Lehrer, P. M., Isenberg, S., & Hochron, S. M. (1993) · Journal of Asthma · doi:10.3109/02770909309066375 · Cited by 238 · see citing works
Characteristics of Patients with Asthma Within a Large HMO: A Comparison by Age and Gender
OSBORNE, M. L., Vollmer, W. M., Linton, K. L. P., & Buist, A. S. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.1.9612063 · Cited by 234 · see citing works
Relationship between anxiety, depression, and morbidity in adult asthma patients
Rimington, L. D. (2001) · Thorax · doi:10.1136/thorax.56.4.266 · Cited by 183 · see citing works
Clinical Predictors of Health-related Quality of Life Depend on Asthma Severity
Moy, M. L., Israel, E., Weiss, S. T., Juniper, E. F., Dubé, L. M., & Drazen, J. M. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.4.2008014 · Cited by 181 · see citing works
Emotions and Stress Increase Respiratory Resistance in Asthma
Ritz, T., Steptoe, A., DeWilde, S., & Costa, M. (2000) · Psychosomatic Medicine · doi:10.1097/00006842-200005000-00014 · Cited by 180 · see citing works
Effects of depressive symptoms on health-related quality of life in asthma patients
Mancuso, C. A., Peterson, M. G. E., & Charlson, M. E. (2000) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2000.07006.x · Cited by 176 · see citing works
Determinants of Different Dimensions of Disease Severity in Asthma and COPD
Wijnhoven, H. A. H., Kriegsman, D. M. W., Hesselink, A. E., Penninx, B. W. J. H., & de Haan, M. (2001) · CHEST Journal · doi:10.1378/chest.119.4.1034 · Cited by 151 · see citing works
The influence of demographic and socioeconomic factors on health-related quality of life in asthma
Apter, A. J., Reisine, S., Affleck, G. G., Barrows, E. F., & ZuWallack, R. (1999) · Journal of Allergy and Clinical Immunology · doi:10.1016/s0091-6749(99)70528-2 · Cited by 141 · see citing works
Symptoms, Quality of Life, and Health Service Contact among Young Adults with Mild Asthma
Osman, L. M., CALDER, C., Robertson, R., Friend, J. A. R., LEGGE, J. S., & Douglas, J. G. (2000) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.161.2.9904063 · Cited by 100 · see citing works
Stress‐induced asthma: a review of research and potential mechanisms
Rietveld, Everaerd, W. T. A. M., & Creer (2000) · Clinical & Experimental Allergy · doi:10.1046/j.1365-2222.2000.00809.x · Cited by 97 · see citing works
Quality-of-life assessment in children and adolescents with asthma
Rutishauser, C., Sawyer, S. M., & Bowes, G. (1998) · European Respiratory Journal · doi:10.1183/09031936.98.12020486 · Cited by 94 · see citing works
Psychological issues in the treatment of asthmatic patients
Centanni, S., Marco, F. D., CASTAGNA, F., Boveri, B., Casanova, F. M., & Piazzini, A. (2000) · Respiratory Medicine · doi:10.1053/rmed.1999.0766 · Cited by 92 · see citing works
Lack of Correlation of Symptoms With Specialist-Assessed Long-term Asthma Severity
Osborne, M. L., Vollmer, W. M., Pedula, K. L., Wilkins, J. H., Buist, A. S., & O’Hollaren, M. T. (1999) · CHEST Journal · doi:10.1378/chest.115.1.85 · Cited by 92 · see citing works
Erratum to The MOS 36-item short form health survey (SF-36): I. Conceptual framework
Ware, J. E., & Sherbourne, C. D. (1992) · PharmacoEconomics · doi:10.1007/bf03260127 · Cited by 77 · see citing works
Apter, A. J., Affleck, G. G., Reisine, S., Tennen, H. A., Barrows, E. F., Wells, M., Willard, A. K., & ZuWallack, R. (1997) · Journal of Allergy and Clinical Immunology · doi:10.1016/s0091-6749(97)70020-4 · Cited by 75 · see citing works
Foresi, A., Mattoli, S., Corbo, G. M., Polidori, G., & Ciappi, G. (1986) · CHEST Journal · doi:10.1378/chest.90.6.822 · Cited by 69 · see citing works
Price, M. R., Bratton, D. L., & Klinnert, M. D. (2002) · Annals of Allergy Asthma & Immunology · doi:10.1016/s1081-1206(10)62104-7 · Cited by 59 · see citing works
DYER, C. A. E., Hill, S. L., STOCKLEY, R. A., & Sinclair, A. J. (1999) · European Respiratory Journal · doi:10.1034/j.1399-3003.1999.14a09.x · Cited by 58 · see citing works
Mood States Associated With Transitory Changes in Asthma Symptoms and Peak Expiratory Flow
Affleck, G. G., Apter, A. J., Tennen, H. A., Reisine, S., Barrows, E. F., Willard, A. K., Unger, J., & ZuWallack, R. (2000) · Psychosomatic Medicine · doi:10.1097/00006842-200001000-00009 · Cited by 58 · see citing works
Impact of obstructive airways disease on quality of life in older adults.
Renwick, D. S., & Connolly, M. J. (1996) · Thorax · doi:10.1136/thx.51.5.520 · Cited by 56 · see citing works
Incalzi, R. A., Bellia, V., Catalano, F., Scichilone, N., Imperiale, C., Maggi, S., & Rengo, F. (2001) · CHEST Journal · doi:10.1378/chest.120.3.734 · Cited by 55 · see citing works
Asthma symptoms: influence of personality versus clinical status
Put, C., Demedts, M., den Bergh, O. V., Demyttenaere, K., & Verleden, G. M. (1999) · European Respiratory Journal · doi:10.1034/j.1399-3003.1999.13d09.x · Cited by 41 · see citing works
The structure of symptom report in asthma
Ritz, T., Bobb, C., Edwards, M., & Steptoe, A. (2001) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00271-9 · Cited by 36 · see citing works
Personality Characteristics and Dysthymic States in Bronchial Asthma
Lyketsos, G. C., Karabetsos, A., Jordanoglou, J. B., Liokis, T., Armagianidis, A., & Lyketsos, C. G. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000287807 · Cited by 35 · see citing works
Association between preference-based health-related quality of life and asthma severity
Moy, M. L., Fuhlbrigge, A. L., Blumenschein, K., Chapman, R. H., Zillich, A. J., Kuntz, K. M., Paltiel, A. D., Kitch, B. T., Weiss, S. T., & Neumann, P. J. (2004) · Annals of Allergy Asthma & Immunology · doi:10.1016/s1081-1206(10)61570-0 · Cited by 34 · see citing works
Laube, B. L., Curbow, B. A., Fitzgerald, S. T., & Spratt, K. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00035203a · Cited by 23 · see citing works
Evaluating the effects of stress on asthma: a paradoxical challenge
Klinnert, M. D. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00067903 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
A systematic review of psychological, physical health factors, and quality of life in adult asthma
Stanescu, S., Kirby, S. E., Thomas, M., Yardley, L., & Ainsworth, B. (2019) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-019-0149-3 · Cited by 124 · see citing works
Severe asthma and quality of life
Hossny, E. M., Caraballo, L. R., Casale, T. B., El‐Gamal, Y., & Rosenwasser, L. J. (2017) · World Allergy Organization Journal · doi:10.1186/s40413-017-0159-y · Cited by 113 · see citing works
Quality‐of‐life and asthma‐severity in general population asthmatics: results of the ECRHS II study
Siroux, V., Boudier, A., Antó, J. M., Cazzoletti, L., Accordini, S., Alonso, J., Cerveri, I., Corsico, A. G., Gulsvik, A., Jarvis, D., et al. (2008) · Allergy · doi:10.1111/j.1398-9995.2008.01638.x · Cited by 103 · see citing works
Effects of Depression on Quality of Life Improvement After Endoscopic Sinus Surgery
Mace, J. C., Michael, Y. L., Carlson, N. E., Litvack, J. R., & Smith, T. L. (2008) · The Laryngoscope · doi:10.1097/mlg.0b013e31815d74bb · Cited by 68 · see citing works
The limitations of severe asthma: the results of a European survey
Dockrell, M., Partridge, M. R., & Valovirta, E. J. (2007) · Allergy · doi:10.1111/j.1398-9995.2006.01304.x · Cited by 49 · see citing works
Perceived Stress, Severity of Asthma, and Quality of Life in Young Adults with Asthma
Kimura, T., Yokoyama, A., Kohno, N., Nakamura, H., & Eboshida, A. (2009) · Allergology International · doi:10.2332/allergolint.o-07-531 · Cited by 39 · see citing works
Health-related quality of life predicts onset of asthma in a longitudinal population study
Leander, M., Cronqvist, A., Janson, C., Uddenfeldt, M., & Rask‐Andersen, A. (2008) · Respiratory Medicine · doi:10.1016/j.rmed.2008.09.015 · Cited by 29 · see citing works
The Effectiveness of Relaxation Training in the Quality of Life and Anxiety of Patients with Asthma
Pourdowlat, G., Hejrati, R., & Lookzadeh, S. (2019) · Advances in respiratory medicine · doi:10.5603/arm.2019.0024 · Cited by 26 · see citing works
Quality of Life and Measures of Asthma Control in Primary Health Care
Lisspers, K., Ställberg, B., Hasselgren, M., Johansson, G. S., & Svärdsudd, K. (2007) · Journal of Asthma · doi:10.1080/02770900701645298 · Cited by 24 · see citing works
Development and validation of the Asthma Life Impact Scale (ALIS)
Meads, D. M., McKenna, S. P., Doward, L. C., Pokrzywinski, R. M., Revicki, D. A., Hunter, C. J., & Glendenning, G. A. (2010) · Respiratory Medicine · doi:10.1016/j.rmed.2009.11.023 · Cited by 17 · see citing works
Matsumoto-Sasaki, M., Suzuki, M., Kimura, H., Shimizu, K., Makita, H., Nishimura, M., & Konno, S. (2022) · Allergology International · doi:10.1016/j.alit.2022.05.009 · Cited by 12 · see citing works
Muraki, M., Ichihashi, H., Haraguchi, R., Iwanaga, T., Kubo, H., & Tohda, Y. (2008) · Allergology International · doi:10.2332/allergolint.o-07-516 · Cited by 12 · see citing works
López‐López, D., Villar, R. P., García-Paz, V., Vallejo, R., Losa‐Iglesias, M. E., Rodríguez‐Sanz, D., & Calvo‐Lobo, C. (2019) · Medicina · doi:10.3390/medicina55050124 · Cited by 11 · see citing works
Características clínicas e prognóstico em pacientes com asma quase fatal em Salvador, Bahia
Ponte, E. V., Souza‐Machado, A., Souza‐Machado, C., Franco, R. A., & Cruz, Á. A. (2011) · Jornal Brasileiro de Pneumologia · doi:10.1590/s1806-37132011000400004 · Cited by 7 · see citing works
Rezaei, F., Taher, N. H., Hossein, M., & Amra, B. (2009) · Cited by 5 · see citing works
Hearing‐related quality of life in children and adolescents in rural Alaska
Hicks, K. L., Robler, S. K., Simmons, R., Ross, A., Egger, J. R., & Emmett, S. D. (2022) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.973 · Cited by 5 · see citing works
Childhood respiratory symptoms and mental health problems: The role of intergenerational smoking
Goodwin, R. D., Seeley, J. R., & Lewinsohn, P. M. (2012) · Pediatric Pulmonology · doi:10.1002/ppul.22579 · Cited by 5 · see citing works
Dorner, T. E., Müller, K. H., Schmidl, H., Freidl, W., Stronegger, W. J., Lawrence, K., Kunze, M., & Rieder, A. (2007) · Wiener Medizinische Wochenschrift · doi:10.1007/s10354-007-0420-z · Cited by 5 · see citing works
Impact of chronic disorders and obesity on quality of life in Northern Jordan
Matalqah, L. M., Radaideh, K. M., & Thabet, R. H. (2019) · Journal of Public Health · doi:10.1007/s10389-019-01103-2 · Cited by 4 · see citing works
Czynniki społeczno-demograficzne wpływające na jakość życia pacjentów z astmą i POChP
Grochans, E., Bąk, A., Reczyńska, A., Jurczak, A., Grzywacz, A., Kotwas, A., Laszczyńska, M., & Karakiewicz, B. (2013) · Family Medicine & Primary Care Review · Cited by 3 · see citing works
Understanding quality of life:investigating the effects of individualised feedback on wellbeing
Llewellyn, A. M. (2012) · The University of Bath Online Publications Store (The University of Bath) · Cited by 3 · see citing works
Calidad de vida general, depresión y ansiedad: diferencias de acuerdo con el control del asma
Cervantes, C. T. S., Guillén-Díaz-Barriga, C., & Madrigal, V. A. M. (2021) · Actualidades en Psicología · doi:10.15517/ap.v35i131.41887 · Cited by 2 · see citing works
Cognitive Function in Pulmonary Disease
Hedges, D., Farrer, T. J., Bigler, E. D., & Hopkins, R. O. (2019) · Springer eBooks · doi:10.1007/978-3-030-14260-5_17 · Cited by 1 · see citing works
ASSESSMENT OF FACTORS AFFECTING QUALITY OF LIFE AND QUALITY OF LIFE IN ADULT ASTHMATIC OUTPATIENTS
Kocaman, N., Özkan, M., & All., A. (2008) · Journal of Istanbul Faculty of Medicine / İstanbul Tıp Fakültesi Dergisi · doi:10.18017/itfd.62093
Organisation of Asthma in Primary Care, Quality of Life and Sex-related Aspects in Asthma Outcomes
Lisspers, K. (2008) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
The Life's Limitations of Uncontrolled Asthma in a Developing Country: Results of an Albanian Survey
Xhixha, F., Gjata, E., Hitaj, M., Bakiri, A. H., Hyso, E., Ibranji, A., Shytaj, K., Ndreu, A., Resuli, B. F., & Mingomataj, E. (2013) · The Open Allergy Journal · doi:10.2174/1874838401306010001
Ponte, E. V., Souza‐Machado, A., Souza‐Machado, C., Franco, R. A., & Cruz, Á. A. (2011)
Qualidade de vida relacionada à saúde em indivíduos com asma durante a pandemia por Covid-19
Faria, R. J., Bazoni, P. S., dos Santos, J. B. R., & da Silva, M. R. R. (2024) · Ciência ET Praxis · doi:10.36704/cipraxis.v19i34.8756
- Authors
- Ekici, A., Ekici, M., Kara, T., Keles, H., & Kocyigit, P.
- Affiliations
- Kırıkkale University (TR)
- Corresponding author
- Ekici, Mehmet
- Venue
- Quality of Life Research
- Published
- 2006-02
- Volume
- 15
- Issue
- 1
- Pages
- 49-56
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2026548809
- Cited by
- 30
- References
- 37
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 1 · 2019: 5 · 2017: 1 · 2013: 2 · 2012: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- asthma, negative mood, quality of life, anxiety, hostility, fear, disease severity, FEV1, physical and mental health, asthma-specific quality of life
- MeSH terms
- Adult, Affect, Aged, Anxiety, Asthma, Fear, Female, Hostility, Humans, Male, Middle Aged, Negativism, Psychometrics, Quality of Life, Surveys and Questionnaires, Regression Analysis, Severity of Illness Index, Case-Control Studies, Sickness Impact Profile
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review