Cited by 177Asthma and respiratory diseasesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChronic Obstructive Pulmonary Disease (COPD) Research

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The impact of anxiety and depression on outpatients with asthma

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Ciprandi, Giorgio, Schiavetti, Irene, Rindone, Elena, Ricciardolo, Fabio L.M.·2015·Annals of Allergy, Asthma & Immunology

DOI 10.1016/j.anai.2015.08.007

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Abstract

Background Anxiety and depression may frequently affect patients with asthma. However, the findings of several studies are partially conflicting and conducted in selected cohorts. Objective To investigate the effect of anxiety and depression in a group of outpatients with asthma. Methods This cross-sectional, real-life study included 263 patients (109 males; mean age, 39.2 years) with asthma. Clinical examination, lung function, fractional exhaled nitric oxide measurement, Asthma Control Test (ACT) score, asthma control grade, perception of symptoms by visual analog scale, and Hospital Anxiety and Depression Scale (HADS) questionnaires were evaluated. Results Globally, 97 patients (36.9%) had anxiety, and 29 (11%) had depression. Of these patients, 71 had combined anxiety and depression. Anxiety and depression were associated with poor asthma control (P =.007 and .02, respectively). Patients with depression had higher body mass indexes (P =.002). Anxiety and depression were associated with lower ACT scores (P < .001 for both). The scores on the anxiety and depression subscales of HADS were moderately related (r = 0.57). Conclusions The present real-life study indicates that anxiety and depression are common and relevant comorbidities in asthmatic outpatients and are associated with uncontrolled asthma and lower ACT scores. Thus, assessment of comorbid mental disorders should be performed in common practice.

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Authors: Ciprandi, G., Schiavetti, I., Rindone, E., & Ricciardolo, F. L. M.
Affiliations: Ospedale Policlinico San Martino (IT)
University of Genoa (IT)
University of Turin (IT)
Corresponding author: Ciprandi, Giorgio
ORCID: Ciprandi, Giorgio
Schiavetti, Irene
Ricciardolo, Fabio L.M.
Venue: Annals of Allergy, Asthma & Immunology
Publisher: Elsevier BV
Published: 2015-11
Volume: 115
Issue: 5
Pages: 408-414
ISSN: 1081-1206 (ISSN-L)
DOI: 10.1016/j.anai.2015.08.007
OpenAlex: W2097414539
Cited by: 177
References: 47
Citations by year: 2026: 7 · 2025: 12 · 2024: 15 · 2023: 11 · 2022: 17 · 2021: 21 · 2020: 53 · 2019: 14 · 2018: 10 · 2017: 8 · 2016: 8 · 2015: 1
FWCI: 6.63
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Annals of Allergy Asthma & Immunology (publishedVersion)
PubMed (publishedVersion)
CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords: asthma, anxiety, depression, comorbidities, asthma control, Asthma Control Test, outpatients, body mass index, mental health screening
MeSH terms: Adult, Anxiety, Asthma, Cross-Sectional Studies, Depression, Depressive Disorder, Female, Humans, Male, Outpatients, Severity of Illness Index, Visual Analog Scale

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The impact of anxiety and depression on outpatients with asthma

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