Asthma and mental disorders in Canada: Impact on functional impairment and mental health service use
Abstract
Objective The goal of this study is to examine the association between asthma and mental disorders and the impact of asthma and mental disorder comorbidity on functional impairment and mental health care service use among adults in the community. Methods Data came from the Canadian Community Health Survey Cycle 1.2 (N=36,984; age >/=15 years; response rate, 77%). Mental disorders were assessed using the Composite International Diagnostic Interview. Chronic physical health conditions, quality of life, and disability were also assessed. Asthma diagnoses were based on self-report of having been diagnosed with asthma by a health care professional. Results Asthma was associated with a significantly increased likelihood of a range of mental disorders among adults in Canada, with the strongest links between asthma and posttraumatic stress disorder, mania, and panic disorder. Adults with both mental disorders and asthma had significantly higher rates of functional impairment and use of mental health services, compared with those with either asthma or mental disorders but not both. Conclusions Our findings provide new information suggesting that adults in the community with asthma and mental disorders have higher levels of both short- and long-term health-condition-related functional disability and greater use of mental health services, compared with those with asthma without mental disorders. Results are also consistent with previous studies showing a significant link between asthma…
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Among people with asthma, higher anxiety and depression are linked to several worse asthma outcomes.
“Elevated anxiety and depression among those with asthma (Goodwin et al., 2010; Opolski & Wilson, 2005) is associated with a number of negative asthma-related outcomes (Afari, Schmaling, Barnhart & Buchwald, 2001; Deshmukh et al., 2008; Eisner, Katz, Lactao, & Irbarren, 2005; Kullowatz et al., 2007).”
From Evaluating the role of mindfulness in terms of asthma-related outcomes and depression and anxiety symptoms among individuals with asthma. (2019) · cites this paper as Goodwin et al., 2010
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- Authors
- Goodwin, R. D., Pagura, J., Cox, B., & Sareen, J.
- Affiliations
- University of Manitoba (CA)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 68
- Issue
- 2
- Pages
- 165-173
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2022523633
- Cited by
- 58
- References
- 0
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 4 · 2018: 5 · 2017: 5 · 2016: 3 · 2015: 5 · 2014: 8 · 2013: 3 · 2012: 6
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- National Institute of Mental Health (K23MH064736)
- National Institute on Drug Abuse (R01 DA20896)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- asthma, mental illness, comorbidities, functional disability, mental health service utilization, post-traumatic stress disorder, mania, panic disorder, disability, quality of life, chronic physical illness, adults, community health
- MeSH terms
- Activities of Daily Living, Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Asthma, Mental Disorders, Canada, Female, Health Status, Health Surveys, Humans, Male, Mental Health Services, Middle Aged, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Sex Factors, Comorbidity
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