Cited by 130Asthma and respiratory diseasesChronic Obstructive Pulmonary Disease (COPD) ResearchOccupational exposure and asthma

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Impact of depressive symptoms on adult asthma outcomes

Eisner, Mark D., Katz, Patricia P., Lactao, Gretchen, Iribarren, Carlos·2005·Annals of Allergy, Asthma & Immunology

DOI 10.1016/s1081-1206(10)61135-0

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Abstract

Background Psychological disorders, including depression, are common in adults with asthma. Although depression is treatable, its impact on longitudinal asthma outcomes is not clear.Objective To elucidate the impact of depressive symptoms on patient-centered outcomes and emergency health care use in adults with asthma.Methods We conducted a prospective cohort study of 743 adults with asthma who were recruited after hospitalization for asthma. Depressive symptoms were defined as having a score of 16 or more on the Center for Epidemiologic Studies Depression Scale. We examined the impact of depressive symptoms on patient-centered outcomes (validated severity-of-asthma score, Marks Asthma Quality of Life Questionnaire, and 12-Item Short-Form Health Survey physical component summary score) and on future emergency health care use for asthma ascertained from computerized databases.Results The prevalence of depressive symptoms was 18% (95% confidence interval [CI], 15%-21%) among adults with asthma. Depressive symptoms were associated with greater severity-of-asthma scores after controlling for age, sex, race/ ethnicity, educational attainment, and cigarette smoking (mean score increment, 2.6 points; 95% CI, 1.8-3.4 points). Furthermore, depressive symptoms were associated with poorer asthma-specific quality of life (mean score increment, 19.9 points; 95% CI, 17.7-22.1 points) and poorer physical health status (mean score decrement, 3.7 points; 95% CI, 1.5-5.8 points). Depressive symptoms were associated with a greater longitudinal risk of hospitalization for asthma (hazard ratio, 1.34; 95% CI, 0.98-1.84). After controlling for differences in preventive care for asthma, the relationship was stronger (hazard ratio, 1.45; 95% CI, 1.05-2.0).Conclusion Depressive symptoms are common in adults with asthma and are associated with poorer health outcomes, including greater asthma severity and risk of hospitalization for asthma.

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Authors: Eisner, M. D., Katz, P. P., Lactao, G., & Iribarren, C.
Affiliations: University of California, San Francisco (US)
Kaiser Permanente (US)
Corresponding author: Eisner, Mark D.
ORCID: Eisner, Mark D.
Katz, Patricia P.
Iribarren, Carlos
Venue: Annals of Allergy, Asthma & Immunology
Publisher: Elsevier BV
Published: 2005-05
Volume: 94
Issue: 5
Pages: 566-574
ISSN: 1081-1206 (ISSN-L)
DOI: 10.1016/s1081-1206(10)61135-0
OpenAlex: W2039110930
Cited by: 130
References: 65
Citations by year: 2025: 3 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 9 · 2017: 6 · 2016: 7 · 2015: 6 · 2014: 3 · 2013: 6 · 2012: 13
FWCI: 5.42
Type: journal article
Language: en
Open access: closed
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)
Funders: National Heart, Lung, and Blood Institute (K23HL004201, K23 HL-04201)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
Keywords: depressive symptoms, depression, asthma, asthma severity, asthma-specific quality of life, physical health status, emergency department visits, asthma hospitalization, patient-centered outcomes, psychological comorbidity
MeSH terms: Adult, Asthma, California, Depression, Female, Health Status, Hospitalization, Humans, Male, Prospective Studies, Quality of Life, Surveys and Questionnaires, Risk Factors, Cohort Studies, Prevalence

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