Impact of Depression and Anxiety on Quality of Life, Health Behaviors, and Asthma Control Among Adults in the United States with Asthma, 2006

Strine, Tara W.; Mokdad, Ali H.; Balluz, Lina S.; Berry, Joyce T.; Gonzalez, Olinda

doi:10.1080/02770900701840238

Cited by 179Asthma and respiratory diseasesMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Impact of Depression and Anxiety on Quality of Life, Health Behaviors, and Asthma Control Among Adults in the United States with Asthma, 2006

Strine, Tara W., Mokdad, Ali H., Balluz, Lina S., Berry, Joyce T., Gonzalez, Olinda·2008·Journal of Asthma

DOI 10.1080/02770900701840238

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Abstract

BACKGROUND: Psychological factors such as anxiety and depression are increasingly being recognized as influencing the onset and course of asthma. METHODS: We obtained Patient Health Questionnaire 8 depression data from 41 states and territories using the 2006 Behavioral Risk Factor Surveillance System. Heath risk behaviors, social and emotional support, life satisfaction, disability, and four health-related quality-of-life (HRQOL) questions were available for all states and territories (n = 18,856 with asthma). Five additional HRQOL questions were asked in three states (n = 1345 persons with asthma), and questions assessing asthma control were available for nine states (n = 3943 persons with asthma). RESULTS: Persons with asthma were significantly more likely than those without asthma to have current depression (19.4% vs. 7.7%), a lifetime diagnosis of depression (30.6% vs. 14.4%), and anxiety (23.5% vs. 10.2%). For most domains examined, there was a dose-response relationship between level of depression severity and mean number of days of impaired HRQOL in the past 30 days, as well as an increased prevalence of life dissatisfaction, inadequate social support, disability, and risk behaviors, such as smoking, physical inactivity, and obesity, among those with asthma. Moreover, depression and anxiety were associated with a decreased level of asthma control, including more visits to the doctor or emergency room, inability to do usual activities, and more days of symptoms compared to those without depression or anxiety. CONCLUSION: This research indicates that a multidimensional, integrative approach to health care should be considered when assessing patients with asthma.

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A diagnosis of asthma and a comorbid anxiety disorder increase the risk for poor asthma control, impaired quality of life, and increased health care utilization.
“A diagnosis of asthma and a comorbid anxiety disorder increase the risk for poor asthma control, impaired quality of life as well as increased health care utilization (Braido et al., 2016; Strine et al., 2008).”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Strine et al., 2008

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Authors: Strine, T. W., Mokdad, A. H., Balluz, L. S., Berry, J. T., & Gonzalez, O.
Affiliations: Centers for Disease Control and Prevention (US)
Substance Abuse and Mental Health Services Administration (US)
ORCID: Mokdad, Ali H.
Venue: Journal of Asthma
Publisher: Informa UK Limited
Published: 2008-01
Volume: 45
Issue: 2
Pages: 123-133
ISSN: 0277-0903 (ISSN-L)
1532-4303
DOI: 10.1080/02770900701840238
OpenAlex: W2010741480
Cited by: 179
References: 61
Citations by year: 2026: 1 · 2025: 4 · 2024: 11 · 2023: 12 · 2022: 8 · 2021: 9 · 2020: 12 · 2019: 11 · 2018: 10 · 2017: 7 · 2016: 12 · 2015: 9 · 2014: 12 · 2013: 13 · 2012: 15
FWCI: 7.47
Type: journal article
Language: en
Open access: closed
Locations: Journal of Asthma (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: asthma, depression, anxiety, health-related quality of life, asthma control, health behavior, social support, life satisfaction, disability, smoking, physical inactivity, obesity, emergency department visits, psychological factors in asthma
MeSH terms: Adolescent, Adult, Aged, Anxiety, Asthma, Depression, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, United States, Health Behavior

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Impact of Depression and Anxiety on Quality of Life, Health Behaviors, and Asthma Control Among Adults in the United States with Asthma, 2006

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