Depressive symptomatology, quality of life and disease control among individuals with well-characterized severe asthma
Open accessAbstract
OBJECTIVES: A thorough examination of the relationship of asthma severity and control with symptoms of depression is needed to identify groups of asthmatics at high risk for poor disease control outcomes. This study examines the relationship of symptoms of depression with severity and control in a well-characterized cohort of asthmatics and healthy controls. METHODS: Depressive symptoms and quality of life were assessed using the Beck Depression Inventory. Disease control was measured by a composite index incorporating symptoms, activity limitation and rescue medication use. RESULTS: Individuals with asthma (n = 91) reported more symptoms of depression than controls (n = 36; p < 0.001). Those with severe asthma (n = 49) reported more symptoms of depression (p = 0.002) and poorer asthma control (p < 0.0001) than those with not severe asthma. Worse asthma control was associated with more depressive symptoms in severe (r = 0.46, p = 0.002) but not in not severe (r = 0.13, p = 0.40) asthmatics. The relationship of symptoms of depression among severe asthmatics was attenuated by disease control. Exploratory analyses identified specific disease symptom characteristics, as opposed to exacerbations, as associated with symptoms of depression. CONCLUSIONS: Among individuals with severe asthma, increased symptom burden is positively associated with risk for co-morbid depression. These findings point to a need for regular mood disorder screenings and treatment referrals among this group. Further research is warranted to examine whether treatment of comorbid depression improves treatment adherence and asthma-related quality of life.
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Asthma has a significant association with psychiatric mood disorders, especially anxiety and depression.
“Studies have demonstrated a significant association of asthma with psychiatric mood disorders, anxiety, and depression in particular (5).”
From The Effect of Group Acceptance and Commitment Therapy on the Management of Asthma: A Randomized Clinical Trial (2022) · cites this paper as [5]
The Introduction says individuals with asthma are at increased risk for depressive symptoms, and the Discussion reports an association between asthma severity and depressive symptoms. The claim's anxiety component is not established by this study: the Discussion states that no anxiety measure was collected. The supplied passages have section labels but no page numbers. (LLM, conf=0.88)
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- Authors
- Yonas, M. A., Marsland, A. L., Emeremni, C. A., Moore, C. G., Holguin, F., & Wenzel, S.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Yonas, Michael A.
- Venue
- Journal of Asthma
- Publisher
- Informa UK Limited
- Published
- 2013-07-15
- Volume
- 50
- Issue
- 8
- Pages
- 884-890
- ISSN
- 0277-0903 (ISSN-L)
- 1532-4303
- PMC
- PMC4029326
- OpenAlex
- W2043453021
- Cited by
- 36
- References
- 48
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 6 · 2013: 1
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Asthma (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005, KL2TR000146)
- National Heart, Lung, and Blood Institute (R01HL069174, HL069174)
- National Center for Research Resources (RR-024153, UL1RR024153)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- severe asthma, depressive symptoms, depression, asthma control, quality of life, asthma severity, symptom burden, rescue medication use, activity limitation, comorbidities
- MeSH terms
- Adult, Asthma, Depression, Female, Forced Expiratory Volume, Humans, Male, Pennsylvania, Quality of Life, Surveys and Questionnaires, Socioeconomic Factors, Cohort Studies, Statistics, Nonparametric
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 ›
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