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Impact of anxiety a...
Impact of anxiety and depression on respiratory symptoms
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- Leander, Mai (author)
- Uppsala universitet,Lungmedicin och allergologi,Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University; Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University,Uppsala Univ, Dept Med Sci Occupat & Environm Med, SE-75185 Uppsala, Sweden
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- Lampa, Erik (author)
- Uppsala universitet,Arbets- och miljömedicin,Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University,Uppsala Univ, Dept Med Sci Occupat & Environm Med, SE-75185 Uppsala, Sweden
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- Rask-Andersen, Anna (author)
- Uppsala universitet,Arbets- och miljömedicin,Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University,Uppsala Univ, Dept Med Sci Occupat & Environm Med, SE-75185 Uppsala, Sweden
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- Franklin, Karl (author)
- Umeå universitet,Kirurgi
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- Gislason, T. (author)
- Department of Respiratory Medicine and Sleep, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland; Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland,Landspitali, Dept Resp Med & Sleep, Reykjavik, Iceland
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- Oudin, Anna (author)
- Umeå universitet,Yrkes- och miljömedicin
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- Svanes, C. (author)
- Bergen Respiratory Research Group, Institute of Medicine, University of Bergen and Department of Occupational Medicine, Haukeland University Hospital Bergen, Bergen, Norway,Univ Bergen, Inst Med, Bergen Resp Res Grp, Bergen, Norway
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- Torén, Kjell, 1952 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin,Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine,Section of Occupational and Environmental Medicine University of Gothenburg,Med Univ Gothenburg, Sect Occupat & Environm Med, S-40530 Gothenburg, Sweden
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- Janson, Christer (author)
- Uppsala universitet,Lungmedicin och allergologi,Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University,Uppsala Univ, Dept Med Sci Resp Med & Allergol, SE-75185 Uppsala, Sweden
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(creator_code:org_t)
- Elsevier BV, 2014
- 2014
- English.
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In: Respiratory Medicine. - : Elsevier BV. - 0954-6111 .- 1532-3064. ; 108:11, s. 1594-1600
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Abstract
Subject headings
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- Psychological factors such as anxiety and depression are prevalent in patients with asthma. The purpose of this study was to investigate the relationship between respiratory symptoms and psychological status and to estimate the importance of psychological status in comparison with other factors that are known to be associated with respiratory symptoms. This study included 2270 subjects aged 20-44 (52% female) from Sweden, Iceland, and Norway. Each participant underwent a clinical interview including questions on respiratory symptoms. Spirometry and methacholine challenge were performed. Symptoms of depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Eighty-two percent of the subjects reported no anxiety or depression whatsoever, 11% reported anxiety, 2.5% depression and 4% reported both anxiety and depression. All respiratory symptoms, such as wheezing, breathlessness and nightly symptoms, were more common, at a statistically significant level, in participants who had depression and anxiety, even after adjusting for confounders (ORs 1.33-1.94). The HADS score was the most important determinant for nightly symptoms and attacks of breathlessness when at rest whereas bronchial responsiveness was the most important determinant for wheezing, and breathlessness when wheezing. The probability of respiratory symptoms related to HADS score increased with increasing HADS score for all respiratory symptoms. In conclusion, there is a strong association between respiratory symptoms and psychological status. There is therefore a need for interventional studies designed to improve depression and anxiety in patients with respiratory symptoms. (C) 2014 Elsevier Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Asthma
- Anxiety
- Depression
- HEALTH SURVEY ECRHS
- AIRWAY HYPERRESPONSIVENESS
- HOSPITAL ANXIETY
- BRONCHIAL RESPONSIVENESS
- MULTIVARIATE IMPUTATION
- PSYCHOLOGICAL STATUS
- ASTHMA DIAGNOSIS
- INCIDENT ASTHMA
- WEIGHT-LOSS
- PREVALENCE
- asthma
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Leander, Mai
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Lampa, Erik
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Rask-Andersen, A ...
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Franklin, Karl
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Gislason, T.
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Oudin, Anna
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Svanes, C.
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Torén, Kjell, 19 ...
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Janson, Christer
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Psychiatry
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Respiratory Medi ...
- By the university
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University of Gothenburg
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Uppsala University
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Red Cross University College
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Umeå University