Symptoms of anxiety and depression in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studies

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Symptoms of anxiety and depression in patients with persistent asthma : a cross-sectional analysis of the INSPIRERS studies

Simoes Cunha, Mafalda (author): Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.

Amaral, Rita (author): Uppsala universitet,Pediatrisk inflammations- och metabolismforskning samt barnhälsa,Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal.;Polytech Inst Porto, Porto Hlth Sch, Dept Cardiovasc & Resp Sci, Porto, Portugal

Pereira, Ana Margarida (author): Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Univ Porto, Dept Community Med Informat & Hlth Decis Sci MEDCI, Fac Med, Porto, Portugal.

Almeida, Rute (author): Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal.

Alves-Correia, Magna (author): Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.

Loureiro, Claudia Chaves (author): Ctr Hosp & Univ Coimbra, Hosp Univ Coimbra, Pulmonol Dept, Coimbra, Portugal.

Lopes, Cristina (author): Univ Porto, Basic & Clin Immunol, Fac Med, Porto, Portugal.;Hosp Pedro Hispano, Unidade Local Saude Matosinhos, Immunoallergol, Matosinhos, Portugal.

Carvalho, Joana (author): Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.

Ribeiro, Carmelita (author): Ctr Hosp & Univ Coimbra, Hosp Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.

Vidal, Carmen (author): Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostella, Spain.

Antolin-Amerigo, Dario (author): Hosp Univ Ramon & Cajal, Serv Alergia, Inst Ramon & Cajal Invest Sanit, Madrid, Spain.

Pinto, Diana (author): Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.

Ferreira-Magalhaes, Manuel (author): Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.

Vasconcelos, Maria Joao (author): Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.

Lozoya, Carlos (author): Hosp Amato Lusitano, Unidade Local Saude Castelo Branco, Allergy, Castelo Branco, Portugal.

Santos, Natacha (author): Ctr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.

Cardia, Francisca (author): Ctr Hosp Univ Algarve, Agrupamento Ctr Saude Dao Lafoes, Serv Imunoalergol, Unidade Saude Familiar Terras Azurara, Mangualde, Portugal.

Taborda-Barata, Luis (author): Univ Beira Interior, CICS UBI Ctr Invest Ciencias Saude Hlth Sci Res Ct, Covilha, Portugal.;Univ Beira Interior, UBIAir Clin & Expt Lung Ctr, Covilha, Portugal.;Cova Beira Univ Hosp Ctr, Dept Allergy & Clin Immunol, Covilha, Portugal.

Ferreira, Rosario (author): Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.

Morais Silva, Pedro (author): Grp HPA Saude, Immuno Allergol, Portimao, Portugal.

Ferreira, Tania Monteiro (author): Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Progresso Saude e, Tocha, Portugal.

Camara, Raquel (author): Hosp Nossa Senhora Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.

Silva, Eurico (author): Agrupamento Ctr Saude Baixo Vouga, Unidade Saude Familiar Joao Semana, Ovar, Portugal.

Bordalo, Diana (author): Unidade Hosp Famalicao, Serv Pediat, Ctr Hosp Medio Ave, Vila Nova De Famalicao, Portugal.

Guimaraes, Cristina (author): Agrupamento Ctr Saude Pinhal Litoral, Unidade Cuidados Saude Personalizados Norte Arnald, Monte Redondo, Portugal.

Calix, Maria Jose (author): Ctr Hosp Tondela Viseu, Hosp Sao Teotonio, Serv Pediat, Viseu, Portugal.

da Silva, Sofia (author): Unidade Local Saude Alto Minho, Unidade Saude Familiar Cuidarte, Portuzelo, Portugal.

Marques, Maria Luis (author): Hosp Senhora Oliveira, Serv Imunoalergol, Guimaraes, Guimaraes, Portugal.

Morete, Ana (author): Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Ctr Hosp Baixo Vouga, Hosp Infante Pedro, Serv Imunoalergol, Aveiro, Portugal.

Nunes, Carlos (author): Ctr Imunoalergol Algarve, Portimao, Portugal.

Vieira, Claudia (author): Agrupamento Ctr Saude Douro I Marao & Douro Norte, Unidade Saude Familiar Corgo, Vila Real, Portugal.

Pascoa, Rosalia (author): Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Dept Community Med Informat & Hlth Decis Sci MEDCI, Fac Med, Porto, Portugal.;ACeS Porto Ocidental, Unidade Saude Familiar Homem Leme, Porto, Portugal.

Alves, Adelaide (author): Ctr Hosp Vila Nova Gaia Espinho, Serv Pneumol, Vila Nova DeGaia, Portugal.

Marques, Jose Varanda (author): Agrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar Viseu Cidade, Viseu, Portugal.

Reis, Bruno (author): Agrupamento Ctr Saude Pinhal Litoral, Unidade Cuidados Saude Personalizados Sico, Leiria, Portugal.

Monteiro, Luis (author): Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Esgueira, ACES Baixo Vouga, Esgueira, Portugal.

Monteiro, Rosario (author): Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal.

Cepa, Margarida (author): ACES Pinhal Litoral, Unidade Saude Familiar Marques, Pombal, Portugal.

Valentim, Bruno (author): ACES Baixo Mondego, Unidade Saude Familiar Condeixa, Condeixa A Nova, Portugal.

Coelho, Daniela Sousa (author): ACES Tamega I Baixo Tamega, Unidade Cuidados Saude Personalizados Amarante, Amarante, Portugal.

Fernandes, Sara (author): ACES Cavado 1, Unidade Saude Familiar Bracara Augusta, Braga, Portugal.

Meireles, Patricia (author): ACES Douro II Douro Sul, Unidade Saude Familiar Almedina, Lamego, Portugal.

Aguiar, Margarida Abreu (author): ACES Grande Porto III Maia Valongo, Unidade Saude Familiar Valongo, Valongo, Portugal.

Mourao, Ana Rita (author): ACES Grande Porto VIII Espinho Gaia, Unidade Saude Familiar Canelas, Vila Nova De Gaia, Portugal.

Fonseca, Joao A. (author): Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal.;MEDIDA Med Educ Invest Desenvolvimento & Avaliacao, Porto, Portugal.

Jacome, Cristina (author): Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal.

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Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal Pediatrisk inflammations- och metabolismforskning samt barnhälsa (creator_code:org_t)

BMJ Publishing Group Ltd, 2023
2023
English.
In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:5

Related links:: https://doi.org/10.1...; show more...; https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

ObjectivesAnxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) and the European Quality of Life Five Dimension Questionnaire (EQ-5D); the level of agreement between these questionnaires, and the factors associated with these symptoms.MethodsThis is a secondary analysis of the INSPIRERS studies. A total of 614 adolescents and adults with persistent asthma (32.6 +/- 16.9 years, 64.7% female) were recruited from 30 primary care centres and 32 allergy, pulmonology and paediatric clinics. Demographic and clinical characteristics, HADS and EQ-5D were collected. A score >= 8 on Hospital Anxiety and Depression Scale-Anxiety/Hospital Anxiety and Depression Scale-Depression or a positive answer to EQ-5D item 5 indicated the presence of these symptoms. Agreement was determined by Cohen's kappa. Two multivariable logistic regressions were built.ResultsAccording to HADS, 36% of the participants had symptoms of anxiety and 12% of depression. According to EQ-5D, 36% of the participants had anxiety/depression. The agreement between questionnaires in identifying anxiety/depression was moderate (k=0.55, 95% CI 0.48 to 0.62). Late asthma diagnosis, comorbidities and female gender were predictors of anxiety/depression, while better asthma control, health-related quality of life and perception of health were associated with lower odds for anxiety/depression.ConclusionAt least 1/3 of the patients with persistent asthma experience symptoms of anxiety/depression, showing the relevance of screening these disorders in patients with asthma. EQ-5D and HADS questionnaires showed a moderate agreement in the identification of anxiety/depression symptoms. The identified associated factors need to be further investigated in long-term studies.

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By the author/editor: Simoes Cunha, Ma ...; Amaral, Rita; Pereira, Ana Mar ...; Almeida, Rute; Alves-Correia, M ...; Loureiro, Claudi ...; show more...; Lopes, Cristina; Carvalho, Joana; Ribeiro, Carmeli ...; Vidal, Carmen; Antolin-Amerigo, ...; Pinto, Diana; Ferreira-Magalha ...; Vasconcelos, Mar ...; Lozoya, Carlos; Santos, Natacha; Cardia, Francisc ...; Taborda-Barata, ...; Ferreira, Rosari ...; Morais Silva, Pe ...; Ferreira, Tania ...; Camara, Raquel; Silva, Eurico; Bordalo, Diana; Guimaraes, Crist ...; Calix, Maria Jos ...; da Silva, Sofia; Marques, Maria L ...; Morete, Ana; Nunes, Carlos; Vieira, Claudia; Pascoa, Rosalia; Alves, Adelaide; Marques, Jose Va ...; Reis, Bruno; Monteiro, Luis; Monteiro, Rosari ...; Cepa, Margarida; Valentim, Bruno; Coelho, Daniela ...; Fernandes, Sara; Meireles, Patric ...; Aguiar, Margarid ...; Mourao, Ana Rita; Fonseca, Joao A.; Jacome, Cristina; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

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Symptoms of anxiety and depression in patients with persistent asthma : a cross-sectional analysis of the INSPIRERS studies

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