Asthma, much more than a respiratory disease: influence of depression and anxiety

Hurtado-Ruzza, Rafael; Iglesias, Óscar Álvarez-Calderón; Dacal-Quintas, Raquel; Becerro-de-Bengoa-Vallejo, Ricardo; Calvo-Lobo, César; San-Antolín, Marta; Losa-Iglesias, Marta Elena; López-López, Daniel

doi:10.1590/1806-9282.20201066

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Brasil

Revista da Associação Médica Brasileira

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Original Article • Rev. Assoc. Med. Bras. 67 (4) • Apr 2021 • https://doi.org/10.1590/1806-9282.20201066 copy

Asthma, much more than a respiratory disease: influence of depression and anxiety

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVE:

The goals of this study are to compare self-reported depression and anxiety in subjects diagnosed of asthma and healthy controls.

METHODS:

We designed a case-control study. Subjects were recruited using a consecutive sampling method from a single institution. Two groups were created: Asthma and healthy controls. Data of medical history and demographic background were collected from the medical record. Self-reported depression level was assessed using Beck's depression inventory (BDI). Self-reported anxiety was measured with the “State-trait anxiety inventory” (STAI).

RESULTS:

Fifty-one subjects with asthma, and fifty healthy patients were included in this study. BDI scores (p<0.001) were higher for asthma (10.22±7.3) than in the control group (5.2±6.56). STAI state (p<0.001) was higher in asthma (42.61±11.5) than in controls (34.88±9.25). STAI trait (p<0.001) showed higher scores in asthma (43.14±10.89) than in controls (34.62±9.19).

CONCLUSIONS:

These study findings showed that BDI, and STAI trait and state scores are significantly higher in subjects who suffer from asthma than healthy controls.

KEYWORDS:
Depression; Anxiety; Asthma

	Sample	Control	Asthma	p-value
	Mean±SD (range) n=52	Mean±SD (range) n=50	Mean± SD (range) n=51	p-value
Age (years)	51.39±18.45 (18–95)	42.84±15.69 (19–83)	59.76±17.17 (18–95)	<0.001^* * Mann-Whitney U test was used.
Weight (Kg)	72.59±13.83 (43–115)	70.37±13.9 (47–115)	74.76±13.51 (43–109)	0.111^† † Student t-test for independent samples test was used.
Height (m)	1.66±0.1 (1.45–1.90)	1.69±0.92 (1.50–1.89)	1.63±0.10 (1.45–1.90)	0.003^* * Mann-Whitney U test was used.
BMI (Kg/m²)	26.31±4.79 (17.59–45.78)	24.48±3.42 (17.59–33.79)	28.09±5.27 (18.13–45.78)	<0.001^* * Mann-Whitney U test was used.
Sex (female/male)	64/37	32/18	32/19	1.000^‡ ‡ Fisher exact test was used.
Smoker (no/yes/former)	69/11/21	38/7/5	31/4/16	0.026^§ § Chi-squared (χ2) test was used.

	Sample	Control	Asthma	p-value
	Mean±SD (range) n=52	Mean±SD (range) n=50	Mean±SD (range) n=51	p-value
STAI-State	38.78±11.10 (21–71)	34.88±9.25 (21–66)	42.60±1.50 (21–71)	<0.001^* * Student t-test for independent samples test was used.
STAI-Trait	38.92±10.91 (20–69)	34.62±9.19 (20–65)	47.13±10.89 (20–69)	<0.001^† † Mann-Whitney U test was used.
BDI	7.73±7.35 (0–36)	5.20±6.56 (0–36)	10.21±7.30 (0–27)	<0.001^† † Mann-Whitney U test was used.

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E-mail: ramb@amb.org.br

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[1] *Corresponding author: marta.sanantolin@universidadeuropea.es