Prevalence of Depressive Symptoms Among Adults with Asthma

Details

• Personal Author:
  Blanc PD ; Earnest, Gary S. ; Eisner MD ; Katz PP ; San Pedro M ; Yelin EH
• Description:
  The prevalence of depression is increased in certain chronic conditions but has not been well studied in asthma. We estimated the prevalence of depressive symptoms (DEP _SX) among a group of adults with asthma. We analyzed cross-sectional data from an ongoing study of adults with asthma surveyed by telephone (n=439). The CES-D (score range 0-60) was used to measure depressive symptoms. Individuals with DEP _SX (CES-D approximately 16) were identified. To identify independent risk factors for DEP _SX, we used multivariate regression analyses with the following independent variables: age, sex, race, education, # comorbid conditions, and severity of asthma score. A second set of analyses was conducted adding the Physical Component Score (PCS) of the SF-12, a measure of physical functioning, as an independent variable. 29% (n=129) had CES-D scores indicative of possible DEP _SX. Based on multivariate analyses, risk factors for DEP _SX were current smoking (OR=3.0 [95% CI 1.3,7.3]), more severe asthma (OR= 1.06 [1.02, 1.11] per I-pt increase), presence of?:2 comorbid conditions (2.4 [1.2, 4.7), female gender (1.8 [1.1, 3.2]), and age<45 years (2.0 [1.2, 3.3]). Adding PCS-12 improved the predictive model significantly (X2 for difference in models = 22.9, p<.OOI). In the model with PCS, only lower PCS (poorer function; OR=0.94 [.91, .96] per I-point decrease in PCS), current smoking (3.0 [1.2, 7.4]), and younger age (2.1 [1.2,3.6]) were significant predictors of DEP _SX. In this model, asthma severity was not significantly related to DEP _SX. DEP _SX appear to be significantly more common among adults with asthma than among the general population. Severity of asthma is a significant risk factor for DEP_SX, although the effect of severity is mediated by physical functioning. Smoking and younger age are also independent risk factors for DEP _SX. Health care providers should consider screening their patients with asthma for depression. [Description provided by NIOSH]
• Subjects:
  Age Factors Education Irritants Lung Mental Health Occupational Exposure Occupational Health Race Factors Respiratory Function Tests Respiratory System Respiratory Tract Diseases Safety Smokers

  More +
• Keywords:
  Age-factors Chronic-exposure Psychological-effects Psychological-responses Pulmonary-function Pulmonary-system Pulmonary-system-disorders Racial-factors Respiratory-function-tests Respiratory-irritants Respiratory-system-disorders Smoking Surveillance-programs

  More +
• ISSN:
  1073-449X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary ; Proceedings
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  165
• Issue:
  8
• NIOSHTIC Number:
  nn:20022968
• Citation:
  Am J Respir Crit Care Med 2002 Apr; 165(8)(Suppl):A434
• Federal Fiscal Year:
  2002
• NORA Priority Area:
  Research Tools and Approaches: Social and Economic Consequences
• Performing Organization:
  Cardiovascular Research Institute, The University of California, San Fransico California
• Peer Reviewed:
  False
• Start Date:
  19970930
• Source Full Name:
  American Journal of Respiratory and Critical Care Medicine, 2002 International Conference, The American Thoracic Society, Atlanta Georgia, May 17-22, 2002
• Supplement:
  Suppl
• End Date:
  20010929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:226bbecedf57c44aa85e6ef7aca4d42151de4f91ac84168d1079f963192cb1b4f77634d1f4e44bde57c501ae4f7b6806298fcd62361c0373f89a434fdbbff876
• Download URL:
  https://stacks.cdc.gov/view/cdc/199570/cdc_199570_DS1.pdf
• File Type:
  [PDF - 187.56 KB ]