Anxiety and depression in adolescents with asthma: a study in clinical practice.
Journal
Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064
Informations de publication
Date de publication:
14 03 2022
14 03 2022
Historique:
received:
30
09
2020
accepted:
17
10
2020
entrez:
22
3
2022
pubmed:
23
3
2022
medline:
20
4
2022
Statut:
epublish
Résumé
Anxiety and depression may affect asthma control. Previously, it has been reported that the hospital anxiety depression scale (HADS) questionnaire was fruitful in the management of adolescents with asthma. This study compared the scores of two different questionnaires, namely the Childhood Anxiety Sensitivity Index (CASI) and Children's Depression Inventory (CDI), with asthma control level and lung function in asthmatic adolescents, evaluated in a real-life setting. A group of adolescents with asthma was consecutively enrolled. Asthma was diagnosed according to the GINA document, and consistently the symptom control grade was assessed. The adolescents completed the CASI, CDI, and Asthma Control Test (ACT) questionnaires. Visual Analogue Scale (VAS) for asthma symptoms perception and doctor's asthma control evaluation were considered. Lung function and clinical characteristics were also assessed. Totally, 87 asthmatic adolescents (60 males, 27 females, median age 14.2 years) were evaluated. 16.1% of asthmatic adolescents had anxious symptoms detected by CASI, and 11.5% depressive symptoms revealed by CDI. High scores of both CASI and CDI were significantly associated with uncontrolled asthma (p= 0.013 and 0.043, respectively). This study showed that anxiety and depression affected asthma control. Thus, in clinical practice, the psychological assessment could be included in asthmatic adolescents' asthma work-up.
Sections du résumé
BACKGROUND
Anxiety and depression may affect asthma control. Previously, it has been reported that the hospital anxiety depression scale (HADS) questionnaire was fruitful in the management of adolescents with asthma. This study compared the scores of two different questionnaires, namely the Childhood Anxiety Sensitivity Index (CASI) and Children's Depression Inventory (CDI), with asthma control level and lung function in asthmatic adolescents, evaluated in a real-life setting.
METHODS
A group of adolescents with asthma was consecutively enrolled. Asthma was diagnosed according to the GINA document, and consistently the symptom control grade was assessed. The adolescents completed the CASI, CDI, and Asthma Control Test (ACT) questionnaires. Visual Analogue Scale (VAS) for asthma symptoms perception and doctor's asthma control evaluation were considered. Lung function and clinical characteristics were also assessed.
RESULTS
Totally, 87 asthmatic adolescents (60 males, 27 females, median age 14.2 years) were evaluated. 16.1% of asthmatic adolescents had anxious symptoms detected by CASI, and 11.5% depressive symptoms revealed by CDI. High scores of both CASI and CDI were significantly associated with uncontrolled asthma (p= 0.013 and 0.043, respectively).
CONCLUSIONS
This study showed that anxiety and depression affected asthma control. Thus, in clinical practice, the psychological assessment could be included in asthmatic adolescents' asthma work-up.
Identifiants
pubmed: 35315428
doi: 10.23750/abm.v93i1.10731
pmc: PMC8972864
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2022021Références
Psychosomatics. 1999 Sep-Oct;40(5):404-13
pubmed: 10479945
J Asthma. 2011 Aug;48(6):640-6
pubmed: 21609306
Monaldi Arch Chest Dis. 2019 Sep 10;89(3):
pubmed: 31505919
Ann Allergy Asthma Immunol. 2015 Nov;115(5):408-14
pubmed: 26392047
Arch Dis Child. 2014 Aug;99(8):744-8
pubmed: 24812302
Clin Exp Allergy. 2018 Aug;48(8):944-956
pubmed: 29573024
Clin Exp Allergy. 2018 Jun;48(6):703-711
pubmed: 29513367
Ann Allergy Asthma Immunol. 2017 Dec;119(6):562-564.e1
pubmed: 29107463
J Allergy Clin Immunol Pract. 2018 Jan - Feb;6(1):227-235
pubmed: 28803180
Otolaryngol Head Neck Surg. 2005 Sep;133(3):429-35
pubmed: 16143195
J Allergy Clin Immunol. 2004 Jan;113(1):59-65
pubmed: 14713908
J Asthma. 2016;53(4):398-403
pubmed: 26666333
Psychiatry Investig. 2015 Jan;12(1):23-8
pubmed: 25670942
Pediatr Allergy Immunol. 2012 Sep;23(6):537-42
pubmed: 22625869
Acad Pediatr. 2017 Nov - Dec;17(8):850-854
pubmed: 28780328
Eur Respir J. 2005 Aug;26(2):319-38
pubmed: 16055882
Acad Pediatr. 2016 Nov - Dec;16(8):792-798
pubmed: 27049680
J Pediatr Psychol. 2015 Aug;40(7):623-32
pubmed: 25829528
J Adolesc Health. 2014 Aug;55(2):267-75
pubmed: 24630495
J Asthma. 2020 Jun;57(6):645-647
pubmed: 31014135
Am J Rhinol. 2006 Nov-Dec;20(6):641-7
pubmed: 17181110