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Anxiety, depression and personality traits in severe, prednisone-dependent asthma
Summary Background Anxiety and depression are prevalent in patients with asthma, and associated with more exacerbations and increased health care utilization. Since psychiatric intervention might improve asthma control, we examined whether patients with severe, prednisone-dependent asthma are at hig...
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| Published in: | Respiratory medicine 2014-03, Vol.108 (3), p.438-444 |
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| container_title | Respiratory medicine |
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| creator | Amelink, Marijke Hashimoto, Simone Spinhoven, Philip Pasma, Henk R Sterk, Peter J Bel, Elisabeth H ten Brinke, Anneke |
| description | Summary Background Anxiety and depression are prevalent in patients with asthma, and associated with more exacerbations and increased health care utilization. Since psychiatric intervention might improve asthma control, we examined whether patients with severe, prednisone-dependent asthma are at higher risk of these disorders than patients with severe non-prednisone dependent asthma or mild-moderate asthma, and whether they exhibit different personality traits. Methods Sixty-seven adults with severe prednisone-dependent asthma, 47 with severe non-prednisone dependent and 73 patients with mild-moderate asthma completed the HADS depression and anxiety subscale and the NEO-FFI for personality traits. In addition, asthma duration, body mass index and FEV1 were measured. Results The prevalence of clinically significant depressive symptoms (9% vs. 0 vs. 0%; p = 0.009) and anxiety symptoms (19% vs. 6.4 vs. 5.5%; p = 0.01), was higher in patients with severe, prednisone-dependent asthma than in patients with severe non-prednisone dependent or mild-moderate asthma. Patients with prednisone-dependent asthma were respectively 3.4 (95%CI: 1.0–10.8 p = 0.04) and 3.5 (95%CI: 1.3–9.6 p = 0.01) times more likely to have significant depression symptoms and 1.6 (95%CI: 0.7–3.7, p = 0.2) and 2.5 (95%CI: 01.1–5.5, p = 0.02) times more likely to have symptoms of anxiety than patients with severe non-prednisone dependent or mild-moderate asthma. There were no differences found in personality traits between the 3 groups. Conclusion Patients with severe, prednisone-dependent asthma have more often psychological distress as compared to patients with severe non-prednisone dependent or mild-moderate asthma. |
| doi_str_mv | 10.1016/j.rmed.2013.12.012 |
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Since psychiatric intervention might improve asthma control, we examined whether patients with severe, prednisone-dependent asthma are at higher risk of these disorders than patients with severe non-prednisone dependent asthma or mild-moderate asthma, and whether they exhibit different personality traits. Methods Sixty-seven adults with severe prednisone-dependent asthma, 47 with severe non-prednisone dependent and 73 patients with mild-moderate asthma completed the HADS depression and anxiety subscale and the NEO-FFI for personality traits. In addition, asthma duration, body mass index and FEV1 were measured. Results The prevalence of clinically significant depressive symptoms (9% vs. 0 vs. 0%; p = 0.009) and anxiety symptoms (19% vs. 6.4 vs. 5.5%; p = 0.01), was higher in patients with severe, prednisone-dependent asthma than in patients with severe non-prednisone dependent or mild-moderate asthma. Patients with prednisone-dependent asthma were respectively 3.4 (95%CI: 1.0–10.8 p = 0.04) and 3.5 (95%CI: 1.3–9.6 p = 0.01) times more likely to have significant depression symptoms and 1.6 (95%CI: 0.7–3.7, p = 0.2) and 2.5 (95%CI: 01.1–5.5, p = 0.02) times more likely to have symptoms of anxiety than patients with severe non-prednisone dependent or mild-moderate asthma. There were no differences found in personality traits between the 3 groups. Conclusion Patients with severe, prednisone-dependent asthma have more often psychological distress as compared to patients with severe non-prednisone dependent or mild-moderate asthma.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2013.12.012</identifier><identifier>PMID: 24462260</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Anxiety ; Anxiety Disorders - epidemiology ; Anxiety Disorders - psychology ; Asthma ; Asthma - epidemiology ; Asthma - psychology ; Chronic illnesses ; Cross-Sectional Studies ; Depression ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Disease ; Female ; Glucocorticoids - therapeutic use ; Hospitals ; Humans ; Inventory ; Male ; Middle Aged ; Personality ; Personality traits ; Prednisone - therapeutic use ; Prevalence ; Psychopathology ; Pulmonary/Respiratory ; Questionnaires ; Risk Factors ; Smoking ; Standard deviation ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Respiratory medicine, 2014-03, Vol.108 (3), p.438-444</ispartof><rights>2014</rights><rights>Copyright © 2014. Published by Elsevier Ltd.</rights><rights>Copyright Elsevier Limited Mar 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c549t-aefbbf68ddae19e83bddf067196d858c6de427900d7e5ca061d5210ac7026ba13</citedby><cites>FETCH-LOGICAL-c549t-aefbbf68ddae19e83bddf067196d858c6de427900d7e5ca061d5210ac7026ba13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24462260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amelink, Marijke</creatorcontrib><creatorcontrib>Hashimoto, Simone</creatorcontrib><creatorcontrib>Spinhoven, Philip</creatorcontrib><creatorcontrib>Pasma, Henk R</creatorcontrib><creatorcontrib>Sterk, Peter J</creatorcontrib><creatorcontrib>Bel, Elisabeth H</creatorcontrib><creatorcontrib>ten Brinke, Anneke</creatorcontrib><title>Anxiety, depression and personality traits in severe, prednisone-dependent asthma</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>Summary Background Anxiety and depression are prevalent in patients with asthma, and associated with more exacerbations and increased health care utilization. Since psychiatric intervention might improve asthma control, we examined whether patients with severe, prednisone-dependent asthma are at higher risk of these disorders than patients with severe non-prednisone dependent asthma or mild-moderate asthma, and whether they exhibit different personality traits. Methods Sixty-seven adults with severe prednisone-dependent asthma, 47 with severe non-prednisone dependent and 73 patients with mild-moderate asthma completed the HADS depression and anxiety subscale and the NEO-FFI for personality traits. In addition, asthma duration, body mass index and FEV1 were measured. Results The prevalence of clinically significant depressive symptoms (9% vs. 0 vs. 0%; p = 0.009) and anxiety symptoms (19% vs. 6.4 vs. 5.5%; p = 0.01), was higher in patients with severe, prednisone-dependent asthma than in patients with severe non-prednisone dependent or mild-moderate asthma. Patients with prednisone-dependent asthma were respectively 3.4 (95%CI: 1.0–10.8 p = 0.04) and 3.5 (95%CI: 1.3–9.6 p = 0.01) times more likely to have significant depression symptoms and 1.6 (95%CI: 0.7–3.7, p = 0.2) and 2.5 (95%CI: 01.1–5.5, p = 0.02) times more likely to have symptoms of anxiety than patients with severe non-prednisone dependent or mild-moderate asthma. There were no differences found in personality traits between the 3 groups. Conclusion Patients with severe, prednisone-dependent asthma have more often psychological distress as compared to patients with severe non-prednisone dependent or mild-moderate asthma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - psychology</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - psychology</subject><subject>Chronic illnesses</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Disease</subject><subject>Female</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Inventory</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Personality</subject><subject>Personality traits</subject><subject>Prednisone - therapeutic use</subject><subject>Prevalence</subject><subject>Psychopathology</subject><subject>Pulmonary/Respiratory</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Standard deviation</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kU1r3DAQhkVpabZp_0APxdBLD7EzI1laG0ohhH5BIJS2ZyFLY6qtV95K2pD995G7CYUcetJhnvcV8wxjrxEaBFTnmyZuyTUcUDTIG0D-hK1QCl4LUO1TtoJetrVCxBP2IqUNAPRtC8_ZCW9bxbmCFft2EW495cNZ5WgXKSU_h8oEV-0opjmYyedDlaPxOVU-VIluKNJZVVAXfAGoLjkKjkKuTMq_tuYlezaaKdGr-_eU_fz08cfll_rq-vPXy4ur2sq2z7WhcRhG1TlnCHvqxODcCGqNvXKd7Kxy1PJ1D-DWJK0BhU5yBGPXwNVgUJyyd8feXZz_7CllvfXJ0jSZQPM-aZQgpORSLOjbR-hm3sey3F8KlYDyVaH4kbJxTinSqHfRb008aAS9CNcbvQjXi3CNXBfhJfTmvno_LLOHyIPhArw_AlRc3HiKOllPwZLzkWzWbvb_7__wKG4nH7w10286UPq3h04loL8vJ18ujgKg7btO3AH-46Z0</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Amelink, Marijke</creator><creator>Hashimoto, Simone</creator><creator>Spinhoven, Philip</creator><creator>Pasma, Henk R</creator><creator>Sterk, Peter J</creator><creator>Bel, Elisabeth H</creator><creator>ten Brinke, Anneke</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Anxiety, depression and personality traits in severe, prednisone-dependent asthma</title><author>Amelink, Marijke ; Hashimoto, Simone ; Spinhoven, Philip ; Pasma, Henk R ; Sterk, Peter J ; Bel, Elisabeth H ; ten Brinke, Anneke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c549t-aefbbf68ddae19e83bddf067196d858c6de427900d7e5ca061d5210ac7026ba13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Anxiety Disorders - psychology</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - psychology</topic><topic>Chronic illnesses</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Disease</topic><topic>Female</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Inventory</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Personality</topic><topic>Personality traits</topic><topic>Prednisone - therapeutic use</topic><topic>Prevalence</topic><topic>Psychopathology</topic><topic>Pulmonary/Respiratory</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Standard deviation</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amelink, Marijke</creatorcontrib><creatorcontrib>Hashimoto, Simone</creatorcontrib><creatorcontrib>Spinhoven, Philip</creatorcontrib><creatorcontrib>Pasma, Henk R</creatorcontrib><creatorcontrib>Sterk, Peter J</creatorcontrib><creatorcontrib>Bel, Elisabeth H</creatorcontrib><creatorcontrib>ten Brinke, Anneke</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amelink, Marijke</au><au>Hashimoto, Simone</au><au>Spinhoven, Philip</au><au>Pasma, Henk R</au><au>Sterk, Peter J</au><au>Bel, Elisabeth H</au><au>ten Brinke, Anneke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety, depression and personality traits in severe, prednisone-dependent asthma</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>108</volume><issue>3</issue><spage>438</spage><epage>444</epage><pages>438-444</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Summary Background Anxiety and depression are prevalent in patients with asthma, and associated with more exacerbations and increased health care utilization. Since psychiatric intervention might improve asthma control, we examined whether patients with severe, prednisone-dependent asthma are at higher risk of these disorders than patients with severe non-prednisone dependent asthma or mild-moderate asthma, and whether they exhibit different personality traits. Methods Sixty-seven adults with severe prednisone-dependent asthma, 47 with severe non-prednisone dependent and 73 patients with mild-moderate asthma completed the HADS depression and anxiety subscale and the NEO-FFI for personality traits. In addition, asthma duration, body mass index and FEV1 were measured. Results The prevalence of clinically significant depressive symptoms (9% vs. 0 vs. 0%; p = 0.009) and anxiety symptoms (19% vs. 6.4 vs. 5.5%; p = 0.01), was higher in patients with severe, prednisone-dependent asthma than in patients with severe non-prednisone dependent or mild-moderate asthma. Patients with prednisone-dependent asthma were respectively 3.4 (95%CI: 1.0–10.8 p = 0.04) and 3.5 (95%CI: 1.3–9.6 p = 0.01) times more likely to have significant depression symptoms and 1.6 (95%CI: 0.7–3.7, p = 0.2) and 2.5 (95%CI: 01.1–5.5, p = 0.02) times more likely to have symptoms of anxiety than patients with severe non-prednisone dependent or mild-moderate asthma. There were no differences found in personality traits between the 3 groups. Conclusion Patients with severe, prednisone-dependent asthma have more often psychological distress as compared to patients with severe non-prednisone dependent or mild-moderate asthma.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>24462260</pmid><doi>10.1016/j.rmed.2013.12.012</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Anxiety Anxiety Disorders - epidemiology Anxiety Disorders - psychology Asthma Asthma - epidemiology Asthma - psychology Chronic illnesses Cross-Sectional Studies Depression Depressive Disorder - epidemiology Depressive Disorder - psychology Disease Female Glucocorticoids - therapeutic use Hospitals Humans Inventory Male Middle Aged Personality Personality traits Prednisone - therapeutic use Prevalence Psychopathology Pulmonary/Respiratory Questionnaires Risk Factors Smoking Standard deviation Surveys and Questionnaires Young Adult |
| title | Anxiety, depression and personality traits in severe, prednisone-dependent asthma |
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