Impact of depression and anxiety disorders in asthma control
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i2p128-134Keywords:
Asthma, Anxiety, Depression, Anxiety disorders, Depressive disorder, Cross-sectional studyAbstract
Asthma is a prevalent disease in doctor offices and Pneumology outpatient clinics and It reachs different age groups. The control of the disease aims to improve the quality of life of the patient and to avoid complications. It`s done by the use of drugs with anti-inflammatory and bronchodilator properties and by the control of environmental factors, possible triggers of asthmatic crises. However, it’s hardly talked about the influence of psychological conditions on this control. Anxiety and depressive disorders are very prevalent nowadays and there are several evidences that they have a strong influence on asthma control. In order to assess the prevalence of depressive symptoms and anxiety in patients with asthma and to analyze the impact of them in asthma control, an observational, descriptive and cross-sectional study was carried out from April 2019 to March 2020 with asthma patients treated at pneumology outpatient clinic of the Faculdade Ciências Médicas de Minas Gerais, in Belo Horizonte (MG). Forty patients participated in the study, who answered two validated questionnaires (HADS - Hospital Anxiety and Depression Scale and ACT - Asthma Control Test) and provided demographic and spirometric values. The results showed that there`s an association between asthma control and psychiatric disorders. The prevalence of anxiety and / or depression disorders among the total sample was 75%, and anxiety was more prevalent. Of those considered to have uncontrolled asthma, the disorders were present in 92%, whereas among those with controlled asthma the prevalence was 47%. However, there was no significant association between age, sex, spirometric values and asthma control. At the end of the study, it wasn`t possible to clearly define a cause-consequence relation between asthma control and psychiatric disorders, despite the evident relationship found between them, therefore further studies about the topic are necessary.
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Copyright (c) 2021 Ana Carolina Cunha Rocha, Ana Luísa Rodrigues da Silveira, Flávia Cardoso Schaper, Júnia Rios Garib, Nillo Akizo Barros
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