Association of depression and anxiety with health care use and quality of life in asthma patients
Association of depression and anxiety with health care use and quality of life in asthma patients
复制标题
DOI：
10.1016/j.rmed.2006.06.002
复制
发表时间：
2007-03-01
影响因子：
4.3
通讯作者：
Ritz, Thomas
中科院分区：
文献类型：
--
作者：
Kullowatz, Antje;Kanniess, Frank;Ritz, Thomas
前言：人口学因素、症状严重程度和精神病理学，特别是焦虑和抑郁，已知会影响哮喘患者的卫生保健使用和生活质量。由于抑郁和焦虑通常是相关的，我们试图探索在控制了焦虑的影响后，抑郁是否与卫生保健利用和生活质量具体相关。方法：在横断面问卷研究中，88名哮喘患者(46名女性；年龄在27-70岁之间)报告了他们疾病的症状和治疗，以及焦虑和抑郁(医院焦虑和抑郁量表，HADS)，总体生活质量(简表12健康调查问卷，SF-12)和哮喘特有的生活质量(患有哮喘，LAQ)。结果：虽然没有发现焦虑与医疗保健使用之间的显著关联，但抑郁得分较高与去医院就诊和服用皮质类固醇的天数显著相关。此外，即使在控制焦虑的情况下，生活质量问卷的所有分量表都有相当大的差异，这可以用抑郁的较高分数来解释。结论：抑郁是哮喘的一个重要问题，因为它与生活质量和皮质类固醇的摄入密切相关，与住院治疗的关系不大。应考虑在医院和初级保健中进行抑郁症的常规筛查。(C)2006爱思唯尔有限公司。保留所有权利。
Introduction: Demographic factors, symptom severity, and psychopathology, in particular anxiety and depression, are known to influence health care use and quality of life in asthma. Because depression and anxiety are typically correlated, we sought to explore whether depression specifically is associated with health care utilization and quality of life when effects of anxiety are controlled for.Method: In a cross-sectional questionnaire study, 88 asthma patients (46 women; age range 27-70 years) reported on symptoms and treatment of their disease, as well as anxiety and depression (Hospital Anxiety and Depression Scale, HADS), general quality of life (Short Form 12 Health Survey Questionnaire, SF-12) and asthmatic-specific quality of life (Living with Asthma, LAQ).Results: While no considerable associations between anxiety and health care use were found, the associations between higher scores in depression and hospital visits as well as days of corticosteroid intake were significant. Furthermore, considerable variance in all subscales of quality of life questionnaires was explained by higher scores in depression, even when controlling for anxiety. For anxiety scores these associations were comparable, except for physical well-being.Conclusion: Depression is an important issue in asthma, as it is substantially related to quality of life and intake of corticosteroids, and marginally to hospitalization. Routine screening for depression should be considered in hospital and primary care. (c) 2006 Elsevier Ltd. All rights reserved.