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Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment
Joaquín Sastre1, Astrid Crespo2, Antonio Fernandez-Sanchez3
1Department of Allergy, Fundación Jimenez Diaz, Madrid, Spain; Department of Medicine, Universidad Autónoma de Madrid, Madrid, Spain; CIBERES, Instituto Carlos III, Madrid, Spain.
The Journal of Allergy and Clinical Immunology. in Practice
|February 18, 2018
Summary
Anxiety and depression are common in asthma patients, worsening their condition. Specialist care significantly improves both mental health and asthma control, highlighting the link between psychological well-being and respiratory health.
Area of Science:
- Pulmonology
- Psychiatry
- Clinical Medicine
Background:
- Anxiety and depression are prevalent in asthma patients.
- These conditions correlate with increased exacerbations, healthcare utilization, and poor asthma control.
Purpose of the Study:
- To investigate the association between asthma diagnosis and symptoms of anxiety/depression.
- To evaluate changes in asthma control over a 6-month specialist supervision period.
Main Methods:
- 3182 moderate to severe asthma patients were enrolled.
- Evaluations included spirometry, Asthma Control Test, and Hospital Anxiety and Depression Scale at baseline and 6 months.
- Specialist-guided treatments were administered according to guidelines.
Main Results:
- At baseline, 24.2% had anxiety and 12% had depression; these decreased to 15.3% and 8.1% after 6 months (P < .001).
- Significant improvements were observed in FEV1 and asthma control (P < .001).
- Anxiety and depression were independently associated with poor asthma control, with anxiety having a greater impact.
Conclusions:
- Standardized asthma care and specialist visits lead to significant improvements in psychological disorders.
- Patients demonstrated better asthma control and improved functional parameters post-intervention.
- Addressing anxiety and depression is crucial for comprehensive asthma management.
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