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Association Between Asthma and Depression: A National Cohort Study
Hyo Geun Choi1, Joo-Hee Kim2, Ji-Young Park2
1Departments of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
Asthma and depression are linked. This study found that people with asthma are more likely to develop depression, and those with depression have a higher risk of developing asthma, indicating a two-way relationship.
Area of Science:
- Pulmonary Medicine
- Psychiatry
- Epidemiology
Background:
- Asthma and depression frequently co-occur in patients.
- The temporal sequence and bidirectional nature of this association remain unclear.
Purpose of the Study:
- To investigate the bidirectional relationship between asthma and depression in adults.
- Utilize a large-scale Korean national cohort for robust statistical analysis.
Main Methods:
- A national cohort from the Korean Health Insurance Review and Assessment Service was used.
- Matched cohorts of asthma patients and controls, and depression patients and controls were analyzed.
- Stratified Cox proportional hazards models assessed the hazard ratios for developing each condition.
Main Results:
- Patients with asthma had a significantly higher hazard ratio for developing depressive disorders (HR, 1.35; 95% CI, 1.31-1.40).
- Patients with depression exhibited a significantly higher hazard ratio for developing asthma (HR, 1.25; 95% CI, 1.21-1.29).
Conclusions:
- A significant bidirectional association exists between asthma and depression.
- Findings suggest that asthma may increase depression risk, and depression may increase asthma risk.
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