TY - JOUR
T1 - Asthma and depression
T2 - The Cooper Center Longitudinal Study
AU - Trojan, Timothy D.
AU - Khan, David A.
AU - Defina, Laura F.
AU - Akpotaire, Oviea
AU - Goodwin, Renee D.
AU - Brown, E. Sherwood
N1 - Funding Information:
Disclosures: Dr Brown has received research grant support from Sunovion. The remaining authors have nothing to disclose.
PY - 2014/5
Y1 - 2014/5
N2 - Background Prior research suggests a possible association between asthma and depression. Objective To examine the association between asthma and depressive symptoms, controlling for asthma medications, lung function, and overall health. Methods We conducted a cross-sectional study of 12,944 adults who completed physician-based preventive health examinations at the Cooper Clinic from 2000 to 2012. Information on medical histories, including asthma and depression, and medications were collected. Participants reported overall health status, completed spirometry testing, and underwent depression screening using the 10-item Center for Epidemiologic Studies Depression Scale (CES-D). Dependent variables of current depressive symptoms (CES-D scores =10) and lifetime history of depression were separately modeled using logistic regression with independent variables, including demographics, spirometry, asthma controller medications, and patient-reported health status. Results The sample was predominantly white and well educated. The prevalence of asthma was 9.0%. Asthma was associated with an odds ratio (OR) of 1.41 (95% CI, 1.16-1.70; P <.001) of current depressive symptoms based on CES-D score. Asthma was also associated with lifetime history of depression (OR, 1.66; 95% CI, 1.40-1.95; P <.001). Neither lung function nor asthma controller medications were significantly associated with depression. Conclusion Asthma was associated with increased prevalence of current depressive symptoms and lifetime depression in a large sample of relatively healthy adults. These findings suggest that the increased likelihood of depression among patients with asthma does not appear to be exclusively related to severe or poorly controlled asthma. People with asthma, regardless of severity, may benefit from depression screening in clinical settings.
AB - Background Prior research suggests a possible association between asthma and depression. Objective To examine the association between asthma and depressive symptoms, controlling for asthma medications, lung function, and overall health. Methods We conducted a cross-sectional study of 12,944 adults who completed physician-based preventive health examinations at the Cooper Clinic from 2000 to 2012. Information on medical histories, including asthma and depression, and medications were collected. Participants reported overall health status, completed spirometry testing, and underwent depression screening using the 10-item Center for Epidemiologic Studies Depression Scale (CES-D). Dependent variables of current depressive symptoms (CES-D scores =10) and lifetime history of depression were separately modeled using logistic regression with independent variables, including demographics, spirometry, asthma controller medications, and patient-reported health status. Results The sample was predominantly white and well educated. The prevalence of asthma was 9.0%. Asthma was associated with an odds ratio (OR) of 1.41 (95% CI, 1.16-1.70; P <.001) of current depressive symptoms based on CES-D score. Asthma was also associated with lifetime history of depression (OR, 1.66; 95% CI, 1.40-1.95; P <.001). Neither lung function nor asthma controller medications were significantly associated with depression. Conclusion Asthma was associated with increased prevalence of current depressive symptoms and lifetime depression in a large sample of relatively healthy adults. These findings suggest that the increased likelihood of depression among patients with asthma does not appear to be exclusively related to severe or poorly controlled asthma. People with asthma, regardless of severity, may benefit from depression screening in clinical settings.
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U2 - 10.1016/j.anai.2014.02.015
DO - 10.1016/j.anai.2014.02.015
M3 - Article
C2 - 24650441
AN - SCOPUS:84899499485
SN - 1081-1206
VL - 112
SP - 432
EP - 436
JO - Annals of Allergy, Asthma and Immunology
JF - Annals of Allergy, Asthma and Immunology
IS - 5
ER -