Nicolaus Copernicus University in Torun, L. Rydygier Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
Med Sci Monit. 2012 Mar;18(3):CR190-4. doi: 10.12659/msm.882524.
Frequent co-existence of bronchial asthma and depression or anxiety is an unquestioned phenomenon. In contrast, little is known about the relationship between the degree of asthma control and the prevalence of depression and anxiety. The aim of this study was to determine the potential relationship between the degree of asthma control and the prevalence of depression and anxiety.
MATERIAL/METHODS: This study included a group of 128 randomly selected asthmatic individuals with various degree of asthma control. The study was based on a questionnaire survey, using the following tools: the Asthma Control Test, Beck Depression Inventory, and State-Trait Anxiety Inventory (STAI) - X-1 and X-2 questionnaires. All the questionnaires were completed during a single follow-up visit at the clinic.
The occurrence of depression and its severity significantly correlated with the degree of asthma control. Individuals with depression were characterized by a significantly lower degree of asthma control compared to depression-free individuals (p<0.001). The degree of asthma control decreased significantly with increasing severity of depression (R=-0.367; p<0.001). No significant correlation was observed between the degree of asthma control and the levels of trait anxiety (R=-0.095; p=0.295) and state anxiety (R=-0.093; p=0.308).
The prevalence of depression and its severity significantly correlate with the degree of asthma control. Large, standardized multicenter studies of the relationship between the degree of asthma control and the prevalence of depression and other psychopathological symptoms are needed. Furthermore, it seems reasonable to introduce the screening of asthmatics for mental disorders.
支气管哮喘与抑郁或焦虑频繁共存是一个不争的事实。相比之下，人们对哮喘控制程度与抑郁和焦虑发生率之间的关系知之甚少。本研究旨在确定哮喘控制程度与抑郁和焦虑发生率之间的潜在关系。
材料/方法：本研究纳入了 128 名随机选择的哮喘患者，他们的哮喘控制程度各不相同。该研究基于问卷调查，使用以下工具：哮喘控制测试、贝克抑郁量表和状态-特质焦虑量表（STAI）-X-1 和 X-2 问卷。所有问卷都在诊所的一次随访中完成。
抑郁的发生及其严重程度与哮喘控制程度显著相关。与无抑郁者相比，患有抑郁症的个体哮喘控制程度明显较低（p<0.001）。随着抑郁严重程度的增加，哮喘控制程度显著下降（R=-0.367；p<0.001）。哮喘控制程度与特质焦虑（R=-0.095；p=0.295）和状态焦虑（R=-0.093；p=0.308）水平之间无显著相关性。
抑郁的发生率及其严重程度与哮喘控制程度显著相关。需要进行更大规模、标准化的多中心研究，以确定哮喘控制程度与抑郁和其他精神病理症状的发生率之间的关系。此外，对哮喘患者进行精神障碍筛查似乎是合理的。
