Beijing Institute of Occupational Disease Prevention and Treatment, Beijing, 100093, China.
School of Public Health and the Beijing Key Laboratory of Environmental Toxicology, Capital Medical University, Beijing, 100069, China.
Environ Sci Pollut Res Int. 2023 Nov;30(54):115373-115380. doi: 10.1007/s11356-023-30559-9. Epub 2023 Oct 26.
Evidences showed the link between allergy and depression, while the relationships of depression with allergy-related outcomes is insufficient. The objective of this study is to evaluate and compare the relationship of depression with allergy-related outcomes assessed using two different outcome indicators, in a population-based study. A cross-sectional study was performed of 1094 participants in the 2005-2006 National Health and Nutrition Examination Survey (NHANES). The self-reported allergic symptoms of allergic rhinitis (AR) status and immunoglobulin E (IgE) were used to evaluate the allergy-related outcomes. The depression disorder was defined as the ≥ 10 points on the Patient Health Questionnaire-9. Logistic and linear regression models were performed to illustrate the associations of depression and allergy-related outcomes. The prevalence of AR and depression was 34.2% and 6.8%, respectively. The odds of depression were 8.6% higher in participants with AR patients compared those without AR [odds ratio (OR) = 1.739, 95% confidence interval (CI): (1.034, 2.933)], while the odds of depression in participants with allergic sensitization and without allergic sensitization were not found significant difference. Allergy is positively associated with depression disorder, and patients with allergy-related outcomes, such as AR, may be at higher risk of depression, while the IgE level was not founded to be related with depression. In the treatment of AR patients with depression symptoms, early detection and management of mental problems are of importance.
有证据表明过敏和抑郁之间存在关联,而抑郁与过敏相关结局之间的关系尚不清楚。本研究旨在评估和比较使用两种不同结局指标评估的抑郁与过敏相关结局之间的关系,这是一项基于人群的研究。对 2005-2006 年全国健康和营养调查(NHANES)中的 1094 名参与者进行了横断面研究。使用过敏性鼻炎(AR)状态和免疫球蛋白 E(IgE)的自我报告过敏症状来评估过敏相关结局。抑郁障碍定义为患者健康问卷-9 得分≥10 分。采用逻辑回归和线性回归模型来阐明抑郁与过敏相关结局之间的关联。AR 和抑郁的患病率分别为 34.2%和 6.8%。与无 AR 参与者相比,AR 患者发生抑郁的几率高 8.6%(比值比[OR] = 1.739,95%置信区间[CI]:1.034,2.933),而过敏致敏和无过敏致敏参与者之间发生抑郁的几率无显著差异。过敏与抑郁障碍呈正相关,具有过敏相关结局(如 AR)的患者可能面临更高的抑郁风险,而 IgE 水平与抑郁无关。在治疗伴有抑郁症状的 AR 患者时,早期发现和管理精神问题非常重要。