Anxiety and depression affect asthma control – Medical News


A recent multicentre study involving an autonomous university in Madrid shows how anxiety and depression are an independent risk in asthma management.

The result of asthma

The work proves that control of chronic respiratory diseases can greatly improve both mental disorders and lung function.

The anxiety in depression Disturbances are common in patients with asthma. They are therefore associated with a greater frequency of deterioration in pathology, increased use of health resources (such as additional consultations or emergency care) and poor control of the disease.

In a recent multicentre study involving 180 Spanish pulmonologists and allergologists led by physicians at the Autonomous University of Madrid (UAM), it was suggested that Jiménez Díaz in Madrid and the Hospital de la Santa Creu and Sant Pau should join diagnosis of asthma with symptoms of depression or anxiety and with their degree of control.

"This association was made at the beginning of the diagnosis and six months after the treatment for asthma only and it was performed by a specialist," explains Joaquín Sastre, the first signatory of the study and professor at the UAM Medical School.

"For this," he added, "we included 3,182 patients with asthma who were first evaluated by experts in the field of pneumonia or allergology. The first thing we did was to confirm the diagnosis of asthma and to measure with different standardized questionnaires the degree of control, however also the degree of anxiety and depression. Later, the doctor decided to treat, and patients were evaluated three and six months after the first consultation.

Anxiety has shown an almost 4-fold increase in asthma control versus depression

Thus, the work was carried out with the support of Mundipharma Spain and published in Ljubljana Journal of Allergy and Clinical Immunology– It has been proven that in the first consultation, 24% of patients with anxiety diagnosis and 12% with depression.

"The number of anxiety in people with asthma is clearly higher than for the general Spanish population (9%), although depression data is similar," says Sastre.

After six months, researchers could notice that anxiety and depression had improved significantly. They also showed significant improvement in lung function and asthma control.

"This improvement in monitoring," says Sastre, is a real novelty of the study, as other studies have shown that patients with asthma have more anxiety than the general population. Patients who did not improve their anxiety or depression during the study, had more asthma exacerbations and used more sources of health.

Effect on asthma control

After complicated statistical analysis, the researchers found that anxiety and depression work independently of other factors in poor control of asthma symptoms. Indeed, anxiety has shown an almost 4-fold increase in asthma control versus depression.

The work emphasizes that all patients with asthma must take into account depression and, in particular, anxiety, and that these mood disorders can be improved in the treatment of asthma in the vast majority of patients. The consequences are also better control of symptoms of asthma, improved lung function and reduced use of health resources.

Bibliographic reference:

MSastre J, Crespo A, Fernandez-Sanchez A, Rial M, Plaza V; investigators of the CONCORD group. Anxiety, depression and asthma control: changes after standardized treatment. J Allergy Clin Immunol Pract. Doi: 10.1016 / j.jaip.2018.02.002.


Source link