Abstract
BackgroundPoorly controlled bronchial asthma limits patients’ quality of life (QOL), the condition which may potentiate the development of psychiatric disorders. The aim of this study was the assessment of anxiety and depression in bronchial asthma patients, and their interrelation with both level of asthma control and quality of life in our society.ResultsThis study included 102 bronchial asthma patients, and 50 healthy control individuals. Patients had poorer QOL, and higher anxiety and depression scores compared to healthy control, moreover these scores were higher in uncontrolled asthma patients compared to controlled group. Poor QOL, frequent hospital admissions, and poor asthma control were the predictors for psychiatric disorders.ConclusionDepression and anxiety are frequently encountered in patients with bronchial asthma in our society; poor symptom control, poor QOL, and frequent hospital admissions are the main predictors for these psychiatric disorders.
Highlights
Bronchial asthma is one of the most common noncommunicable chronic airway diseases, about 339 million people were diagnosed as bronchial asthma in 2016 worldwide, with 417,918 deaths related to bronchial asthma according to World Health Organization (WHO) report 2016 [1, 2]
According to GINA, 2020 [3] bronchial asthma patients are classified into three groups based on control of asthma symptoms, and despite the availability of wide range of medication still large percentage of asthmatic patients are involved in uncontrolled group [4]
Patients with bronchial asthma had significantly poorer quality of life (HRQL), higher anxiety and depression scales compared to healthy control subjects (Table 1)
Summary
Bronchial asthma is one of the most common noncommunicable chronic airway diseases, about 339 million people were diagnosed as bronchial asthma in 2016 worldwide, with 417,918 deaths related to bronchial asthma according to WHO report 2016 [1, 2]. The relationship between asthma symptom control, QOL, and psychiatric disorders (e.g., anxiety, and depression) represent a vicious cycle, where disturbance in any of them will have a negative feedback on the other two factors. Patients with anxiety or depression may have exaggerated response to bronchial asthma symptoms; on the other point of view, asthmatic patients usually have difficulty in perceiving bronchial asthma symptoms with the end result of impaired patient’s deal with the action plan of asthma [8]. This process will lead to poor control of asthma, and poor QOL. The aim of this study was the assessment of anxiety and depres‐ sion in bronchial asthma patients, and their interrelation with both level of asthma control and quality of life in our society
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