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Symptoms of anxiety and depression in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studies

2022Journal article Open access
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dc.contributor.authorCunha, Mafalda Simões
dc.contributor.authorAmaral, Rita
dc.contributor.authorPereira, Ana Margarida
dc.contributor.authorAlmeida, Rute
dc.contributor.authorAlves-Correia, Magna
dc.contributor.authorLoureiro, Cláudia Chaves
dc.contributor.authorLopes, Cristina
dc.contributor.authorCarvalho, Joana
dc.contributor.authorRibeiro, Carmelita
dc.contributor.authorVidal, Carmen
dc.contributor.authorAntolín-Amérigo, Dario
dc.contributor.authorPinto, Diana
dc.contributor.authorFerreira-Magalhães, Manuel
dc.contributor.authorVasconcelos, Maria João
dc.contributor.authorLozoya, Carlos
dc.contributor.authorSantos, Natacha
dc.contributor.authorCardia, Francisca
dc.contributor.authorTaborda-Barata, Luís
dc.contributor.authorFerreira, Rosário
dc.contributor.authorSilva, Pedro Morais
dc.contributor.authorFerreira, Tania Monteiro
dc.contributor.authorCâmara, Raquel
dc.contributor.authorSilva, Eurico
dc.contributor.authorBordalo, Diana
dc.contributor.authorGuimarães, Cristina
dc.contributor.authorCalix, Maria José
dc.contributor.authorSilva, Sofia da
dc.contributor.authorMarques, Maria Luís
dc.contributor.authorMorete, Ana
dc.contributor.authorNunes, Carlos
dc.contributor.authorVieira, Cláudia
dc.contributor.authorPáscoa, Rosália
dc.contributor.authorAlves, Adelaide
dc.contributor.authorMarques, José Varanda
dc.contributor.authorReis, Bruno
dc.contributor.authorMonteiro, Luís
dc.contributor.authorMonteiro, Rosário
dc.contributor.authorCepa, Margarida
dc.contributor.authorValentim, Bruno
dc.contributor.authorCoelho, Daniela Sousa
dc.contributor.authorFernandes, Sara
dc.contributor.authorMeireles, Patrícia
dc.contributor.authorAguiar, Margarida Abreu
dc.contributor.authorMourão, Ana Rita
dc.contributor.authorFonseca, João A
dc.contributor.authorJácome, Cristina
dc.date.accessioned2024-04-09T15:58:20Z
dc.date.available2024-04-09T15:58:20Z
dc.date.issued2022
dc.description.abstract Anxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) and the European Quality of Life Five Dimension Questionnaire (EQ-5D); the level of agreement between these questionnaires, and the factors associated with these symptoms. This is a secondary analysis of the INSPIRERS studies. A total of 614 adolescents and adults with persistent asthma (32.6±16.9 years, 64.7% female) were recruited from 30 primary care centres and 32 allergy, pulmonology and paediatric clinics. Demographic and clinical characteristics, HADS and EQ-5D were collected. A score ≥8 on Hospital Anxiety and Depression Scale-Anxiety/Hospital Anxiety and Depression Scale-Depression or a positive answer to EQ-5D item 5 indicated the presence of these symptoms. Agreement was determined by Cohen’s kappa. Two multivariable logistic regressions were built. According to HADS, 36% of the participants had symptoms of anxiety and 12% of depression. According to EQ-5D, 36% of the participants had anxiety/depression. The agreement between questionnaires in identifying anxiety/depression was moderate (k=0.55, 95% CI 0.48 to 0.62). Late asthma diagnosis, comorbidities and female gender were predictors of anxiety/depression, while better asthma control, health-related quality of life and perception of health were associated with lower odds for anxiety/depression. At least 1/3 of the patients with persistent asthma experience symptoms of anxiety/depression, showing the relevance of screening these disorders in patients with asthma. EQ-5D and HADS questionnaires showed a moderate agreement in the identification of anxiety/depression symptoms. The identified associated factors need to be further investigated in long-term studies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCunha, M. S., Amaral, R., Pereira, A. M., Almeida, R., Alves-Correia, M., Loureiro, C. C., Lopes, C., Carvalho, J., Ribeiro, C., Vidal, C., Antolín-Amérigo, D., Pinto, D., Ferreira-Magalhães, M., Vasconcelos, M. J., Lozoya, C., Santos, N., Cardia, F., Taborda-Barata, L., Ferreira, R., … Jácome, C. (2023). Symptoms of anxiety and depression in patients with persistent asthma: A cross-sectional analysis of the INSPIRERS studies. BMJ Open, 13(5), e068725. https://doi.org/10.1136/bmjopen-2022-068725pt_PT
dc.identifier.doi10.1136/ bmjopen-2022-068725pt_PT
dc.identifier.eissn2044-6055
dc.identifier.urihttp://hdl.handle.net/10400.22/25324
dc.language.isoengpt_PT
dc.publisherBMJ Journalspt_PT
dc.relationThis study is a secondary analysis from the mINSPIRE project financed by national funds through the Foundation for Science and Technology (PTDC/MEC-OUT/ 29130/2017) and cofinanced by Operational Programme ‘Competitiveness and Internationalization’ (COMPETE 2020), PORTUGAL 2020 from European Regional Development Fund - FEDER (POCI-01- 0145- FEDER- 029130). This article was supported by National Funds through FCT - Fundação para a Ciência e a Tecnologia,I.P., within CINTESIS, R&D Unit (reference UIDP/4255/2020).pt_PT
dc.relation.publisherversionhttps://bmjopen.bmj.com/content/13/5/e068725pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAnxiety disorderspt_PT
dc.subjectAsthmapt_PT
dc.subjectDepressionpt_PT
dc.subjectMood disorderspt_PT
dc.titleSymptoms of anxiety and depression in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studiespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage9pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleBMJ Openpt_PT
oaire.citation.volume13pt_PT
person.familyNameAmaral
person.givenNameRita
person.identifierR-00H-83K
person.identifier.ciencia-id1A1E-751F-50F0
person.identifier.orcid0000-0002-0233-830X
person.identifier.ridE-5535-2017
person.identifier.scopus-author-id56067841600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication790fdd33-acdb-4dfe-88dc-38538486c9b3
relation.isAuthorOfPublication.latestForDiscovery790fdd33-acdb-4dfe-88dc-38538486c9b3

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