Chest
Original ResearchAsthmaThe Asthma/Mental Health Nexus in a Population-Based Sample of the United States
Section snippets
Materials and Methods
The Behavioral Risk Factor Surveillance System (BRFSS) is a health-monitoring survey of noninstitutionalized adults administered by telephone at the state level. It is conducted by the Centers for Disease Control and Prevention and since 1994 has been administered annually in all 50 states, Washington, DC; Puerto Rico; the US Virgin Islands; and Guam. Results are weighted accordingly to yield a nationally representative sample of the US population. This study uses data from the 2006 BRFSS
Results
Table 1 presents the results of the bivariate analysis between number of days of poor mental health and the included demographic variables and the final model covariates. Respondents in the oldest age group (> 65 years) consistently were the smallest proportion of respondents in all categories of poor mental health. Women reported significantly worse mental health across all categories. Divorced, separated, and never-married individuals were disproportionately more represented in the poorest
Discussion
There are two major findings of this study. The first is that respondents with any degree of mental health impairment, even those who reported < 14 days of poor mental health, were at increased risk of reporting current asthma. Those reporting ≤ 1 week of poor mental health had an RRR of 1.38 for having asthma, while those reporting 1 to 2 weeks of poor mental health had an RRR of 1.49. The second major finding is that the nexus between mental health impairment and current asthma appears to
References (43)
Childhood asthma
Psychosomatics
(1983)- et al.
Prevalence of anxiety disorders in a clinic-based sample of pediatric asthma patients
Psychosomatics
(1996) - et al.
Relationship of asthma severity and psychological problems in children
J Am Acad Child Adolesc Psychiatry
(1998) - et al.
Psychosocial factors and asthma in a community sample of older adults
J Psychosom Res
(2007) - et al.
Mental disorders among adults with asthma: results from the World Mental Health Survey
Gen Hosp Psychiatry
(2007) - et al.
Self-reported asthma and health-related quality of life: findings from the behavioral risk factor surveillance system
Chest
(2003) - et al.
Risk behaviors and health-related quality of life among adults with asthma: the role of mental health status
Chest
(2004) - et al.
Influence of specific emotional states on autonomic reactivity and pulmonary function in asthmatic children
J Am Acad Child Adolesc Psychiatry
(1997) Neuroendocrine mechanisms of immune dysregulation: applications to allergy and asthma
Ann Allergy Asthma Immunol
(2004)Alternative modalities for asthma that reduce stress and modify mood states: evidence for underlying psychobiologic mechanisms
Ann Allergy Asthma Immunol
(2004)
Stress and atopic disorders
J Allergy Clin Immunol
Performance of health-related quality-of-life instruments in a spinal cord injured population
Arch Phys Med Rehabil
Self-reported asthma was biased in relation to disease severity while reported year of asthma onset was accurate
J Clin Epidemiol
Moses Maimonides' treatise on asthma
Thorax
The principles and practice of medicine
Psychogenic factors in bronchial asthma
Childhood asthma, chronic illness, and psychiatric disorders
J Nerv Ment Dis
Mental disorders and asthma in the community
Arch Gen Psychiatry
Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms
Pediatrics
Asthma and psychiatric disorders in male army recruits and soldiers
Isr Med Assoc J
A twin study of post-traumatic stress disorder symptoms and asthma
Am J Respir Crit Care Med
Cited by (40)
Leukotriene Receptor Antagonists and Risk of Neuropsychiatric Entities: A Meta-Analysis of Observational Studies
2023, Journal of Allergy and Clinical Immunology: In PracticeKorean Youth with Comorbid Allergic Disease and Obesity Show Heightened Psychological Distress
2019, Journal of PediatricsSelf-reported asthma diagnosis and mental health: Findings from the Collaborative Psychiatric Epidemiology Surveys
2019, Psychiatry ResearchCitation Excerpt :Despite this, to our knowledge there has yet to be any analyses that racially stratify representative samples of adults from the general population of the United States in order to better understand the association between asthma and specific psychiatric diagnoses. For example, although Chun et al. (2008) used a large representative sample to examine the asthma-mental health association, they did not stratify by race or use a broad range of psychiatric diagnoses. Similarly, Goodwin et al. (2014) analyzed a representative sample of adults, but did not stratify by race.
Do asthma patients with panic disorder really have worse asthma? A comparison of physiological and psychological responses to a methacholine challenge
2015, Respiratory MedicineCitation Excerpt :The other proposes that PD patients' tendency to catastrophize bodily sensations is associated with increased symptom reporting, resulting in greater treatment-seeking, independent of worse asthma [16,19–23]. Previous evidence supports both hypotheses, but has suffered from methodological weaknesses: a failure to objectively diagnose asthma [22,24], often relying upon self-reported diagnoses which are subject to bias [25]; a failure to use a validated psychiatric interview to diagnose PD [22,26], over-relying on questionnaire measures of panic-like anxiety which are insufficient to confirm PD diagnoses; and the use of resting spirometry as the sole objective measures of asthma [23,27], which may appear normal when asthma is well controlled [28]. In order to test the extent to which asthmatics with PD have physiologically worse asthma, bronchial provocation tests are needed.
Asthma and depression: The Cooper Center Longitudinal Study
2014, Annals of Allergy, Asthma and Immunology
The authors have no conflicts of interest to disclose.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).