Impact of depression on quality of life in asthmatic patients
Journal Title: Medpulse International Journal of Psychology - Year 2018, Vol 6, Issue 2
Abstract
Background: Depressive disorders and anxiety disorders are associated with worse asthma-related quality of life. Less asthma self-efficacy, more depressive symptoms, and unrealistic expectations predict worse asthma outcomes. These relatively unexplored patient-centered variables in asthma are potentially modifiable and may offer new ways to intervene to improve asthma outcomes. Aim: To study the impact of depression on quality of life in asthmatic patients. Material and Methods: A total of 70 asthmatic patients between the age group 18-65 years were studied. Patient Health Questionnaire (PHQ9) was used to screen the subjects for depression. Quality of life was assessed using Mini - Asthma Quality of Life Questionnaire (MINI-AQLQ). These scales were administered at baseline, 3rd and 6th months post-treatment. Appropriate treatment was given for depression and asthma as per standard guidelines. Asthmatics with depression and without depression were compared to assess the impact of depression on quality of life. Results: There was a significant negative correlation between depression and quality of life at baseline (r=-0.5090, P=0.003), 3 months (r=-0.7058, P<0.0001) and 6 months follow up (r=-0.8718, P<0.001). Asthmatics with depression had significantly higher MINI-AQLQ scores than asthmatics without depression at baseline and at 3 months follow up but not at 6 months follow up. Conclusion: Asthmatics with depression had poorer quality of life than asthmatics without depression at baseline and 3rd months follow up. At 6th months follow up quality of life did not differ between groups implying that treatment of depression played a role in improving the quality of life of asthmatics with depression. Screening all asthma patients for depression and treating them appropriately will improve their quality of life and asthma control.
Authors and Affiliations
Samyuktha G, Ajaykumar Dhage
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