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J Asthma. 2019 Jul;56(7):731-738. doi: 10.1080/02770903.2018.1490754. Epub 2018 Oct 16.

Depression symptoms and quality of life among individuals with aspirin-exacerbated respiratory disease.

Author information

1
a Ferkauf Graduate School of Psychology , Yeshiva University , Bronx , NY , USA.
2
b Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA.
3
c Albert Einstein College of Medicine , Bronx , NY , USA.
4
d Washington University School of Medicine , St. Louis , MO , USA.

Abstract

OBJECTIVE:

Patients with aspirin-exacerbated respiratory disease (AERD) have high disease burden due to the severity of asthma and sinonasal symptoms. There is limited research on the psychological well-being and subjective experiences of patients with AERD. This study examined levels of depression symptoms, asthma-related quality of life and asthma control among AERD patients.

METHODS:

Thirty-two adults with AERD and 39 patients without AERD (asthma-only) were recruited from outpatient asthma/allergy clinics. The sample was largely comprised of ethnic minority, inner-city patients who ranged in age from 19 to 84 years old. Participants completed the Beck Depression Inventory (BDI), the Mini Asthma Quality of Life Questionnaire (Mini AQLQ), a self-report rating of asthma severity and spirometry testing. Asthma control and severity were determined following national guidelines.

RESULTS:

AERD patients reported lower levels of depression symptoms (p = 0.049), better overall asthma-related quality of life (p < 0.001), and perceived their asthma to be less severe (p = 0.01) compared to asthma-only patients. However, clinician ratings of asthma severity were more severe for AERD than asthma-only patients (p = 0.006). No significant differences were found between the groups on asthma controller medications or oral corticosteroid bursts for asthma.

CONCLUSIONS:

AERD patients may be resilient given their low levels of depression symptoms and positive views of asthma-related impairment despite higher clinician-rated asthma severity. The adult onset nature of asthma in AERD might be a protective factor on mental health. Future studies should explore mechanisms linking AERD and positive psychological health outcomes and subjective perception of asthma.

KEYWORDS:

Mental health; minority groups; protective factors; resilience; signs and symptoms

PMID:
29972652
PMCID:
PMC6467719
[Available on 2020-07-01]
DOI:
10.1080/02770903.2018.1490754

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