J Clin Outcomes Manage
Asthma and depression; a focus on the patient factors of asthma knowledge, asthma severity, and coping
Wiltens MMHA, Theunissen C, Glasser M, Zeitz H
Abstract Objective: To examine severity of asthma, level of knowledge about asthma and coping strategies as they potentially relate to occurrence of depression among asthma patients. Design: Cross-sectional survey. Methods: We administered a survey to 105 asthma patients aged 18 to 45 years and presenting for routine care in 1 of 3 participating clinics. The survey assessed knowledge of asthma, asthma coping, depression symptoms, perceived asthma severity, lifestyle, and motivation for change. The research questions were tested using Pearsonís correlation coefficients, independent samples t tests, odds ratios, and multiple regression analysis. Results: There was a significant (P < 0.01) positive correlation between the depression scale rating and asthma severity as well as a significant (P < 0.01) negative correlation between asthma coping and asthma severity. The mean score of the Durham GRECC was significantly (P < 0.01) higher among patients with lower asthma knowledge. Conclusion: Patients with more severe asthma, lower asthma knowledge or poorer coping strategies were more likely to be at risk for being depressed.
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