The Impact of Depression on Asthma Episodes in the US Population

Misra, Sudha; Desai, Saral; Ray, Amrik

doi:10.4088/pcc.22br03323

Cited by 1 publication

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“…To our knowledge, this is the first study examining the relationship between depressive symptoms, asthma self-management, and asthma control in a rural adolescent population. Similar to studies with adolescents from Italy ( 7 ), individuals from the United States of ages 6–21 ( 8 , 9 ), and adults from the United States ( 31 , 32 ), we found an association between an increase in depressive symptoms and worsening asthma control. However, we did not find an association between depressive symptoms and the steps adolescents take to prevent asthma symptoms or manage existing symptoms nor between depressive symptoms and adolescents’ confidence to manage their asthma.…”

Section: Discussionsupporting

confidence: 87%

Depressive symptoms are related to asthma control but not self-management among rural adolescents

Patel,

Céspedes,

Liu

et al. 2024

Front. Allergy

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BackgroundDepression, a relevant comorbidity with asthma, has been reported to be associated with asthma morbidity. Asthma self-management is essential to asthma control and may be negatively impacted by depression. We examined these associations in rural adolescents, a group with relatively high asthma morbidity and depressive symptoms, a population often ignored in asthma research.MethodsWe used baseline data from a randomized trial of an asthma intervention for adolescents in rural South Carolina (n = 197). Adolescents completed the Center for Epidemiological Studies-Depression (CES-D), three indices of asthma self-management (the Asthma Prevention Index, the Asthma Management Index and the Asthma Self-Efficacy Index), and the Asthma Control Test (ACT). Poisson and linear regression tested associations between depression, self-management, and asthma control. The models controlled for demographic variables and included school as a fixed effect.ResultsMost participants (mean age = 16.3 ± 1.2 years) self-identified as female (68.5%) and Black (62.43%). The mean CES-D score was 19.7 ± 10.3, with 61.4% of participants at risk for depression. The depressive symptoms were significantly related to asthma control [β = −0.085, 95% confidence interval (CI) = −0.14 to −0.03] but not to prevention [relative risk (RR) = 1.00, 95% CI = 0.99–1.01], management (RR = 1.00, 95% CI = 0.99–1.01), or self-efficacy (β = −0.002, 95% CI = −0.01 to 0.01),ConclusionsIn this sample of rural adolescents, as depressive symptoms increased, asthma control declined. Depressive symptoms were not associated with asthma self-management, suggesting that the aspects of self-management we assessed are not an avenue by which depression impacts asthma control. Additional research is needed to further understand the relationship between depressive symptoms, asthma self-management, and control.

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