The relationship between the severity of asthma and comorbidites with anxiety and depressive disorders

Revista Brasileira de Psiquiatria

Alexandre M Valença²  Rodrigo Falcão²  Rafael C Freire²  Isabella Nascimento²  Ronaldo Nascentes¹  Walter A Zin¹  Antonio E Nardi² 

[1] ,Universidade Federal do Rio de Janeiro Institute of Psychiatry Laboratory of Panic and RespirationRio de Janeiro RJ ,Brazil

关键词: Respiratory tract diseases;    Respiratory insufficiency;    Pulmonary disease;    Anxiety;    Panic disorder;    Doença respiratória;    Insuficiência respiratória;    Doença pulmonar;    Ansiedade;    Transtorno de pânico;   

DOI  :  10.1590/S1516-44462006005000005

来源: SciELO

【 摘 要 】

OBJECTIVE: There is evidence that asthma is associated with increased frequency of psychiatric symptoms and mental disorders. Our aim was to assess the frequency of anxiety and depressive disorders in a sample of asthmatic outpatients and observe if there is any relationship between this comorbidity and the severity of asthma. METHOD: Sixty-two consecutive patients of two outpatient asthma clinics located in university hospitals were evaluated. Psychiatric diagnoses were assessed with the Mini-International Neuropsychiatric Interview 4.4 Version. RESULTS: Twenty-seven patients (43.5%) met criteria for at least one psychiatric diagnosis. The most frequent diagnoses were major depression (24%), generalized anxiety disorder (20.9%) and panic disorder/agoraphobia spectrum disorders (17.7%). We found no significant differences in the prevalence of anxiety disorders and depression between the groups with mild/moderate and severe asthma. Despite the high frequency of depression and anxiety disorders, only 4 (6.5%) patients were under psychiatric treatment and 13 (20.9%) patients were taking benzodiazepines. Twelve of 15 (80%) patients who reported present use of psychotropic medication were not under psychiatric treatment at the moment of the study. CONCLUSIONS: Our results support the high morbidity of anxiety and depressive disorders in asthmatic patients, independent of the severity of asthma.

【 授权许可】

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