E S Brown1, D A Khan, S Mahadi. 1. The University of Texas Southwestern Medical Center, Dallas 75390-9070, USA. sbrow3@mednet.swmed.edu
Abstract
OBJECTIVE: Psychiatric symptoms may be associated with increased asthma morbidity and mortality. However, no investigations have identified syndromal psychiatric diagnoses in asthma patients using current diagnostic criteria or examined treatment received for mental illness. METHOD: We conducted structured clinical interviews on 32 patients with moderate to severe asthma to identify current and past psychiatric illness. RESULTS: Twenty-five percent of subjects had current major depressive disorder, but only 25 percent of these received antidepressants. Anxiety disorders, including panic disorder (16 percent), and social (13 percent) and specific phobias (28 percent) were also common. All subjects with panic disorder were receiving appropriate therapy. CONCLUSIONS: Asthma patients with moderate to severe asthma treated at community health facilities may have high rates of often untreated mood and anxiety disorders. Interventions aimed at identifying and treating psychiatric disorders in this population are needed.
OBJECTIVE: Psychiatric symptoms may be associated with increased asthma morbidity and mortality. However, no investigations have identified syndromal psychiatric diagnoses in asthmapatients using current diagnostic criteria or examined treatment received for mental illness. METHOD: We conducted structured clinical interviews on 32 patients with moderate to severe asthma to identify current and past psychiatric illness. RESULTS: Twenty-five percent of subjects had current major depressive disorder, but only 25 percent of these received antidepressants. Anxiety disorders, including panic disorder (16 percent), and social (13 percent) and specific phobias (28 percent) were also common. All subjects with panic disorder were receiving appropriate therapy. CONCLUSIONS:Asthmapatients with moderate to severe asthma treated at community health facilities may have high rates of often untreated mood and anxiety disorders. Interventions aimed at identifying and treating psychiatric disorders in this population are needed.
Authors: E Sherwood Brown; Nasreen Sayed; Erin Van Enkevort; Alexandra Kulikova; Alyson Nakamura; David A Khan; Elena I Ivleva; Prabha Sunderajan; Bruce G Bender; Traci Holmes Journal: J Allergy Clin Immunol Pract Date: 2018-03-01
Authors: Daphne Koinis-Mitchell; Elizabeth L McQuaid; Ronald Seifer; Sheryl J Kopel; Jack H Nassau; Robert B Klein; Jonathan Feldman; Marianne Z Wamboldt; Gregory K Fritz Journal: Health Psychol Date: 2009-03 Impact factor: 4.267
Authors: Alan B Frol; Aracely Vasquez; Yonatan Getahun; Maria Pacheco; David A Khan; E Sherwood Brown Journal: Allergy Asthma Proc Date: 2013 Mar-Apr Impact factor: 2.587
Authors: Karla Klein Murdock; Elizabeth M Robinson; Sue K Adams; Jennifer Berz; Michael J D Rollock Journal: J Child Health Care Date: 2009-09 Impact factor: 1.979
Authors: E Sherwood Brown; Michelle Murray; Thomas J Carmody; Beth D Kennard; Carroll W Hughes; David A Khan; A John Rush Journal: Ann Allergy Asthma Immunol Date: 2008-05 Impact factor: 6.347