Mental health in patients with asthma: A population-based case-control study. (March 2022)

• Record Type: Journal Article
• Authors: Ji, Zichen; López-de-Andrés, Ana; Jiménez-García, Rodrigo; Maestre-Miquel, Clara; Zamorano-León, José Javier; Scarano-Pereira, Juan Pablo; Fuentes-Alonso, Marta; Girón-Matute, Walther Iván; de Miguel-Díez, Javier
• Is Part Of: Respiratory medicine. Volume 193(2022)
• Publication Date: 2022-03
• Subjects: Asthma -- Mental disorders -- Psychiatric medications -- European Health Survey -- Spain; Chest -- Diseases -- Periodicals; Chest -- Diseases -- Great Britain -- Periodicals; Respiratory organs -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Appareil respiratoire -- Maladies -- Périodiques; Thorax -- Maladies -- Périodiques; Appareil respiratoire -- Maladies -- Traitement -- Périodiques; Electronic journals; 616.2
• DOI: 10.1016/j.rmed.2022.106758
• Languages: English
• ISSNs: 0954-6111

Abstract

Abstract: Background: This study's objectives were to compare the prevalence of mental disorders and consumption of psychiatric medications in asthmatic subjects with non-asthmatic controls and identify risk factors associated with psychiatric conditions. Methods: This was an epidemiological case-control study based on the 2020 European Health Survey in Spain self-reported data. Each asthmatic subject was paired with a non-asthmatic control. Study variables included demographics, use of healthcare services, comorbidities, and risky behaviours were compared. Results: There were 22, 072 participants in the survey; 1151 cases and 1151 controls were selected. The prevalence of mental disorders (25.5% versus 13.4%; p < 0.001) and consumption of psychiatric medications (25.8% versus 15.6%; p < 0.001) were higher in cases than controls. In asthmatic subjects, female gender (OR 1.814; p = 0.001), age over 80 years (OR 2.558; p = 0.002), poor self-rated health (OR 2.047; p < 0.001), visits to a psychologist (OR 10.854; p < 0.001) and chronic pain (OR 1.938; p < 0.001) were independently associated with mental disorder diagnoses. Meanwhile, female sex (OR 1.710; p < 0.001), age over 80 years (OR 3.802; p < 0.001), poor self-rated health (OR 2.482; p < 0.001), visits to a psychologist (OR 2.694; p < 0.001) and chronic pain (OR 1.494; p = 0.012) were risk factors independently associated with psychiatric medication consumption. Conclusions: The prevalence of psychiatric conditions were higher in asthmatic subjects. Female gender, older age, worse self-rated health, visits to a psychologist and chronic pain were associated with psychiatric conditions in asthmatic subjects. Highlights: Case-control study to evaluate the presence of mental disorders in asthmatics. Higher prevalence of psychiatric conditions was found in subjects with asthma. The prevalence of psychiatric conditions was higher in women regardless of asthma. Female, older age and worse health were risk factors for having psychiatric disorders.