PREVALENCE OF ANXIETY IN ADULT PATIENTS WITH ASTHMA IN A TERTIARY HOSPITAL.
- Physician Assigned to the Allergy and Clinical Immunology Service, Hospital de Especialidades XXI Medical Center, IMSS.
- Instituto Polit?cnico Nacional, Escuela Superior de Medicina, Posgrado.
- Head of Cardiology Service, Specialties Hospital XXI Medical Center, IMSS.
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Introduction:-Anxiety disorders have a prevalence of 14%; Psychiatric comorbidities are more common in patients with chronic respiratory diseases such as asthma and chronic obstructive pulmonary disease. Rates of 12 to 34% prevalence of anxiety and depression disorders have been found among adult patients with asthma. Objective:-to identify the prevalence of anxiety in adult patients with asthma. Material and Methods: observational, transversal and analytical study. Demographic data collection was performed, stratified by level of asthma control, according to international criteria, spirometry and application of the Beck anxiety inventory, validated in Mexico. A sample size calculation (204 patients), bivariate and multivariate analysis with multiple logistic regression was performed. Results: We included 204 patients, 59.8% men; 50% with controlled asthma, 34.7% partially controlled asthma and 16. 7% uncontrolled asthma. The prevalence of anxiety was 77.5%, 18.5% with minimal anxiety, 44.3% mild, 28.8% moderate and 8.5% severe. Forty percent of patients with partially controlled asthma with moderate anxiety and 68.7% with uncontrolled asthma had moderate anxiety. The associated factors that predispose to anxiety were: uncontrolled asthma, obstructive pattern in spirometry, female sex, more than 5 years of onset of bronchial symptoms and the presence of comorbidities. Conclusions: in this study we found a higher prevalence of anxiety in patients with asthma, than that reported in the literature.
- Garc?a-Sancho C, Fern?ndez-Plata R, Mart?nez-Brise?o M, et al. Prevalencia y riesgos asociados con pacientes adultos con asma de 40 a?os o m?s de la Ciudad de M?xico: estudio de base poblacional. Salud P?blica M?x 2012;54(4).
- GEMA: Gu?a Espa?ola del manejo de Asma, 2018.
- Katon W, Lozano P, Bush T. The Prevalence of DSM-IV Anxiety and Depressive Disorders in youth with Asthma compred to controls. J Adolec Health 2007;41(5):455-463
- Ascencio-Huertas L. Trastornos de Ansiedad y Enfermedades m?dicas concomitantes. Experiencia Cl?nica. REv Hosp Jua Mex. 2007; 74(2):81-92.
- Di Marco F, Verga M, Santus P, et al. Close correlation between anxiety, depression, and asthma control. Respiratory Medicine 2009:1-7.
- Vidal A, Matamala M. Asthma and psychiatric disorders in childhood and adolescense. Rev Chil Enf Respir 2013;29:14-23.
- McCracken JL, Veeranki SP, Ameredes BT, Calhoun WJ. Diagnosisand Management of?Asthma?in Adults: A Review.JAMA. 2017 Jul 18;318(3):279-290
- Wheatley JR. Spirometry: key to thediagnosis?of respiratory disorders.Med J Aust. 2017 Nov 20;207(10):422-423
- Goodwin R. D, Robinson M, Sly P.D. et al. severity and persistence of asthma and mental health: a birth crfe3ohort study. Psychol Med 2013;43(6)1-16
- Slattery M, Essex M. specificity in the association of anxiety, depression and atopic disorders in a community sample of adolescents. J Psychiatr Res 2011;45(6):788-795.
- McGrady M, Cotton S, Rosenthal S, et al. anxiety and asthma symtomps in urban adolescents with asthma: the mediating role of illness perceptions. J Clin Psychol Med Settings 2010;17(4):349-356.
- Valero-Moreno S, P?rez-Mar?n M, Montoya-Castilla I, Castillo-Corull?n S, Ram?rez-Aguilar A, Escribano-Montaner A. Emotional distress in family caregivers of adolescents with bronchialasthma: analysis of its predictors.Arch Argent Pediatr. 2018 Apr 1;116(2):e234-e240
- Sastre J, Crespo A, Fernandez-Sanchez A, Rial M, Plaza V; investigators of the CONCORD Study Group. Anxiety, Depression, andAsthma?Control: Changes After Standardized Treatment.J Allergy Clin Immunol Pract. 2018 Feb 15. pii: S2213-2198(18)30094-1. doi: 10.1016/j.jaip.2018.02.002
- Arias-G?mez J, Villasis-Keever MA, Miranda-Morales MG. El protocolo de investigaci?n III: la poblaci?n de estudio. Rev Alerg M?x. 2016;63(2):201-206
- Fajardo-Guti?rrez A. Medici?n en epidemiolog?a: prevalencia, incidencia, riesgo, medidas de impacto. Rev Alerg Mex. 2017;64(1):109-120
- Lugo-Gonz?lez I, Reynoso-Erazo L,Fern?ndez Vega M, et al.Percepci?n de enfermedad, depresi?n, ansiedad y control del asma: Una primera aproximaci?n. cir. t?rax? 2014;73(2).
- Robles R, Verela R, Jurado S, et al. Versi?n mexicana del Inventario de ansiedad de Beck:propiedades psicom?tricas.. Red Mex Anal conduce 2001;34:313-331
- Ben?tez-P?rez R, Torre-Bouscoulet L, Villca-Al? N, et al. Espirometr?a: recomendaciones y procedimiento. Neumol Cir T?rax. 2016;75(3):173-190.
[OFarrill Romanillos Patricia Maria, Sevilla Gonzalez Maria de la Luz and Orihuela Rodriguez Oscar. (2019); PREVALENCE OF ANXIETY IN ADULT PATIENTS WITH ASTHMA IN A TERTIARY HOSPITAL. Int. J. of Adv. Res. 7 (Jan). 366-371] (ISSN 2320-5407). www.journalijar.com
Instituto Politecnico Nacional