 |
|
Mental Disorders and Asthma in the Community
Renee D. Goodwin, PhD, MPH;
Frank Jacobi, PhD;
Wolfgang Thefeld, MD
Arch Gen Psychiatry. 2003;60:1125-1130.
Objective To determine the association between asthma and mental disorders among adults in the community.
Setting Germany.
Participants Representative sample of the general population aged 18 to 65 years.
Main Outcome Measures Diagnoses of current (the past 4 weeks) and lifetime asthma were based on physician diagnosis; current and lifetime DSM-IV mental disorders were assessed using the Composite International Diagnostic Interview.
Results Current severe asthma (the past 4 weeks) was associated with a significantly increased likelihood of any anxiety disorder (odds ratio [OR], 2.65; 95% confidence interval [CI], 1.35-5.18), specific phobia (OR, 4.78; 95% CI, 2.35-4.05), panic disorder (OR, 4.61; 95% CI, 1.09-9.4), and panic attacks (OR, 4.12; 95% CI, 1.32-12.8). Lifetime severe asthma was associated with the increased likelihood of any anxiety disorder (OR, 2.09; 1.3-3.36), panic disorder (OR, 2.61; 95% CI, 1.29-5.25), panic attacks (OR, 2.84; 95% CI, 1.66, 4.89), social phobia (OR, 3.28; 95% CI, 1.42, 7.59), specific phobia (OR, 2.93; 95% CI, 1.71-5.0), generalized anxiety disorder (OR, 5.51; 95% CI, 2.29-13.22), and bipolar disorder (OR, 5.64; 95% CI, 1.95-16.35). Current nonsevere asthma was associated with the increased likelihood of any affective disorder (OR, 2.42; 95% CI, 1.03-5.72); and lifetime nonsevere asthma was associated with increased odds of any anxiety disorder (OR, 1.51; 95% CI, 1.0-2.32), anxiety disorder not otherwise specified (OR, 2.08; 95% CI, 1.03-4.23), and any somatoform disorder (OR, 1.7; 95% CI, 1.14-2.53).
Conclusions To our knowledge, these findings are consistent with and extend the findings of previous reports by providing the first available information on the association between physician-diagnosed asthma and DSM-IV mental disorders in a representative population sample of adults. Our results suggest an association between asthma and a range of mental disorders. Longitudinal studies that can examine the sequence of onset and the role of genetic and environmental factors in the association between asthma and affective and anxiety disorders are needed next to further elucidate possible shared causative mechanisms.
From the Institute of Clinical Psychology and Psychotherapy, Technical University of Dresden, Dresden, Germany (Drs Goodwin and Jacobi); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (Dr Goodwin); and the Robert-Koch-Institut, Berlin, Germany (Dr Thefeld).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
A Twin Study of Post Traumatic Stress Disorder Symptoms and Asthma
Goodwin et al.
Am. J. Respir. Crit. Care Med. 2007;176:983-987.
ABSTRACT
| FULL TEXT
Association between Lung Function and Mental Health Problems among Adults in the United States: Findings from the First National Health and Nutrition Examination Survey
Goodwin et al.
Am J Epidemiol 2007;165:383-388.
ABSTRACT
| FULL TEXT
Psychiatric Symptomatology and Disorders in Caregivers of Children With Asthma
Brown et al.
Pediatrics 2006;118:e1715-e1720.
ABSTRACT
| FULL TEXT
Disability and poor quality of life associated with comorbid anxiety disorders and physical conditions.
Sareen et al.
Arch Intern Med 2006;166:2109-2116.
ABSTRACT
| FULL TEXT
What is worse for asthma control and quality of life: depressive disorders, anxiety disorders, or both?
Lavoie et al.
Chest 2006;130:1039-1047.
ABSTRACT
| FULL TEXT
Anger, stress, dysregulation produces wear and tear on the lung.
Lehrer
Thorax 2006;61:833-834.
FULL TEXT
Risk Taking, Depression, Adherence, and Symptom Control in Adolescents and Young Adults with Asthma
Bender
Am. J. Respir. Crit. Care Med. 2006;173:953-957.
ABSTRACT
| FULL TEXT
Psychiatric Disorders and Asthma Outcomes Among High-Risk Inner-City Patients
Feldman et al.
Psychosom. Med. 2005;67:989-996.
ABSTRACT
| FULL TEXT
Where Are the Guidelines for the Treatment of Asthma with Panic Spectrum Symptoms?
Nardi
Am. J. Respir. Crit. Care Med. 2005;172:1055-1056.
FULL TEXT
Asthma and Panic in Young Adults: A 20-Year Prospective Community Study
Hasler et al.
Am. J. Respir. Crit. Care Med. 2005;171:1224-1230.
ABSTRACT
| FULL TEXT
Parental Psychopathology and Childhood Atopic Disorders in the Community
Mojtabai
Psychosom. Med. 2005;67:448-453.
ABSTRACT
| FULL TEXT
Psychiatric and Medical Comorbidities of Bipolar Disorder
Krishnan
Psychosom. Med. 2005;67:1-8.
ABSTRACT
| FULL TEXT
Respiratory Symptoms and Mental Disorders Among Youth: Results From a Prospective, Longitudinal Study
Goodwin et al.
Psychosom. Med. 2004;66:943-949.
ABSTRACT
| FULL TEXT
The Relationship of Asthma and Anxiety Disorders
Katon et al.
Psychosom. Med. 2004;66:349-355.
ABSTRACT
| FULL TEXT
RAPID RESPONSES TO THIS ARTICLE
Asthma and panic disorder spectrum
Antonio E Nardi
Arch Gen Psychiatry Online, 26 Dec 2003.
TEXT
|
