Characteristics of depression and anxiety in elderly asthmatics

Eun Kyoung Park; Eun Jung Jo; Seung Eun Lee; Seung Geun Lee; Jeong Ha Mok; Mi Hyun Kim; Kwang Ha Lee; Ki Uk Kim; Doo Soo Jeon; Yun Seong Kim; Min Ki Lee; Hye-Kyung Park

doi:10.4168/aard.2014.2.3.194

Journal List > Allergy Asthma Respir Dis > v.2(3) > 1059025

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Park, Jo, Lee, Lee, Mok, Kim, Lee, Kim, Jeon, Kim, Lee, and Park: Characteristics of depression and anxiety in elderly asthmatics

Original Article

Allergy, Asthma & Respiratory Disease 2014; 2(3): 194-199.

Published online: 31 July 2014

DOI: https://doi.org/10.4168/aard.2014.2.3.194

Characteristics of depression and anxiety in elderly asthmatics

Eun Kyoung Park, Eun Jung Jo, Seung Eun Lee, Seung Geun Lee, Jeong Ha Mok, Mi Hyun Kim, Kwang Ha Lee, Ki Uk Kim, Doo Soo Jeon, Yun Seong Kim, Min Ki Lee, Hye-Kyung Park

Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.

Correspondence to: Hye-Kyung Park. Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 602-739, Korea. Tel: +82-51-240-7225, Fax: +82-51-254-3127, parkhk@pusan.ac.kr

Received 19 May 2014 Revised 6 June 2014 Accepted 8 June 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Abstract

Purpose

The prevalence of asthma among the elderly has increased in the aging society. However, limited studies have been conducted regarding the characteristics of elderly asthmatics. In this study, we aimed to evaluate control of asthma, comorbidities, depression and anxiety state, and quality of life in elderly asthmatics.

Methods

A total of 281 patients who were diagnosed with asthma and treated more than 1 year were enrolled. We evaluated not only clinical characteristics, but also depression, anxiety, and quality of life by using the Beck Depression Inventory-Korean version (K-BDI), the State-Trait Anxiety Inventory, and Korean asthma quality of life (KAQLQ), respectively.

Results

Diabetes mellitus (15.2% vs. 6.6%, P=0.020), hypertension (45.5% vs. 18.7%, P<0.001), and heart disease (18.2% vs. 6.0%, P=0.001) were more prevalent comorbidities in elderly asthmatics than young asthmatics. However, there were no differences in the degree of asthma control and lung function between elderly and young asthmatics. K-BDI scores were higher (12.32 vs. 10.99, P=0.020) and KAQLQ was lower (66.60 vs. 68.83, P=0.046) in the elderly asthmatics than in the young asthmatics. Moreover, the low score of asthma control test was significantly associated with depression in the elderly asthmatics (P=0.01).

Conclusion

Elderly asthmatics had a higher degree of depression and a lower quality of life. Inadequate control of asthma was associated with depression. To achieve adequate control of asthma, it would be necessary to assess depression in the elderly asthmatics.

Keywords: Aged, Anxiety, Asthma, Depression

Figures and Tables

Table 1

Comparison between the elderly asthma patients and the younger asthma patients

Values are presented as mean mean±standard deviation or number (%).

FVC, forced vital capacity; FEV₁, forced expiratory volume in 1 second.

^*Malignancy (total, elderly asthma vs. younger asthma): breast cancer (6, 1 vs. 5), esophageal cancer (1, 0 vs. 1), lung cancer (2, 1 vs. 1), papillary thyroid carcinoma (3, 3 vs. 0), rectal cancer (1, 1 vs. 0), and stomach cancer (2, 1 vs. 1). ^†Heart disease: angina pectoris, myocardial infarction, heart failure, atrial fibrillation, and valvular heart disease.

Table 2

Depression, anxiety, quality of life, and unexpected hospital use in the elderly asthma patients and the younger asthma patients

Values are presented as mean±standard deviation or number (%).

K-BDI, Beck Depression Inventory-Korean version; KAQLQ, Korean asthma quality of life; OPD; outpatient department; ED, Emergency Department.

Table 3

Depression, anxiety, quality of life, and unexpected hospital use according to the degree of control in the elderly asthma patients

Values are presented as mean±standard deviation or number (%).

K-BDI, Beck Depression Inventory-Korean version; KAQLQ, Korean asthma quality of life; OPD; outpatient department; ED, Emergency Department.

Table 4

Various clinical paramaters in elderly asthma patients with or without depression

Values are presented as number (%) or mean±standard deviation.

K-BDI, Beck Depression Inventory-Korean version; FEV₁, forced expiratory volume in 1 second; KAQLQ, Korean asthma quality of life; OPD; outpatient department; ED, Emergency Department.

Notes

This work was supported by a 2-Year Research Grant of Pusan National University.

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