Asthma and mental disorders in primary care

Renee D. Goodwin, Mark Olfson, Steven Shea, Rafael A. Lantigua, Olveen Carrasquillo, Marc J. Gameroff, Myrna M. Weissman

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

This study examines relationships between asthma and likelihood of current mental disorders and suicidal ideation in an urban primary care population. A systematic waiting room sample of 998 adult patients was screened for mental disorders using the PRIME-MD PHQ. Asthma diagnoses were provided by primary care physicians. Multivariate logistic regression analyses were used to determine the odds of current major depression, panic attacks, generalized anxiety disorder, alcohol and drug use disorder, and suicidal ideation among patients with a diagnosis of asthma, as compared to those without asthma. After controlling for differences in sociodemographic characteristics and comorbid mental disorders, asthma was associated with increased likelihood of panic attack (OR=1.7 (1.1, 2.6)) and suicidal ideation (OR=1.9 (1.03, 3.4)). There was no statistically significant association between asthma and major depression, generalized anxiety disorder, alcohol, or drug use disorders after adjustment. Results suggest that physician-diagnosed asthma is associated with self-reported panic attacks and suicidal ideation in a systematic sample of primary care patients. Physicians who treat patients with asthma should remain vigilant for the presence of comorbid psychiatric problems and carefully evaluate whether there is a clinical need to treat each condition.

Original languageEnglish (US)
Pages (from-to)479-483
Number of pages5
JournalGeneral Hospital Psychiatry
Volume25
Issue number6
DOIs
StatePublished - Nov 2003
Externally publishedYes

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Mental Disorders
Primary Health Care
Asthma
Suicidal Ideation
Panic Disorder
Anxiety Disorders
Substance-Related Disorders
Alcohols
Depression
Physicians
Social Adjustment
Primary Care Physicians
Psychiatry
Logistic Models
Regression Analysis
Population

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)
  • Psychiatry and Mental health

Cite this

Goodwin, R. D., Olfson, M., Shea, S., Lantigua, R. A., Carrasquillo, O., Gameroff, M. J., & Weissman, M. M. (2003). Asthma and mental disorders in primary care. General Hospital Psychiatry, 25(6), 479-483. https://doi.org/10.1016/S0163-8343(03)00071-9

Asthma and mental disorders in primary care. / Goodwin, Renee D.; Olfson, Mark; Shea, Steven; Lantigua, Rafael A.; Carrasquillo, Olveen; Gameroff, Marc J.; Weissman, Myrna M.

In: General Hospital Psychiatry, Vol. 25, No. 6, 11.2003, p. 479-483.

Research output: Contribution to journalArticle

Goodwin, RD, Olfson, M, Shea, S, Lantigua, RA, Carrasquillo, O, Gameroff, MJ & Weissman, MM 2003, 'Asthma and mental disorders in primary care', General Hospital Psychiatry, vol. 25, no. 6, pp. 479-483. https://doi.org/10.1016/S0163-8343(03)00071-9
Goodwin RD, Olfson M, Shea S, Lantigua RA, Carrasquillo O, Gameroff MJ et al. Asthma and mental disorders in primary care. General Hospital Psychiatry. 2003 Nov;25(6):479-483. https://doi.org/10.1016/S0163-8343(03)00071-9
Goodwin, Renee D. ; Olfson, Mark ; Shea, Steven ; Lantigua, Rafael A. ; Carrasquillo, Olveen ; Gameroff, Marc J. ; Weissman, Myrna M. / Asthma and mental disorders in primary care. In: General Hospital Psychiatry. 2003 ; Vol. 25, No. 6. pp. 479-483.
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