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 language | English (US) |
|---|---|
| Pages (from-to) | 479-483 |
| Number of pages | 5 |
| Journal | General Hospital Psychiatry |
| Volume | 25 |
| Issue number | 6 |
| DOIs | |
| State | Published - Nov 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Emergency Medicine
- Medicine(all)
- Psychiatry and Mental health
Cite this
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 journal › Article
}
TY - JOUR
T1 - Asthma and mental disorders in primary care
AU - Goodwin, Renee D.
AU - Olfson, Mark
AU - Shea, Steven
AU - Lantigua, Rafael A.
AU - Carrasquillo, Olveen
AU - Gameroff, Marc J.
AU - Weissman, Myrna M.
PY - 2003/11
Y1 - 2003/11
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0346963280&partnerID=8YFLogxK
U2 - 10.1016/S0163-8343(03)00071-9
DO - 10.1016/S0163-8343(03)00071-9
M3 - Article
C2 - 14706414
AN - SCOPUS:0346963280
VL - 25
SP - 479
EP - 483
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
SN - 0163-8343
IS - 6
ER -