抑郁症状与哮喘控制有关,但与农村青少年的自我管理无关。

IF 3.3 Q2 ALLERGY
Frontiers in allergy Pub Date : 2024-01-11 eCollection Date: 2023-01-01 DOI:10.3389/falgy.2023.1271791
Neha B Patel, Amarilis Céspedes, Jianfang Liu, Jean-Marie Bruzzese
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引用次数: 0

摘要

背景:抑郁症是哮喘的一种相关合并症,据报道与哮喘发病率有关。哮喘自我管理对哮喘控制至关重要,而抑郁症可能会对哮喘自我管理产生负面影响。农村青少年是哮喘发病率和抑郁症状相对较高的群体,在哮喘研究中往往被忽视:我们使用了南卡罗来纳州农村青少年哮喘干预随机试验的基线数据(n = 197)。青少年填写了流行病学研究中心抑郁(CES-D)、哮喘自我管理的三个指数(哮喘预防指数、哮喘管理指数和哮喘自我效能指数)以及哮喘控制测试(ACT)。泊松回归和线性回归测试了抑郁、自我管理和哮喘控制之间的关联。这些模型控制了人口统计学变量,并将学校作为固定效应:大多数参与者(平均年龄 = 16.3 ± 1.2 岁)自我认同为女性(68.5%)和黑人(62.43%)。平均 CES-D 得分为 19.7 ± 10.3,61.4% 的参与者有抑郁风险。抑郁症状与哮喘控制明显相关[β = -0.085,95% 置信区间 (CI) = -0.14 to -0.03],但与预防[相对风险 (RR) = 1.00,95% CI = 0.99-1.01]、管理(RR = 1.00,95% CI = 0.99-1.01)或自我效能(β = -0.002,95% CI = -0.01 to 0.01)无关:在这一农村青少年样本中,随着抑郁症状的增加,哮喘控制率也在下降。抑郁症状与哮喘自我管理无关,这表明我们评估的自我管理方面并不是抑郁症影响哮喘控制的途径。要进一步了解抑郁症状、哮喘自我管理和控制之间的关系,还需要进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Depressive symptoms are related to asthma control but not self-management among rural adolescents.

Background: Depression, a relevant comorbidity with asthma, has been reported to be associated with asthma morbidity. Asthma self-management is essential to asthma control and may be negatively impacted by depression. We examined these associations in rural adolescents, a group with relatively high asthma morbidity and depressive symptoms, a population often ignored in asthma research.

Methods: We used baseline data from a randomized trial of an asthma intervention for adolescents in rural South Carolina (n = 197). Adolescents completed the Center for Epidemiological Studies-Depression (CES-D), three indices of asthma self-management (the Asthma Prevention Index, the Asthma Management Index and the Asthma Self-Efficacy Index), and the Asthma Control Test (ACT). Poisson and linear regression tested associations between depression, self-management, and asthma control. The models controlled for demographic variables and included school as a fixed effect.

Results: Most participants (mean age = 16.3 ± 1.2 years) self-identified as female (68.5%) and Black (62.43%). The mean CES-D score was 19.7 ± 10.3, with 61.4% of participants at risk for depression. The depressive symptoms were significantly related to asthma control [β = -0.085, 95% confidence interval (CI) = -0.14 to -0.03] but not to prevention [relative risk (RR) = 1.00, 95% CI = 0.99-1.01], management (RR = 1.00, 95% CI = 0.99-1.01), or self-efficacy (β = -0.002, 95% CI = -0.01 to 0.01).

Conclusions: In this sample of rural adolescents, as depressive symptoms increased, asthma control declined. Depressive symptoms were not associated with asthma self-management, suggesting that the aspects of self-management we assessed are not an avenue by which depression impacts asthma control. Additional research is needed to further understand the relationship between depressive symptoms, asthma self-management, and control.

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