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Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study

BACKGROUND: Asthma is a chronic disease associated with risk of depression and suicidal events. The present study estimated the frequency of depression, suicidal motivation (SM) and suicidal ideation (SI) and identified clinical and psychosocial factors associated with these outcomes among individua...

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Autores principales: Vázquez, Vanessa Serva, de Lima, Valmar Bião, de Mello, Luane Marques, Duarte, Drielle Caroline Bidu, Saback de Oliveira, Thaís Dantas, Cruz, Álvaro Augusto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575806/
https://www.ncbi.nlm.nih.gov/pubmed/34795954
http://dx.doi.org/10.21037/jtd-20-3197
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author Vázquez, Vanessa Serva
de Lima, Valmar Bião
de Mello, Luane Marques
Duarte, Drielle Caroline Bidu
Saback de Oliveira, Thaís Dantas
Cruz, Álvaro Augusto
author_facet Vázquez, Vanessa Serva
de Lima, Valmar Bião
de Mello, Luane Marques
Duarte, Drielle Caroline Bidu
Saback de Oliveira, Thaís Dantas
Cruz, Álvaro Augusto
author_sort Vázquez, Vanessa Serva
collection PubMed
description BACKGROUND: Asthma is a chronic disease associated with risk of depression and suicidal events. The present study estimated the frequency of depression, suicidal motivation (SM) and suicidal ideation (SI) and identified clinical and psychosocial factors associated with these outcomes among individuals with asthma. METHODS: Cross-sectional study of a non-probabilistic sample of 1,358 adults with asthma and controls without asthma. Asthma severity and asthma control were assessed by a physician according to WHO (2009) and GINA (2012) criteria. Depression, SM and SI were screened by Beck Depression Inventory (BDI). Psychosocial factors were evaluated by a Community Violence Questionnaire, a Social Support Scale, a Stress Perceived Scale and a Resilience Scale. Chi-Square Test, and logistic regression models were performed to evaluate association between variables and outcomes. RESULTS: Among all participants, 222 (16.30%) had depression, 331 (24.40%) SM and 73 (5.40%) SI. There were 138 (12.10%) individuals with mild depression and SM, and 14 (1.20%) with mild depression and SI. After adjustment, severe asthma (SA) increased the chance of depression by 53.00% whereas mild to moderate asthma (MMA) increased by eleven-fold the likelihood of SI. Perception of low social support increased the chance of depression (OR 3.59; 95% CI, 2.44–5.28) and low resilience by (OR 2.96; 95% CI, 2.00–4.38); distress increased the odds of SM by 37.00%, and low affective support perception raised the likelihood of SI by (OR 6.82; 95% CI, 1.94–2.90). CONCLUSIONS: Asthma, whether mild to moderate or severe, increased the chance of depression and SI. It is noteworthy that individuals with mild depression and MMA are at greater risk for SM and SI. Among the psychosocial variables, perception of low social support and low resilience were the variables associated with depression; distress impacted on SM, and the perception of low affective support raised the chance of SI.
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spelling pubmed-85758062021-11-17 Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study Vázquez, Vanessa Serva de Lima, Valmar Bião de Mello, Luane Marques Duarte, Drielle Caroline Bidu Saback de Oliveira, Thaís Dantas Cruz, Álvaro Augusto J Thorac Dis Original Article of GARD Section BACKGROUND: Asthma is a chronic disease associated with risk of depression and suicidal events. The present study estimated the frequency of depression, suicidal motivation (SM) and suicidal ideation (SI) and identified clinical and psychosocial factors associated with these outcomes among individuals with asthma. METHODS: Cross-sectional study of a non-probabilistic sample of 1,358 adults with asthma and controls without asthma. Asthma severity and asthma control were assessed by a physician according to WHO (2009) and GINA (2012) criteria. Depression, SM and SI were screened by Beck Depression Inventory (BDI). Psychosocial factors were evaluated by a Community Violence Questionnaire, a Social Support Scale, a Stress Perceived Scale and a Resilience Scale. Chi-Square Test, and logistic regression models were performed to evaluate association between variables and outcomes. RESULTS: Among all participants, 222 (16.30%) had depression, 331 (24.40%) SM and 73 (5.40%) SI. There were 138 (12.10%) individuals with mild depression and SM, and 14 (1.20%) with mild depression and SI. After adjustment, severe asthma (SA) increased the chance of depression by 53.00% whereas mild to moderate asthma (MMA) increased by eleven-fold the likelihood of SI. Perception of low social support increased the chance of depression (OR 3.59; 95% CI, 2.44–5.28) and low resilience by (OR 2.96; 95% CI, 2.00–4.38); distress increased the odds of SM by 37.00%, and low affective support perception raised the likelihood of SI by (OR 6.82; 95% CI, 1.94–2.90). CONCLUSIONS: Asthma, whether mild to moderate or severe, increased the chance of depression and SI. It is noteworthy that individuals with mild depression and MMA are at greater risk for SM and SI. Among the psychosocial variables, perception of low social support and low resilience were the variables associated with depression; distress impacted on SM, and the perception of low affective support raised the chance of SI. AME Publishing Company 2021-10 /pmc/articles/PMC8575806/ /pubmed/34795954 http://dx.doi.org/10.21037/jtd-20-3197 Text en 2021 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article of GARD Section
Vázquez, Vanessa Serva
de Lima, Valmar Bião
de Mello, Luane Marques
Duarte, Drielle Caroline Bidu
Saback de Oliveira, Thaís Dantas
Cruz, Álvaro Augusto
Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
title Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
title_full Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
title_fullStr Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
title_full_unstemmed Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
title_short Depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
title_sort depression, suicidal motivation and suicidal ideation among individuals with asthma: a cross-sectional study
topic Original Article of GARD Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575806/
https://www.ncbi.nlm.nih.gov/pubmed/34795954
http://dx.doi.org/10.21037/jtd-20-3197
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