Relationships among pulmonary function, anxiety and depression in mild asthma: An exploratory study

Biol Psychol. 2022 Feb:168:108244. doi: 10.1016/j.biopsycho.2021.108244. Epub 2021 Dec 24.

Abstract

In a secondary analysis of data from a prior study, we calculated the relationships among depression (PHQ-8), anxiety (GAD-7), and measures of asthma in 69 steroid-naïve patients with mild and moderate symptomatic asthma. Average levels of pulmonary function, depression and anxiety tended to be in the normal range, and asthma tended to be well controlled (Asthma Control Test). Nevertheless, PHQ-8 scores were significantly correlated with forced oscillation (FO) measures of airway reactance (AX) and resistance at a low frequency of stimulation (Rrs5 Hz). GAD-7 scores also were significantly related to Rrs5 Hz. Exploratory analyses in Supplementary data provide no evidence for vagal mediation of the association. Further research is necessary to discover mechanisms for the associations found here. Future studies might examine the utility of assessing and treating mild anxiety and depression in mild to moderate asthma.

Keywords: AX; Forced oscillation pneumography; Lung disease; Psychophysiology; Psychosomatics; Rrs(5 Hz); Spirometry.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Airway Resistance / physiology
  • Anxiety
  • Asthma* / complications
  • Depression*
  • Forced Expiratory Volume / physiology
  • Humans
  • Oscillometry
  • Spirometry