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Titolo:
The impact of depressive symptoms on the functional status of inner-city patients with asthma
Autore:
Goethe, JW; Maljanian, R; Wolf, S; Hernandez, P; Cabrera, Y;
Indirizzi:
Inst Living, Burlingame Ctr Psychiat Res & Educ, Hartford, CT 06106 USA Inst Living Hartford CT USA 06106 hiat Res & Educ, Hartford, CT 06106 USA Hartford Hosp, Inst Outcomes Res & Evaluat, Hartford, CT 06115 USA Hartford Hosp Hartford CT USA 06115 Res & Evaluat, Hartford, CT 06115 USA Hartford Hosp, Ambulatory Clin Serv, Hartford, CT 06115 USA Hartford HospHartford CT USA 06115 ory Clin Serv, Hartford, CT 06115 USA Hartford Hosp, Asthma Control & Educ Program, Hartford, CT 06115 USA Hartford Hosp Hartford CT USA 06115 Educ Program, Hartford, CT 06115 USA
Titolo Testata:
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY
fascicolo: 3, volume: 87, anno: 2001,
pagine: 205 - 210
SICI:
1081-1206(200109)87:3<205:TIODSO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
NUTRITION EXAMINATION SURVEY; PRIMARY-CARE PRACTICE; NEW-YORK-CITY; PSYCHIATRIC-DISORDERS; MEDICAL-CARE; HISPANIC HEALTH; MENTAL-HEALTH; PUERTO-RICANS; PREVALENCE; OUTCOMES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
46
Recensione:
Indirizzi per estratti:
Indirizzo: Goethe, JW Inst Living, Burlingame Ctr Psychiat Res & Educ, 400 WashingtonSt, Hartford, CT 06106 USA Inst Living 400 Washington St Hartford CT USA 06106 T 06106 USA
Citazione:
J.W. Goethe et al., "The impact of depressive symptoms on the functional status of inner-city patients with asthma", ANN ALLER A, 87(3), 2001, pp. 205-210

Abstract

Background: Functional deficits are common in patients with asthma. If there is cooccurring depression, these deficits may be more severe and/or morepersistent. Objective: This study was undertaken to determine 1) the prevalence and severity of depressive symptoms in a sample of inner-city patients being treated for asthma and 2) the impact of these symptoms on functional status. Methods: Three hundred seventeen enrollees in an inner-city asthma programwere evaluated using the health status questionnaire and the Center for Epidemiologic Studies Depression Scale (CES-D) at baseline and at 3- and 6-month follow-ups. Two groups were created based on patients' CES-D baseline scores, using a commonly used cutpoint to define "caseness" for depression. The two groups were compared using ANOVA, chi (2), and the general linear model for repeated measures. Results: Of the sample, 55.01% had a CES-D score greater than the cutpointfor depression. The mean was 29.3 +/- 11.95, well above the scores commonly used to indicate the presence of depression. The depressed group had lower scores on many measures of functional capacity at baseline; whereas both depressed and nondepressed patients improved over time on the physical performance measure (the physical performance measure subscale of the health status questionnaire), the mean score for the depressed group was consistently lower. Conclusions: The prevalence of depressive symptoms was greater than expected. Depression was persistent and had a major impact on functional capacity. Routine depression screening may be especially important in inner-city patients and other groups thought to be at increased risk for poor outcome.

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Documento generato il 25/01/20 alle ore 09:26:10