Abstract:
BACKGROUND:Individuals with chronic respiratory conditions are at-risk for depression and anxiety. In the largest mental health screening study of over 6000 people with cystic fibrosis (CF) and 4000 parent caregivers (TIDES, 2014), rates of symptomatology were two to three times higher than in the general population. International guidelines recommend annual screening of mental health. This is the first study to implement these guidelines in one of the largest CF Centers in Italy. METHODS:All individuals with CF, 12 and older (n = 167) and caregivers of children with CF (n = 186), birth to 18, were screened. Health outcome data were also collected (i.e FEV1, BMI, pulmonary exacerbations, CF-related diabetes). Prevalence data and associations between psychological symptoms and health outcomes were examined. RESULTS:A high percentage of patients and parent caregivers reported scored above the clinical cut-off for depression and anxiety (37%-48% of adolescents, 45%-46% of adults, 49%-66% of mothers and fathers). Most scores fell in the mild range, however, over 30% were in the moderate to severe range. Elevations in depression and anxiety were correlated. Adolescents who had more pulmonary exacerbations reported higher anxiety. Adults with recent events of hemoptysis reported higher symptoms of depression. CONCLUSIONS:Symptoms of depression and anxiety were elevated in both individuals with CF and parents. Implementation of mental health screening was critical for identifying those in need of psychological interventions. These results strongly suggest that mental health should be integrated into physical health care for those with complex, chronic respiratory conditions, including COPD, PCD.
journal_name
Respir Medjournal_title
Respiratory medicineauthors
Graziano S,Spanò B,Majo F,Righelli D,Vincenzina L,Quittner A,Tabarini Pdoi
10.1016/j.rmed.2020.106147subject
Has Abstractpub_date
2020-10-01 00:00:00pages
106147eissn
0954-6111issn
1532-3064pii
S0954-6111(20)30287-0journal_volume
172pub_type
杂志文章abstract:BACKGROUND:During military service young men (age 19-21 years) are exposed to many predisposing factors for asthma. We aimed to study the short-term prognosis of asthma after the military service. METHODS:All 216 men with verified asthma in 2004-2005 from the register of the Central Military Hospital were included in ...
journal_title:Respiratory medicine
pub_type: 杂志文章
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更新日期:2009-12-01 00:00:00
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.rmed.2019.06.012
更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1016/j.rmed.2005.02.031
更新日期:2005-09-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1053/rmed.2000.1008
更新日期:2001-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2002-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.rmed.2018.02.023
更新日期:2018-04-01 00:00:00
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更新日期:2020-11-26 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:1998-05-01 00:00:00
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更新日期:2008-12-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1993-08-01 00:00:00
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更新日期:2012-03-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2005-02-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2010-09-01 00:00:00
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更新日期:2001-05-01 00:00:00
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更新日期:2019-07-01 00:00:00
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更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-11-01 00:00:00