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Title: Depressive symptoms and overperception of airflow obstruction in older adults with asthma
Authors: Feldman, Jonathan M.
Keywords: asthma
airflow obstruction
pulmonary function
Geriatric Depression Scale
Asthma Control Questionnaire
Mini Asthma Quality of Life Questionnaire
peak expiratory flow (PEF)
overperception of airflow obstruction
Issue Date: 2021
Publisher: American Psychosomatic Society
Citation: Feldman, J. M. (2021). Depressive symptoms and overperception of airflow obstruction in older adults with asthma. Psychosomatic Medicine., 83(1), 787–794. PSY.0000000000000951
Series/Report no.: Psychosomatic Medicine;83(1)
Abstract: _Objective _ Older adults are at increased risk for depression and poor asthma outcomes. We examined whether depressive symptoms are associated with overperception of airflow obstruction and a pattern of worse asthma control, but not pulmonary function. _Methods_ We recruited a cohort of adults with asthma 60 years and older in East Harlem and the Bronx, New York. Baseline measures included the Geriatric Depression Scale, Asthma Control Questionnaire, and Mini Asthma Quality of Life Questionnaire. Spirometry was conducted at baseline to assess pulmonary function. Perception of airflow obstruction was assessed for 6 weeks following baseline by participants entering estimates of peak expiratory flow (PEF) into a programmable peak flow meter followed by PEF blows. Participants were blinded to actual PEF values. The percentage of time that participants were in the overperception zone was calculated as an average. _Results_ Among the 334 participants (51% Hispanic, 25% Black), depressive symptoms were associated with overperception of airflow obstruction (β = 0.14, p = .029), worse self-reported asthma control (β = 0.17, p = .003), and lower asthma-related quality of life (β = −0.33, p < .001), but not with lung function (β = −0.01, p = .82). Overperception was also associated with worse self-reported asthma control (β = 0.14, p = .021), but not lung function (β = −0.05, p = .41). _Conclusions_ Depressive symptoms were associated with greater perceived impairment from asthma, but not pulmonary function. Overperception of asthma symptoms may play a key role in the relationship between depression and asthma outcomes in older adults
Description: Scholarly article
ISSN: ISSN: 0033-3174 Online ISSN: 1534-7796
Appears in Collections:Ferkauf Graduate School of Psychology: Faculty Publications

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