Close correlation between anxiety, depression, and asthma control

Fabiano Di Marco, Massimo Verga, Pierachille Santus, Francesca Giovannelli, Paolo Busatto, Margherita Neri, Giuseppe Girbino, Sergio Bonini, Stefano Centanni

Research output: Contribution to journalArticlepeer-review


Background: We investigated the correlation between patients' characteristics, including anxiety and depression, and the level of asthma control evaluated by asthma control test (ACT), a self-administered validated questionnaire. Methods: This is a cross-sectional study on asthmatic outpatients of three Italian hospitals. Demographic data, spirometry, anxiety and depression scores as well as the level of asthma control from 315 patients were collected. Results: Patients with poorly controlled asthma were more frequently women, older, with a worse pulmonary function, obese, more anxious and/or more depressed. Four different independent factors associated with poor asthma control evaluated by ACT have been found: FEV1 <60% (odds ratio, OR: 6.52), anxiety (OR: 3.76), age ≥65 years (OR: 2.69), and depression (OR: 2.45). The presence of anxiety and depression was associated with a higher healthcare utilization. Finally, we found a high level of agreement between ACT and multidimensional GINA approach in evaluating asthma control, with a concordance in 239 patients (81% of the population). Conclusion: There is a close correlation between anxiety and depression, and a poor asthma. A better understanding of this association may have major clinical implications, mainly in patients with poor controlled asthma in whom the presence of anxiety and depression should be investigated.

Original languageEnglish
Pages (from-to)22-28
Number of pages7
JournalRespiratory Medicine
Issue number1
Publication statusPublished - Jan 2010


  • Anxiety
  • Asthma
  • Asthma control
  • Depression

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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