Aim of this study was to describe psychopathology in difficult asthma, both major mental and personality disorders, based on diagnostic interviews. [1] A total of 51 patients with difficult asthma were diagnosed at the start of the treatment programme using two structured clinical interviews for both major mental (SCID-I) and personality disorders (SCID-II) according to…
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This is a Canadian study from 2017. [1] The objective of this study was to quantify the impact of mental disorders on the adult asthma population and compare the risk of mental health service claims (MHSCs) in the 1 year before and 1 year after asthma diagnosis. Ontario residents aged 25 to 65 years with…
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This is a study published 2006 in Chest.[1] 504 adults with confirmed asthma underwent a brief, structured psychiatric interview using the Primary Care Evaluation of Mental Disorders. Asthma control and asthma-related quality of life were assessed using the Asthma Control Questionnaire (ACQ) and the Asthma Quality of Life Questionnaire (AQLQ). Thirty-one per cent of patients…
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This is a retrospective study from Ottawa, Canada. [1] Adults aged ≥18 years with HCV (n=1209) were compared with age- and sex-matched Ottawa-area residents (n=6045). All mental health conditions, including nonpsychotic mood and anxiety disorders (PR 2.22; 95% CI, 1.86-2.64), other mental health illnesses (PR 2.71; 95% CI, 2.06-3.55), and substance use (PR 26.50; 95%…
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This is a study that was published in JAMA Psychiatry.[1] An intervention designed to enhance communication between oncologists and patients with advanced cancer did not improve the primary outcomes of goal-concordant care and peacefulness. There were significant reductions in moderate to severe anxiety and depression symptoms among intervention patients at 14 weeks. Anxiety reduction was…
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This is a longitudinal study of 284 patients with chronic low back pain (CLBP). [1] It aimed to assess the effectiveness of the usual multidisciplinary approach and the impact of anxiety and depression symptoms and their interaction on clinical outcomes. The majority of patients had both anxiety and depression and experienced higher pain severity (P < 0.001)…
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This is a study of 190 patients with major depressive disorder (MDD). [1] The authors investigated the effect that medical comorbidity (chronic physical illness – CPI) had on psychiatric admissions. More than two CPIs in patients diagnosed with recurrent MDD were associated with higher rates of psychiatric admission, independent of psychiatric comorbidities and other clinical…
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This is a Korean study published in JAMA Otolaryngology–Head & Neck Surgery. [1] In a relatively small group of 197 patients with a diagnosis of obstructive sleep apnoea (OSA), the authors found an increased risk to develop an affective disorder in 9 years of follow up. The adjusted hazard ratios (HRs) for patients with OSA…
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This is study from England which was published in 2016. [1] The authors investigated the impact of psychiatric comorbidities on length of stay (LoS) amongst 31,760 heart failurre patients admitted to hospitals in North England between 1st January 2000 and 31st March 2013. Mean LoS in the absence of psychiatric comorbidities was 11.2 days. The…
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This study looked at all patients admitted to a district hospital in England during one week. The prevalence of psychiatric comorbidity was 11.8% in 2,444 inpatients. These patients had higher inpatient mortality (8.7 vs 3.3%; p < 0.001), 30-day readmission rates (24.7 vs 9.7%; p < 0.001), length of stay (mean 16.7 vs 5 days;…
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