Health-related quality of life (HRQoL) in depression defined by clinicians and patients in severe asthma. Data from SHARP CRC

<bold>Background:</bold> Depression is more common in severe asthma than in the general population and is associated with poorer outcomes. <bold>Aim:</bold> To describe HRQoL and asthma control in patients with and without a recorded diagnosis of depression by their GP or other clinician and indicated by the Patient Health Questionnaire-2 (PHQ-2). <bold>Method:</bold> Real-word data from adults in the Severe Heterogeneous Asthma Research Collaboration Patient-centered (SHARP) registry included the Severe Asthma Questionnaire (SAQ), SAQ-global and Asthma Control Questionnaire-6 (ACQ) collected via PatientCoach app. PHQ-2 scores of ≥3 indicate depression. <bold>Results:</bold> 216 participants provided data. All questionnaire scores were significantly (p <0.01) worse for those with a clinical record of depression and a PHQ2 ≥3 compared to those with no clinical record of depression and a PHQ-2 ≤2. SAQ and SAQ-global but not ACQ scores were significantly (p <0.05) worse for patients with no clinical record of depression and a PHQ-2 ≥3 compared to those with a clinical record of depression and PHQ-2 ≤2 (Table 1). Age and gender did not differ significantly between groups. <bold>Conclusion:</bold> These data highlight the importance of patients own evaluations of depression, and its impact on HRQoL. Table 1. Questionnaire scores (n) and <italic>SD</italic> for clinical record and/or patient indicated depression. <table-wrap><object-id>erj;64/suppl_68/PA3231/TB1</object-id><object-id>T1</object-id><object-id>TB1</object-id><table><colgroup><col></col><col></col><col></col><col></col><col></col></colgroup><tbody><tr><td></td><td>No clinical record of depression</td><td>Clinical record of depression</td></tr><tr><td></td><td>PHQ2 ≤2</td><td>PHQ2 ≥3</td><td>PHQ2 ≤2</td><td>PHQ2 ≥3</td></tr><tr><td>SAQ (1-7)</td><td>5.77 <break></break>(131) <break></break><italic>1.74</italic></td><td>3.61 <break></break>(37) <break></break><italic>1.51</italic></td><td>4.99 <break></break>(13) <break></break><italic>1.57</italic></td><td>2.84 <break></break>(14) <break></break><italic>1.89</italic></td></tr><tr><td>SAQ-global (0-100)</td><td>72.99 <break></break>(131) <break></break><italic>19.04</italic></td><td>45.14 <break></break>(37) <break></break><italic>21.29</italic></td><td>60.38 <break></break>(13) <break></break><italic>21.93</italic></td><td>39.29 <break></break>(14) <break></break><italic>21.02</italic></td></tr><tr><td>ACQ (6-0)</td><td>1.21 <break></break>(150) <break></break><italic>1.10</italic></td><td>2.57 <break></break>(37) <break></break><italic>1.46</italic></td><td>1.95 <break></break>(14) <break></break><italic>1.34</italic></td><td>3.22 <break></break>(15) <break></break><italic>1.33</italic></td></tr></tbody></table></table-wrap>

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Published
2024-09-14
DOI
https://doi.org/10.1183/13993003.congress-2024.pa3231
Primary Topic
Health, psychology, and well-being
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article
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article

Health-related quality of life (HRQoL) in depression defined by clinicians and patients in severe asthma. Data from SHARP CRC

Anneke Ten Brinke, Dawn Redwood, Sabina Škrgat, Jacob K. Sont et al.
Health, psychology, and well-being
article

Health-related quality of life (HRQoL) in depression defined by clinicians and patients in severe asthma. Data from SHARP CRC

Anneke Ten Brinke, Dawn Redwood, Sabina Škrgat, Jacob K. Sont, Michael E. Hyland, Matthew Masoli, Pedro Nogueira, Simon Doe, Inês Farinha, Fleur L. Meulmeester, Kristina Biekšienė, Barbro Dahlén, Jo Tilley, Dominique Hamerlijnck, L. Havé, Valentyna Yasinska, Anne Mcgahey, Joseph Lanario, Jolita Palačionytė, Sanja Hromiš, Peter Kopač, Cláudia Chaves Loureiro, Mariana Paula-Rezelj, Ana Žaže Bertoncel, Oksana Tenzelius, Maria Gonçalves Cunh, Kathleen Bayani, Tania Wainwright
article en

Abstract

<bold>Background:</bold> Depression is more common in severe asthma than in the general population and is associated with poorer outcomes. <bold>Aim:</bold> To describe HRQoL and asthma control in patients with and without a recorded diagnosis of depression by their GP or other clinician and indicated by the Patient Health Questionnaire-2 (PHQ-2). <bold>Method:</bold> Real-word data from adults in the Severe Heterogeneous Asthma Research Collaboration Patient-centered (SHARP) registry included the Severe Asthma Questionnaire (SAQ), SAQ-global and Asthma Control Questionnaire-6 (ACQ) collected via PatientCoach app. PHQ-2 scores of ≥3 indicate depression. <bold>Results:</bold> 216 participants provided data. All questionnaire scores were significantly (p <0.01) worse for those with a clinical record of depression and a PHQ2 ≥3 compared to those with no clinical record of depression and a PHQ-2 ≤2. SAQ and SAQ-global but not ACQ scores were significantly (p <0.05) worse for patients with no clinical record of depression and a PHQ-2 ≥3 compared to those with a clinical record of depression and PHQ-2 ≤2 (Table 1). Age and gender did not differ significantly between groups. <bold>Conclusion:</bold> These data highlight the importance of patients own evaluations of depression, and its impact on HRQoL. Table 1. Questionnaire scores (n) and <italic>SD</italic> for clinical record and/or patient indicated depression. <table-wrap><object-id>erj;64/suppl_68/PA3231/TB1</object-id><object-id>T1</object-id><object-id>TB1</object-id><table><colgroup><col></col><col></col><col></col><col></col><col></col></colgroup><tbody><tr><td></td><td>No clinical record of depression</td><td>Clinical record of depression</td></tr><tr><td></td><td>PHQ2 ≤2</td><td>PHQ2 ≥3</td><td>PHQ2 ≤2</td><td>PHQ2 ≥3</td></tr><tr><td>SAQ (1-7)</td><td>5.77 <break></break>(131) <break></break><italic>1.74</italic></td><td>3.61 <break></break>(37) <break></break><italic>1.51</italic></td><td>4.99 <break></break>(13) <break></break><italic>1.57</italic></td><td>2.84 <break></break>(14) <break></break><italic>1.89</italic></td></tr><tr><td>SAQ-global (0-100)</td><td>72.99 <break></break>(131) <break></break><italic>19.04</italic></td><td>45.14 <break></break>(37) <break></break><italic>21.29</italic></td><td>60.38 <break></break>(13) <break></break><italic>21.93</italic></td><td>39.29 <break></break>(14) <break></break><italic>21.02</italic></td></tr><tr><td>ACQ (6-0)</td><td>1.21 <break></break>(150) <break></break><italic>1.10</italic></td><td>2.57 <break></break>(37) <break></break><italic>1.46</italic></td><td>1.95 <break></break>(14) <break></break><italic>1.34</italic></td><td>3.22 <break></break>(15) <break></break><italic>1.33</italic></td></tr></tbody></table></table-wrap>

Lithuanian University of Health Sciences (LT), University of Ljubljana (SI), University of Novi Sad (RS), University of Exeter (GB), Royal Devon & Exeter NHS Foundation Trust (GB), Leiden University Medical Center (NL), Musgrove Park Hospital (GB), Ljubljana University Medical Centre (SI), British Lung Foundation (GB), Hospitais da Universidade de Coimbra (PT), Medisch Centrum Leeuwarden (NL), Svenska Örtmedicinska Institute (SE), University Clinic of Pulmonary and Allergic Diseases Golnik (SI), Newcastle upon Tyne Hospital (GB), Swedish Asthma and Allergy Association (SE), University of Plymouth (GB)
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Health, psychology, and well-being
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