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- W2954393487 abstract "Asthma affects more than 300 million people worldwide and over 26 million people in the US. Incidence of psychological distress (PD) in asthma, a consequence of coexisting psychological comorbidities like anxiety and/or depression, is on the rise. The study aims to identify sociodemographic and other factors that are associated with PD and assess its impact specifically on reliever medication use in Asthma. A retrospective, cross-sectional research data, obtained from the Medical Expenditure Panel Survey (MEPS, 2013-2015) and consisted of a sample of 5307 community dwelling asthmatics. PD was identified by using Kessler-6 scale (a score of ≥ 13), a self-administered written questionnaire embedded in MEPS. Use of three or more canisters of quick relief inhalers was defined as overuse of relievers. A Chi-square analyses was performed to test association between PD and reliever use. A set of logistic regression (LR) analyses was performed to determine the predictors of PD as well as reliever overuse in asthmatics with PD. Compared to those without distress, a higher proportion of psychologically distressed asthmatics reported reliever overuse (2=310956.703, 23.3% vs 12.2%, p<0.0001). Female asthmatics were 32.3% more likely to have PD than males (OR=1.323, C.I=1.320-1.326, p<0.0001). The LR results revealed that female asthmatics within the PD group were more likely to overuse relievers than males (OR= 2.263, C.I= 2.255-2.2343, p<0.0001), and those with 12 years or more of education were less likely to overuse relievers compared to those with less education (OR=0.555, C.I=0.553-0.556, p<0.0001). A Phi correlation coefficient (rφ=–0.103) revealed a significant negative correlation between PD scores and reliever overuse. Comorbidity of PD in asthma is associated with over-utilization of reliever medications. Inappropriate medication use can affect treatment plan, compromise patient’s quality of life, and increase the overall cost of care in asthma." @default.
- W2954393487 created "2019-07-12" @default.
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- W2954393487 date "2019-05-01" @default.
- W2954393487 modified "2023-09-27" @default.
- W2954393487 title "PRS56 PREDICTORS OF PSYCHOLOGICAL DISTRESS AND ITS INFLUENCE ON RELIEVER MEDICATION USE IN ASTHMA" @default.
- W2954393487 doi "https://doi.org/10.1016/j.jval.2019.04.1760" @default.
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