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The association of depressive symptoms and pulmonary function in healthy adults.

Authors
Ochs-Balcom-HM; Lainhart-W; Mnatsakanova-A; Charles-LE; Violanti-JM; Andrew-ME; Freudenheim-JL; Muti-P; Trevisan-M; Burchfiel-CM; Schünemann-HJ
Source
Psychosom Med 2013 Oct; 75(8):737-743
NIOSHTIC No.
20043304
Abstract
Objective: Chronic lung disease is exacerbated by comorbid psychiatric issues and treatment of depression may improve disease symptoms. We sought to add to the literature as to whether depression is associated with pulmonary function in healthy adults. Methods: In 2551 healthy adults from New York State, we studied the association of depression via the Center for Epidemiologic Studies Depression scale (CES-D) scale score and forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) using general linear models and a cross-sectional design. Results: We identified statistically significant inverse trends in FEV1, FVC, FEV1%, and FVC% by CES-D category, especially in ever-smokers and men. When adjusted for covariates, the difference in FEV1 and FEV1% for smokers with more than 18.5 lifetime pack-years from CES-D scores 0 to 3 to 16 or more (depressed) is approximately 0.25 l and 5.0% (adjusted p values for trend are <.001 and .019, respectively). In men, we also observed statistically significant inverse trends in pulmonary function with increasing CES-D. Conclusions: We identified an inverse association of depressive symptoms and pulmonary function in healthy adults, especially in men and individuals with a heavy smoking history. Further studies of these associations are essential for the development and tailoring of interventions for the prevention and treatment of chronic lung disease.
Keywords
Respiratory-system-disorders; Pulmonary-system-disorders; Lung-disorders; Psychological-factors; Psychological-reactions; Psychological-responses; Pulmonary-function; Mental-disorders; Mental-health; Mental-processes; Smoking; Cigarette-smoking; Men; Chronic-inflammation; Psychosomatic-medicine; Author Keywords: pulmonary disease; chronic lung disease; depression; respiratory function tests
Contact
Heather M. Ochs-Balcom, PhD, Department of Social and Preventive Medicine, University at Buffalo, 270 Farber Hall, Buffalo, NY 14214-8001
CODEN
PSMEAP
Publication Date
20131001
Document Type
Journal Article
Email Address
hmochs2@buffalo.edu
Funding Type
Grant
Fiscal Year
2014
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R03-OH-003772; M112013
Issue of Publication
8
ISSN
0033-3174
NIOSH Division
HELD
Source Name
Psychosomatic Medicine
State
NY; WV
Performing Organization
University of New York at Buffalo
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