Previous research indicates that asthma is strongly associated with depressive disorders. Depression among persons with asthma is associated with poor adherence to medication regimens, more severe asthma, and poorer disease outcomes. The objective of our study was to examine the association of frequent mental distress (FMD) [ie, > or = 14 days in the past 30 days in which respondents reported that their mental health was not good] with modifiable risk behaviors (ie, smoking, physical inactivity, and obesity) and health-related quality of life among adults with asthma.
The Behavioral Risk Factor Surveillance System is an ongoing, state-based survey that is conducted by random-digit dialing of noninstitutionalized US adults aged > or = 18 years. In 2001, all 50 states administered the asthma and risk behavior questionnaires (15,080 questionnaires). A total of 12 states administered the health-related quality-of-life questionnaire (3,226 questionnaires). We estimated prevalences, 95% confidence intervals, odds ratios, and adjusted odds ratios (AORs) using a statistical software program to account for the complex survey design.
The prevalence of FMD among adults with asthma was 18.8%. After adjusting for sociodemographic characteristics, the overall associations between smoking and FMD (AOR, 1.9), and between physical inactivity and FMD (AOR, 1.7) were statistically significant. In addition, among those with asthma, persons with FMD were significantly more likely than those without FMD to report fair/poor general health, frequent physical distress, frequent activity limitations, frequent anxiety, and frequent sleeplessness.
FMD is highly prevalent among persons with asthma, suggesting an apparent synergistic effect of these two conditions. The assessment of the mental health status of persons with asthma by health-care providers appears to be warranted and may prevent the emergence of risk behaviors yielding deleterious effects on the management of this disease.
"onic illnesses , and other personal factors that are known or hypothesized to affect the occurrence of depression or FMD . We observed simi - lar effects for currently smoking , low income , low educa - tion level , currently having asthma on current depression , or FMD as have other studies of mental health disorders including depression or FMD [ Strine et al . , 2004 , 2008b ; Chapman et al . , 2005 ; Santin et al . , 2009 ] . A direct comparison of the results from this study with those in the existing literature was difficult for two reasons . First , different diagnostic criteria and instruments used to collect data have been reported to measure depres - sion among working population , varying fr"
American Journal of Industrial Medicine 10/2012; 55(10):893-903. DOI:10.1002/ajim.22094 · 1.74 Impact Factor
"It was suggested that factors which generate stress be grouped into 4 broad categories as Lack of career advancement related to the problem of high rate of employee turnover, Work overload resulting in spillover of workload at home and guilt and dissatisfaction for being less attentive to family, Risk taking and decision making consisting of fear of making mistakes and Employee morale and organizational culture related to a lack of participation in decisions affecting their work, undue blame for machine failure and difficulty in team work considering the fluid and noninvolved nature of work. In a study on Work Stress among Information Systems Professionals it was found that employees reported the commonly experienced feelings such as frustration, pride in accomplishments, being overwhelmed, anxiety and common stress symptoms decrease in energy, anxiety, muscle tension, headache, stomach upset, negative thinking and insomnia thus both positive and negative effects were reported. It was discussed that employee's difficulties with stress within organization that continually introduce new technology and computer software into the work environment (http://faculty.lagcc.cuny.edu). "
[Show abstract][Hide abstract] ABSTRACT: Backround:
Experience of occupational stress is inevitably involved in the execution of any type of work. Stress has an adaptive value. It motivates the individual to attend to the task and get rid of the tension or demand the unattended task produced.
Materials and Methods:
The study was planned to investigate the differences between executives and shop floor workers on occupational stress, mental health, job satisfaction and coping. A random sample of 200 executives and shop floor employees collected from Nuclear Fuel Complex of Hyderabad City. A well developed sub-scales of Occupational Stress indicator like Mental Health, and Coping behavior were used in the present study.
Results and Conclusion:
The shop floor workers experiencing more job stress and lower mental health. But these two groups did not differ in their coping behaviour. The executives are better with work home balance.
Indian journal of occupational and environmental medicine 03/2012; 16(1):22-6. DOI:10.4103/0019-5278.99686
"In addition, lack of perceived control , helplessness, and low self-effi cacy due to violence would contribute to smoking behavior as well (DuRant et al. 1995). Smoking due to exposure to violence might occur among mother during pregnancy (Lux et al. 2000), parents during infancy or young childhood (Strachan and Cook, 1998), or children themselves when they can initiate (Strine et al. 2004). "
[Show abstract][Hide abstract] ABSTRACT: Recent research shows that exposure to community violence is, directly and indirectly, associated with asthma. This article reviews the findings on the impact of violence on asthma, and the pathways for the association of violence and asthma are suggested: 1) exposure to violence is directly associated with asthma, mainly through dysregulation of sympathetic-adrenal-medullary (SAM) and hypothalamic-pituitary-adrenal (HPA) axis, 2) exposure to violence is associated with the change of susceptibility of outdoor air pollution on asthma, probably through the change of an immune response, and 3) behavioral change due to exposure to violence (e.g. keeping children indoors) leads to more exposure to indoor pollutants. The suggested framework may be useful to develop health policy on asthma in high-violence communities.
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