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Screening for anxiety and depression in active military personnel with asthma

Published online by Cambridge University Press:  19 July 2023

H. Ziedi*
Affiliation:
occupational health department, Charles Nicolle Hospital pneumology department, Tunis military hospital, Tunis, Tunisia
I. Mejri
Affiliation:
pneumology department, Tunis military hospital, Tunis, Tunisia
M. Kacem
Affiliation:
pneumology department, Tunis military hospital, Tunis, Tunisia
S. Mhamdi
Affiliation:
pneumology department, Tunis military hospital, Tunis, Tunisia
S. Daboussi
Affiliation:
pneumology department, Tunis military hospital, Tunis, Tunisia
C. Aichaouia
Affiliation:
pneumology department, Tunis military hospital, Tunis, Tunisia
Z. Moatemri
Affiliation:
pneumology department, Tunis military hospital, Tunis, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Asthma is the most common allergic respiratory disease and is frequently associated with symptoms of depression and anxiety. However, this association remains poorly understood, especially in active military personnel with asthma who are particularly exposed to a high mental and physical load.

Objectives

To investigate the presence of anxiety and depression in active military personnel with allergic asthma.

Methods

This is a descriptive cross-sectional study conducted at the pneumology department of the Tunis military hospital that interested active military personnel followed for asthma and who consulted the department in the period from January 1, 2022 to October 31, 2022. The Hospital Anxiety and Depression Scale (HADS) was used to assess depression and anxiety.

Results

During the study period, 36 asthma patients were included. The mean age was 35±8 years with a male predominance of 83%. The majority of the participants were non-commissioned officers (91%), whom were in field positions in 68% of cases. The median professional seniority was 9 [6; 17] years. Active smoking was noted in 47% of the participants. Half of the patients had comorbidities. A history of major depressive syndrome was reported by 8% of patients. Current antidepressant treatment was mentioned by only one patient. Asthma was well controlled in 66.7% of cases. Definite anxiety was found in 30% of the patients while it was doubtful in 26% of the population. Depression was present in 18% of the participants. Specialist psychiatric care was recommended for patients with depression and anxiety.

Conclusions

Anxiety and depression are significant comorbidities in asthma patients. Screening for these risks is necessary, especially in the military population whose work requires mental and physical integrity.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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