Effect of psychological and other factors on quality of life amongst asthma outpatients in Lagos, Nigeria.

Journal: Respiratory medicine

Volume: 122

Issue: 

Year of Publication: 2017

Affiliated Institutions:  Lagos State University College of Medicine (LASUCOM), -, Oba Akinjobi Way, Ikeja, Lagos, Nigeria. Centre for Mental Health Research and Initiative (CEMHRI), Ikeja, Lagos, Nigeria. Lagos State University College of Medicine (LASUCOM), -, Oba Akinjobi Way, Ikeja, Lagos, Nigeria; Centre for Mental Health Research and Initiative (CEMHRI), Ikeja, Lagos, Nigeria. Electronic address: biodunwuya@yahoo.com.

Abstract summary 

This study aimed to assess the effect of psychological and other possible factors associated with poor health related quality of life (HRQOL) in outpatient with asthma in Lagos, Nigeria.Patients (n  = 201) recruited from the adult asthma outpatient clinic were assessed for sociodemographic and asthma related variables. Levels of social support (with Oslo 3-Item Social Support Scale), disability (with WHO Disability Assessment Scale) were assessed. The presence of anxiety and depression was assessed using the Mini International Neuropsychiatric Interview (M.I.N.I) and asthma related quality of life was assessed with the Mini-Asthma Quality of Life Questionnaire (Mini-AQLQ).Of the 4 domains of Mini-AQLQ, the "environmental" domain has the lowest weighted mean score of 2.43 (SD = 1.64) while the "activity limitation" domain has the highest mean score of 4.74 (SD = 1.57). Poor asthma related QOL was independently associated with being unemployed (p = 0.028), poor social support (p = 0.002), nocturnal asthma (p = 0.046), clinically rated "severe asthma" (p = 0.002), patients rated "severe asthma" (p < 0.001), high level of disability (p < 0.001) and presence of Anxiety/Depression (p < 0.001).Our study has shown that psychological variables, disability, patients' subjective severity rating and social support are the most important factors independently associated with asthma related QOL. These factors should be considered in planning health care services or formulating a predictive intervention model.

Authors & Co-authors:  Adeyeye Olufunke O OO Adewumi Tomilola A TA Adewuya Abiodun O AO

Study Outcome 

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Citations : 
Authors :  3
Identifiers
Doi : 10.1016/j.rmed.2016.12.002
SSN : 1532-3064
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Asthma;Emotional distress;Quality of life
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England