[ABSTRAK
Latar Belakang: Pasien asma dengan tingkat kontrol yang buruk dan adanyakomorbiditas seperti gangguan depresi dan stres psikososial akan memengaruhikualitas hidup pasien asma serta meningkatkan beban dan biaya ekonomi yangharus ditanggung oleh pasien dan keluarganya. Untuk itu perlu diketahuihubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dantingkat kontrol asma pada pasien asma.Metode: Penelitian cross-sectional deskriptif-analitik pada 37 pasien asma yangmemiliki gangguan depresi dan 37 pasien asma yang tidak memiliki gangguandepresi di Poliklinik Alergi dan Imunologi RSUPN Dr. Cipto MangunkusumoJakarta menggunakan Structured Clinical Interview for DSM IV Disorder(SCID)1,instrumen World Health Organization Quality Of Life (WHOQOL)-BREF,instrumen stresor psikososialHolmes & Rahe, dan kuesioner Ashtma Control Test(ACT).Hasil: Terdapat hubungan antara ada tidaknya gangguan depresi pada pasien asmadengan skor kualitas hidup berdasarkan kesehatan fisik (p < 0,001), skor kualitashidup berdasarkan kesehatan psikologis (p < 0,001), skor kualitas hidupberdasarkan relasi sosial (p = 0,023), skor kualitas hidup berdasarkan lingkungan(p = 0,022), stresor psikososial (OR 3,85; p = 0,005), dan tingkat kontrol asma (p= 0,001).Simpulan: Pasien asma yang memiliki gangguan depresi cenderung memilikiskor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatanpsikologis, relasi sosial, dan lingkungan dibandingkan pasien asma yang tidakmemiliki gangguan depresi. Pasien asma yang mengalami stresor psikososial yangtinggi berisiko 3,8 kali untuk memiliki gangguan depresi. Pasien asma yangmemiliki gangguan depresi cenderung memiliki skor tingkat kontrol asma yang lebih rendah dibandingkan pasien asma yang tidak memiliki gangguan depresi. ABSTRACT Background: Asthmatic patients with poor control level and the presence ofcomorbid disorders such as depression and psychosocial stress will affect thequality of life of asthmatic patients and increases the burden and economic costsfor patient and his family. We investigated the correlation between depressivedisorders, quality of life, psychosocial stressors, and level of asthma control inasthmatic patients.Methods: The study was cross-sectional descriptive-analytic in 37 asthmaticpatients with depressive disorder and 37 asthmatic patients without depressivedisorder in the Allergy and Immunology Clinic RSUPN Dr. CiptoMangunkusumo using the Structured Clinical Interview for DSM-IV Disorder(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREFquestionnaire, Holmes & Rahe psychosocial stressors questionnaire, and AshtmaControl Test (ACT) questionnaire.Results: There is arelation between the presence of depressive disorders andlower quality of life scores based on physical health (p <0.001), quality of lifescores based on psychological health (p <0.001), quality of life scores based onsocial relations (p = 0.023), quality of life scores based on the environment (p =0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthmacontrol (p = 0.001) in asthmatic patients.Conclusion: Asthmatic patients with depressive disorders tend to have lowerquality of life score in all domains (physical health, psychological health, socialrelationships, and environment) than asthmatic patients without depressivedisorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 timeshigher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence ofcomorbid disorders such as depression and psychosocial stress will affect thequality of life of asthmatic patients and increases the burden and economic costsfor patient and his family. We investigated the correlation between depressivedisorders, quality of life, psychosocial stressors, and level of asthma control inasthmatic patients.Methods: The study was cross-sectional descriptive-analytic in 37 asthmaticpatients with depressive disorder and 37 asthmatic patients without depressivedisorder in the Allergy and Immunology Clinic RSUPN Dr. CiptoMangunkusumo using the Structured Clinical Interview for DSM-IV Disorder(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREFquestionnaire, Holmes & Rahe psychosocial stressors questionnaire, and AshtmaControl Test (ACT) questionnaire.Results: There is arelation between the presence of depressive disorders andlower quality of life scores based on physical health (p <0.001), quality of lifescores based on psychological health (p <0.001), quality of life scores based onsocial relations (p = 0.023), quality of life scores based on the environment (p =0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthmacontrol (p = 0.001) in asthmatic patients.Conclusion: Asthmatic patients with depressive disorders tend to have lowerquality of life score in all domains (physical health, psychological health, socialrelationships, and environment) than asthmatic patients without depressivedisorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 timeshigher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence ofcomorbid disorders such as depression and psychosocial stress will affect thequality of life of asthmatic patients and increases the burden and economic costsfor patient and his family. We investigated the correlation between depressivedisorders, quality of life, psychosocial stressors, and level of asthma control inasthmatic patients.Methods: The study was cross-sectional descriptive-analytic in 37 asthmaticpatients with depressive disorder and 37 asthmatic patients without depressivedisorder in the Allergy and Immunology Clinic RSUPN Dr. CiptoMangunkusumo using the Structured Clinical Interview for DSM-IV Disorder(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREFquestionnaire, Holmes & Rahe psychosocial stressors questionnaire, and AshtmaControl Test (ACT) questionnaire.Results: There is arelation between the presence of depressive disorders andlower quality of life scores based on physical health (p <0.001), quality of lifescores based on psychological health (p <0.001), quality of life scores based onsocial relations (p = 0.023), quality of life scores based on the environment (p =0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthmacontrol (p = 0.001) in asthmatic patients.Conclusion: Asthmatic patients with depressive disorders tend to have lowerquality of life score in all domains (physical health, psychological health, socialrelationships, and environment) than asthmatic patients without depressivedisorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 timeshigher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders., Background: Asthmatic patients with poor control level and the presence ofcomorbid disorders such as depression and psychosocial stress will affect thequality of life of asthmatic patients and increases the burden and economic costsfor patient and his family. We investigated the correlation between depressivedisorders, quality of life, psychosocial stressors, and level of asthma control inasthmatic patients.Methods: The study was cross-sectional descriptive-analytic in 37 asthmaticpatients with depressive disorder and 37 asthmatic patients without depressivedisorder in the Allergy and Immunology Clinic RSUPN Dr. CiptoMangunkusumo using the Structured Clinical Interview for DSM-IV Disorder(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREFquestionnaire, Holmes & Rahe psychosocial stressors questionnaire, and AshtmaControl Test (ACT) questionnaire.Results: There is arelation between the presence of depressive disorders andlower quality of life scores based on physical health (p <0.001), quality of lifescores based on psychological health (p <0.001), quality of life scores based onsocial relations (p = 0.023), quality of life scores based on the environment (p =0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthmacontrol (p = 0.001) in asthmatic patients.Conclusion: Asthmatic patients with depressive disorders tend to have lowerquality of life score in all domains (physical health, psychological health, socialrelationships, and environment) than asthmatic patients without depressivedisorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 timeshigher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.] |
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