European Journal of Epidemiology

, Volume 19, Issue 2, pp 147–153 | Cite as

Psychological distress and depressed mood in employees with asthma, chronic bronchitis or emphysema: A population-based observational study on prevalence and the relationship with smoking cigarettes

  • Edwin J. Wagena
  • IJmert Kant
  • Marcus J.H. Huibers
  • Ludovic G.P.M. van Amelsvoort
  • Gerard M.H. Swaen
  • Emiel F.M. Wouters
  • Constant P. van Schayck
Pulmonary Diseases


Objectives: To evaluate if employees with asthma, chronic bronchitis or emphysema can be characterized as a population of patients with a high prevalence of psychological distress and/or depressed mood. Above all, we wanted to examine the influence of smoking status on the relationship between chronic disease and psychological distress/depressed mood. Methods: A postal survey was conducted among 12,103 employees participating in the Maastricht Cohort Study. Results: Smoking employees, who reported having asthma, chronic bronchitis or emphysema were more likely to report suffering from depressed mood compared to smokers with no long-lasting disease (prevalence rate, PR: 29.3 and 9.0%, respectively; OR for depressed mood = 4.04; 95% CI: 2.56–6.39) and when compared to smoking employees with a history of heart disease, hypertension or myocardial infarction (PR: 18.1%; OR: 1.99; 95% CI: 1.07–3.68), or rheumatoid arthritis (PR: 20.1%; OR: 1.73; 95% CI: 0.96–3.11). Conclusion: These findings provide health care professionals with additional evidence regarding the importance for including the assessment of psychological distress and depressed mood in the routine evaluation of the patient with asthma, chronic bronchitis or emphysema, especially with regard to smoking cessation.

Asthma COPD Depressed mood Psychological distress Respiratory disease Smoking Smoking cessation 


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Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Edwin J. Wagena
    • 1
  • IJmert Kant
    • 2
  • Marcus J.H. Huibers
    • 1
    • 2
  • Ludovic G.P.M. van Amelsvoort
    • 2
  • Gerard M.H. Swaen
    • 2
  • Emiel F.M. Wouters
    • 3
  • Constant P. van Schayck
    • 1
  1. 1.Department of General Practice, Care and Public Health Research Institute (CAPHRI)Maastricht UniversityMaastrichtThe Netherlands
  2. 2.Department of EpidemiologyMaastricht UniversityMaastrichtThe Netherlands
  3. 3.Department of Respiratory MedicineUniversity Hospital MaastrichtMaastrichtThe Netherlands

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