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    The Experience of Living with Severe Asthma, Depression and Anxiety: A Qualitative Art-Based Study

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    Authors
    Stubbs, M. A.
    Clark, V. L.
    Cheung, M. M. Y.
    Smith, L.
    Saini, B.
    Yorke, J.
    Majellano, E. C.
    Gibson, P. G.
    McDonald, V. M.
    Issue Date
    2021
    
    Metadata
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    Abstract
    Purpose Severe asthma, depression and anxiety often co-exist and increase disease burden. Currently there are no published studies investigating severe asthma and psychological comorbidity using arts-based methodology. We aimed to (i) illustrate the individual experience of adults living with severe asthma, with and without symptoms of depression and/or anxiety and (ii) to explore common characteristics depicted in artworks between those groups. Patients and Methods A qualitative arts-based study was conducted. Adults with severe asthma were categorised into two groups according to Hospital Anxiety and Depression Scale scores (<8 on either subscale [SA-D/A] (N=15) or (≥8 on one or both subscales [SA+D/A] (N=15). Art thematic analysis was undertaken using a hybrid approach. The Common-Sense Model of Self-Regulation was used to examine frequencies in artworks. Results Participants with severe asthma alone and severe asthma with depression/anxiety were of older age (median 67 and 63 years respectively). There was greater asthma QoL impairment in participants with psychological comorbidity than without (4.7 ± 8.3 versus 5.8 ± 0.85, p=<0.01). Analysis of art works identified three themes: (1) “darkness” depicting misery, isolation and sadness; (2) “impacts” describing physical and social consequences; and (3) “resilience” illustrating acceptance and perseverance of living with all three conditions. Conclusion Art-based research in severe asthma facilitates detailed exploration of intimate and individual experiences. Darkness, impacts and resilience are common themes emerging from artworks. Understanding these experiences may help guide assessment and treatment of psychological comorbidity in the clinic.
    Citation
    Stubbs MA, Clark VL, Cheung MMY, Smith L, Saini B, Yorke J, et al. The Experience of Living with Severe Asthma, Depression and Anxiety: A Qualitative Art-Based Study [Internet]. Vol. Volume 14, Journal of Asthma and Allergy. Informa UK Limited; 2021. p. 1527–37. 
    Journal
    J Asthma Allergy
    URI
    http://hdl.handle.net/10541/625091
    DOI
    10.2147/jaa.S328104
    PubMed ID
    34949926
    Additional Links
    https://dx.doi.org/10.2147/jaa.S328104
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.2147/jaa.S328104
    Scopus Count
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