COPD Assessment Test (CAT) score as a predictor of major depression among subjects with chronic obstructive pulmonary disease and mild hypoxemia: a case–control study

Júnior, José Laerte Rodrigues da Silva; Conde, Marcus Barreto; Corrêa, Krislainy de Sousa; Silva, Christina da; Prestes, Leonardo da Silva; Rabahi, Marcelo Fouad

doi:10.1186/1471-2466-14-186

Cited by 15 publications

(15 citation statements)

References 32 publications

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“…The higher the number of co-morbidities the higher was the total CAT score. Moreover, it has been shown that CAT scores elevated with the presence of depression (Silva Júnior et al, 2014). We also noticed that patients with depression who currently using antidepressant, had higher scores with the item 'having energy.'…”

Section: Discussionsupporting

confidence: 51%

A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test

Demirci

Enişte²,

Basaran³

et al. 2017

Prim Health Care Res Dev

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Section: Discussionsupporting

confidence: 51%

A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test

Demirci

Enişte²,

Basaran³

et al. 2017

Prim Health Care Res Dev

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“…Daily smoking has been shown to be a risk factor for depression, and prior depression predisposes to new depression . A relationship between CAT scores >20 and depression has been reported previously . Furthermore, the perception of dyspnoea is related to psychological factors, meaning that symptoms of depression increase dyspnoea .…”

Section: Discussionmentioning

confidence: 82%

Implementation of a depression screening protocol among respiratory insufficiency patients

Kerminen

Jämsen

Jäntti

et al. 2019

Clinical Respiratory J

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Introduction Unnoticed and untreated depression is prevalent among patients with chronic respiratory insufficiency. Comorbid depression causes suffering and worsens patients’ outcomes. Objectives The objective of this evaluation was to assess preliminary outcomes of a depression screening protocol among chronic respiratory insufficiency patients at a tertiary care pulmonary outpatient clinic. Methods In the depression screening protocol, the patients filled the Depression Scale (DEPS) questionnaire. Patients whose scores suggested depression were offered the opportunity of a further evaluation of mood at a psychiatric outpatient clinic. The outcomes of the protocol were evaluated retrospectively from the patient records. Results During the period of evaluation, 238 patients visited the outpatient clinic. DEPS was administered to 176 patients (74%), of whom 60 (34%) scored ≥9 (out of 30), thus exceeding the cut‐off for referral. However, only 13 patients were referred, as the remainder declined the referral. Finally, seven patients were evaluated at the psychiatric clinic, and they all were deemed depressive. Symptoms of depression were most prevalent among patients with a long smoking history, refractory dyspnoea and a history of depression. Conclusion Depression screening was positive in a third of the patients. The depression screening protocol improved the detection of depression symptoms, but the effects on the patients’ treatment and clinical course were small. Rather than referring patients to a psychiatric unit, the evaluation and management of depression should be undertaken at the pulmonary unit.

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“…The BDI score alone explained 31% of the variance of CAT, and a cutoff of 20 units identified major depression with an odds ratio of 7.88. 25 …”

Section: Discussionmentioning

confidence: 99%

Depressive status explains a significant amount of the variance in COPD assessment test (CAT) scores

Miravitlles

Molina²,

Quintano³

et al. 2018

COPD

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BackgroundCOPD assessment test (CAT) is a short, easy-to-complete health status tool that has been incorporated into the multidimensional assessment of COPD in order to guide therapy; therefore, it is important to understand the factors determining CAT scores.MethodsThis is a post hoc analysis of a cross-sectional, observational study conducted in respiratory medicine departments and primary care centers in Spain with the aim of identifying the factors determining CAT scores, focusing particularly on the cognitive status measured by the Mini-Mental State Examination (MMSE) and levels of depression measured by the short Beck Depression Inventory (BDI).ResultsA total of 684 COPD patients were analyzed; 84.1% were men, the mean age of patients was 68.7 years, and the mean forced expiratory volume in 1 second (%) was 55.1%. Mean CAT score was 21.8. CAT scores correlated with the MMSE score (Pearson’s coefficient r=−0.371) and the BDI (r=0.620), both p<0.001. In the multivariate analysis, the usual COPD severity variables (age, dyspnea, lung function, and comorbidity) together with MMSE and BDI scores were significantly associated with CAT scores and explained 45% of the variability. However, a model including only MMSE and BDI scores explained up to 40% and BDI alone explained 38% of the CAT variance.ConclusionCAT scores are associated with clinical variables of severity of COPD. However, cognitive status and, in particular, the level of depression explain a larger percentage of the variance in the CAT scores than the usual COPD clinical severity variables.

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COPD Assessment Test (CAT) score as a predictor of major depression among subjects with chronic obstructive pulmonary disease and mild hypoxemia: a case–control study

Cited by 15 publications

References 32 publications

A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test

A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test

Implementation of a depression screening protocol among respiratory insufficiency patients

Depressive status explains a significant amount of the variance in COPD assessment test (CAT) scores

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