Depression, anxiety and health status after hospitalisation for COPD: A multicentre study in the Nordic countries

Abstract

Patients with chronic obstructive pulmonary disease (COPD) often report anxiety, depression and poor health status, not least if they experience repeated hospitalisations due to acute exacerbations. The aim of this study was to analyse the interrelationships between health status, anxiety, depression and physical status in COPD patients being discharged after hospitalisation. This was a prospective study of 416 patients in five university hospitals in each of the Nordic countries. Data included demographic information, lung function and co-morbidity. The Hospital Anxiety and Depression Scale and St. George's Respiratory Questionnaire (SGRQ) were applied to all patients. Both anxiety and depression were common among these patients. Anxiety was more common in women than in men (47% vs. 34%, P=0.009) and current smokers had a higher prevalence of both anxiety (54% vs. 37%) and depression (43% vs. 23%) than non-smokers (P<0.01). In general, the studied COPD patients had poor health status, especially those with anxiety, depression or both. Psychological status was independently related to all dimensions of SGRQ. Higher GOLD stages were significantly associated with increasing impairment in health status. In conclusion this multicentre study showed that anxiety and depression are common in patients with COPD, and, furthermore, that patients with psychological disorders have poor health status. Screening for depression and anxiety may help to identify patients with poor quality of life and an urgent need for intervention in order to improve their health status.

Anxiety and Depression Among Chronic Obstructive Pulmonary Disease Patients in A Tertiary Care Hospital, Nepal

“…This was in contrary with the fi ndings from the other study on anxiety and depression among hospitalized COPD patients in Nepal where they only found a slightly higher occurrence among females 8 . The fi nding in the current study was though consistent with the fi ndings from a hospital based study in Italy among COPD patients attending respiratory unit which showed 38% of female participants with anxiety 6 and another study from Nordic countries among patients at the time of discharge after hospitalization showing 47% of women having anxiety compared to 34% in men 18 . Higher proportion of separated/widowed/divorced participants had anxiety as well as depression in the current study which might be due to reasons such as lack of husband's support.…”

Effects of Smoking, Depression, and Anxiety on Mortality in COPD Patients: A Prospective Study

“…Elevated anxiety in COPD patients is more common in current smokers than in nonsmokers. 43 Smoking is a common reason to explain the high association of anxiety with COPD. Tobacco use is widely acknowledged as the single most important environmental risk factor for the development of COPD, 28 and a high level of anxiety is a risk factor for starting to smoke.…”

Przewlekła Obturacyjna Choroba Płuc i Choroby Sercowo-Naczyniowe—“Kontinuum Sercowo-PłUcne”

“…(74% w wieku ≥ 65 lat), określono częstość występowania chorób sercowo-naczyniowych, która była znamiennie wyższa u tych pacjentów w porównaniu z grupą kontrolną bez POChP. Wśród patologii sercowo-naczyniowych najczę-ściej stwierdzono zatorowość płucną 5,46 [12]. W innym badaniu zauważono, że chorzy na POChP mają ponad dwukrotnie wyższe ryzyko względne wystąpienia zawału serca w ciągu pierwszych 5 dni i 1,26 raza wyższe ryzyko udaru mózgu w czasie 49 dni od epizodu zaostrzenia choroby obturacyjnej [13].…”