Impact of exacerbation of COPD on anxiety and depression symptoms and dyspnea in the activities of daily living

Gianjoppe-Santos, Júlia; Sentanin, Anna Cláudia; Barusso, Marina Sallum; Rizzatti, Fabíola Paula Galhardo; Jamami, Maurí­cio; Lorenzo, Valéria Amorim Pires Di

doi:10.1183/13993003.congress-2015.pa3306

Cited by 5 publications

(6 citation statements)

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“…Studies have already described an association between substance abuse and exacerbations of anxiety and depression 22 23. A similar impact on anxiety and depression was found in relation to patients who consumed alcohol in our study.…”

Section: Discussionsupporting

confidence: 89%

Mental health and quality of life among patients with chronic respiratory failure on domiciliary oxygen: a prospective cohort study from a tertiary care centre in India

et al. 2023

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ObjectivesThe study aims to assess the prevalence of anxiety, depression and the quality of life among patients with chronic respiratory failure and the changes in anxiety and depression scores after initiating domiciliary oxygen.Design and settingProspective, single-centre cohort study conducted in a tertiary care hospital in India.ParticipantsPatients of Indian origin with chronic respiratory failure who visited the hospital where domiciliary oxygen is indicated were included in the study. Patients with acute respiratory failure on a mechanical ventilator, haemodynamic instability and already-diagnosed psychiatric conditions were excluded from the study.InterventionsPatients who met the inclusion criteria were assessed at baseline, at 3 and 6 months, for anxiety and depression using the 7-item Generalised Anxiety Disorder questionnaire (GAD-7) and 9-item Patient Health Questionnaire (PHQ-9). Quality of life was evaluated using the WHO Quality of Life-BREF questionnaire.Primary and secondary outcome measuresThe primary outcome is the proportion of patients with chronic respiratory failure having depression and anxiety and assessing the changes in anxiety and depression scores after initiating domiciliary oxygen. The secondary outcome is the change in health-related quality of life (HRQOL) of patients on domiciliary oxygen.Results121 patients who met the inclusion criteria were included in the study. Of 102 patients who completed the study, 36.2% (n=37) had anxiety and 44.1% (n=45) had depression at baseline. There is a worsening trend in the mean GAD-7 (p=0.003) and PHQ-9 score (p=0.015) in patients over 6 months while on domiciliary oxygen. HRQOL is poor in all the domains at baseline, and there is a progressive worsening during follow-up while on oxygen.ConclusionsThe worsening trend in anxiety and depression in patients after initiating domiciliary oxygen may be related to social isolation, restricted mobility, economic issues, addictions and frequency of exacerbations. Screening for psychological problems in these patients at baseline and on follow-ups helps early detection, and prompt intervention could improve the quality of life and survival.

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Section: Discussionsupporting

confidence: 89%

Mental health and quality of life among patients with chronic respiratory failure on domiciliary oxygen: a prospective cohort study from a tertiary care centre in India

et al. 2023

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“…1,2 For those with COPD, chronic dyspnoea is a fearful experience that is often associated with anxiety, depression, reduced exercise tolerance and poor quality of life. 3 Despite the significant global burden of this symptom, our current ability to clinically manage dyspnoea is limited, partly due to an incomplete understanding of the underlying mechanisms. 1 The preliminary finding from this study was presented at the 2019 Annual Congress of the Thoracic Society of Australia and New Zealand (TSANZ).…”

Section: Introductionmentioning

confidence: 99%

“…Dyspnoea is one of the most common and debilitating symptoms in people with chronic obstructive pulmonary disease (COPD) and other clinical conditions such as heart failure, cancer and endocrine disorders 1,2 . For those with COPD, chronic dyspnoea is a fearful experience that is often associated with anxiety, depression, reduced exercise tolerance and poor quality of life 3 . Despite the significant global burden of this symptom, our current ability to clinically manage dyspnoea is limited, partly due to an incomplete understanding of the underlying mechanisms 1 …”

Section: Introductionmentioning

confidence: 99%

Effect of experimental modulation of mood on exertional dyspnoea in chronic obstructive pulmonary disease

Sharma,

Scheffer,

Louis

et al. 2023

Respirology

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Background and ObjectiveDyspnoea is a debilitating symptom in individuals with chronic obstructive pulmonary disease (COPD) and a range of other chronic cardiopulmonary diseases and is often associated with anxiety and depression. The present study examined the effect of visually‐induced mood shifts on exertional dyspnoea in individuals with COPD.MethodsFollowing familiarization, 20 participants with mild to severe COPD (age 57–79 years) attended three experimental sessions on separate days, performing two 5‐min treadmill exercise tests separated by a 30‐min interval on each day. During each exercise test, participants viewed either a positive, negative or neutral set of images sourced from the International Affective Picture System (IAPS) and rated dyspnoea or leg fatigue (0–10). Heart rate (HR) and peripheral oxygen saturation (SpO2) were measured at 1‐min intervals during each test. Mood valence ratings were obtained using Self‐Assessment Manikin (SAM) scale (1–9).ResultsMood valence ratings were significantly higher when viewing positive (end‐exercise mean ± SEM = 7.6 ± 0.3) compared to negative IAPS images (2.4 ± 0.3, p < 0.001). Dyspnoea intensity (mean ± SEM = 5.8 ± 0.4) and dyspnoea unpleasantness (5.6 ± 0.3) when viewing negative images were significantly higher compared to positive images (4.2 ± 0.4, p = 0.004 and 3.4 ± 0.5, p = 0.003). Eighty‐five percent of participants (n = 17) met the minimal clinically important difference (MCID) criteria for both dyspnoea intensity and unpleasantness. HR, SpO2 and leg fatigue did not differ significantly between conditions.ConclusionThese findings indicate that the negative affective state worsens dyspnoea in COPD, thereby suggesting strategies aimed at reducing the likelihood of negative mood or improving the mood may be effective in managing morbidity associated with dyspnoea in COPD.

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“…Dyspnea is the main symptom of Chronic Obstructive Pulmonary Disease (COPD) that correlates with the limitation of daily activity [1,2], anxiety and other psychological impacts [3,4], low quality of life [5], and reduced survival rate [6]. Dyspnea can manifest across the degree of pulmonary obstruction.…”

Section: Introductionmentioning

confidence: 99%

Exercise Training and Pulmonary Rehabilitation in COPD

Tarigan¹,

Ananda²

2021

Chronic Obstructive Pulmonary Disease - A Current Conspectus

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Systemic inflammation and deconditioning syndrome lead to loss of structural and function of body muscle, particularly in extremity muscle. Longer period of inactivity due to dyspnea worsen the destruction of muscle. Regular and gradually increase exercise training as part of pulmonary rehabilitation (PR) can improve the function of essential muscles in doing daily life so stable Chronic Obstructive Pulmonary Disease (COPD) patient can maintenance their daily activities with minimal limitations. Pulmonary rehabilitation consists of exercise training, nutritional support, smoking cessation, and self-management of COPD. The prescription of exercise training is mandatory. Assessment of clinical condition to adjust the type of training, duration, frequency, and intensity of training must be completed before beginning the training session. Regular and gradually increased training gives significant impact in improving lung function, dyspnea scale, and quality of life in patient with stable COPD. However, in this covid era, the restriction of hospital attending PR was significantly affect PR program. As immunocompromised population, COPD patient have higher risk for COVID19 infection and develops more severe complications compare with normal population. So, the modified supervised and unsupervised training was needed to revise the classic type of PR. Tele-rehabilitation with teleconference, phone calls, and interactive web based PR can be the good alternative in decreasing hospital admission and improving quality of life in patient with COPD.

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Impact of exacerbation of COPD on anxiety and depression symptoms and dyspnea in the activities of daily living

Cited by 5 publications

References 0 publications

Mental health and quality of life among patients with chronic respiratory failure on domiciliary oxygen: a prospective cohort study from a tertiary care centre in India

Mental health and quality of life among patients with chronic respiratory failure on domiciliary oxygen: a prospective cohort study from a tertiary care centre in India

Effect of experimental modulation of mood on exertional dyspnoea in chronic obstructive pulmonary disease

Exercise Training and Pulmonary Rehabilitation in COPD

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