Prevalence and Risk Factors for Depressive Symptoms in Persons with Chronic Obstructive Pulmonary Disease

Schane, Rebecca E.; Walter, Louise C.; Dinno, Alexis; Covinsky, Ken; Woodruff, Prescott G.

doi:10.1007/s11606-008-0749-z

Cited by 133 publications

(129 citation statements)

References 42 publications

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“…This is also consistent with the other investigators who have found that physical diseases (e.g., COPD) are related to psychiatric disorders. 15,30,31 Limitations and Strengths This study has several limitations. First, the measures used in this study were based on self-report and may include some respondent bias (e.g., individuals with negative affect might over-report depressive symptoms) or the under-reporting of cigarette smoking or doctor visits for a psychological problem.…”

Section: Discussionmentioning

confidence: 95%

Utilization of Mental Health Services by Minority Urban Adults: Psychosocial Predictors

et al. 2014

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Although most mental disorders have their first onset by young adulthood, there are few longitudinal studies of these problems and related help-seeking behavior. The present study examined some early and current predictors of the use of mental health services among African-American and Puerto Rican participants in their mid-30s. The 674 participants (52.8 % African Americans, 47.2 % Puerto Ricans; 60.1 % women) in this study were first seen in 1990 when the participants attended schools serving the East Harlem area of New York City. A structural equation model controlling for the participants' gender, educational level in emerging adulthood, and age at the most recent data collection showed significant standardized pathways from both ethnicity (β=−0.28; z= −4.82; pG0.001) and psychological symptoms (β=0.15; z=2.41; pG0.05), both measured in emerging adulthood, to smoking in the early 30s. That, in turn, was associated with certain physical diseases and symptoms (i.e., respiratory) in the mid-30s (β=0.16; z=2.59; pG0.05). These physical diseases and symptoms had a cross-sectional association with family financial difficulty in the mid-30s (β=0.21; z=4.53; pG0.001), which in turn also had a cross-sectional association with psychiatric disorders (β=0.30; z=5.30; pG0.001). Psychiatric disorders had a cross-sectional association with mental health services utilization (β=0.65; z=13.25; pG0.001). Additional pathways from the other domains to mental health services utilization in the mid-30s were also supported by the mediating role of psychiatric disorders. Results obtained from this research offer theoretical and practical information regarding the processes leading to the use of mental health services.

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Section: Discussionmentioning

confidence: 95%

Utilization of Mental Health Services by Minority Urban Adults: Psychosocial Predictors

et al. 2014

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“…In our study, all factors were included and were found that patients with rural address and single marital 16 but in rural patients it is different finding, i.e., less knowingly proved. Increase in incidence of depression and anxiety commonly in rural COPD patients can be due to less educational status, lack of health education, low socioeconomic status, poor health facility, or poor health status.…”

Section: Discussionmentioning

confidence: 80%

Assessment of Depression and Anxiety in Chronic Obstructive Pulmonary Disease Patients attending Pulmonary Medicine Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India

Sharma¹,

Kumar²,

Jaiswal³

et al. 2017

International Journal of Advanced and Integrated Medical Sciences

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Introduction: Chronic disease like chronic obstructive pulmonary disease (COPD) is associated with various comorbidities. Anxiety and depression are among the common comorbidities and have significant impact on socioeconomic status of the person as well as the course of disease. In our study, we screened COPD patients attending the outpatient department (OPD) of pulmonary medicine for anxiety and depression, using different scales that include questionnaires. About 46.2 and 34.6% cases were found to have depression and anxiety respectively, among all COPD patients (n = 156). Incidence of anxiety and depression was directly proportional to severity of disease. Age, gender, locality, educational, marital, and socioeconomic statuses are some factors that play important roles in the development of these psychiatric comorbidities. Hence, mental assessment of COPD patients should be mandatory with every visit to the OPD.

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“…17 The severity of depression was classified according to the depression score of PHQ-9. 15 The classification is as follows: none or minimal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), moderately severe (15)(16)(17)(18)(19), severe (20)(21)(22)(23)(24)(25)(26)(27).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of depression and its risk factors among patients with chronic obstructive pulmonary disease in a tertiary level hospital in West Bengal, India

Bhowmik

Moniruzzaman

Adhikari

et al. 2013

SE Asia J. Pub. Health

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In recent years, chronic obstructive pulmonary disease (COPD) has increased several folds in the developing countries and the disease is accompanied with several co-morbidities among which depression is a major one. Still now there is a lack of data regarding the prevalence and risk factors of depression among the patients with COPD in India. The aim of the study is to assess the prevalence of depression and associated risk factors in patients with COPD in Kolkata, India. In this cross-sectional study, 214 COPD patients were selected by purposive sampling at OPD of Pulmonary Medicine, RG Kar Medical College, Kolkata, India. The patients were diagnosed and grouped into different stages of COPD by clinical examination and spirometry. A questionnaire was administered among the respondents to collect the data regarding their socio-demographic conditions followed by Patient Health Questionnaire 9 (PHQ-9) to measure the level of depression. The mean age of the respondents was 59.37±11.37 years and 99% were male. The proportion of depression among patients with COPD was 86%. Among the respondents, 36.9% had moderately severe depression, 32.2% had moderate depression and 6.1% had severe depression. The risk factors of depression among COPD patients were urban residence (OR=4.79, p=0.02), income group of 5000-9999 Rupees per month (OR=18, p=0.38), teetotalers (OR=8.36, p=0.02), Stage 2 COPD (OR= 83, p=0.001) and onset of COPD ≥70 years of age (OR=20, p=0.02). The study showed that more than 8 out of 10 COPD patients and it can be considered very high proportion. The study highlight the importance of routine screening for depression of all COPD patients in all healthcare settings and implementation of effective strategies for proper prevention and management of depression in those patients.

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Prevalence and Risk Factors for Depressive Symptoms in Persons with Chronic Obstructive Pulmonary Disease

Abstract: The online version of the original article can be found at http://dx.doi.

Cited by 133 publications

References 42 publications

Utilization of Mental Health Services by Minority Urban Adults: Psychosocial Predictors

Utilization of Mental Health Services by Minority Urban Adults: Psychosocial Predictors

Assessment of Depression and Anxiety in Chronic Obstructive Pulmonary Disease Patients attending Pulmonary Medicine Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India

Prevalence of depression and its risk factors among patients with chronic obstructive pulmonary disease in a tertiary level hospital in West Bengal, India

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