Prevalence of Anxiety and Depression in Patient with Chronic Obstructive Pulmonary Disease

Sharma, Shailendra; Shakya, Urusha; Gorkhali, Binu

doi:10.3126/nmcj.v20i4.25139

Cited by 6 publications

(10 citation statements)

References 13 publications

(15 reference statements)

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“…al. In present study reported pa ents lived in joint family prone to develop depression (p=0.046).This finding is consistent 7,15 with the result of previous studies.…”

Section: Discussionsupporting

confidence: 93%

“…A study was done in China showed that 7.2 % Depression and Anxiety 5.3% This study concluded that high prevalence 6 of anxiety and depression in COPD outpa ents. A study conducted in Kathmandu and Okhaldhunga, Nepal showed that 63.3%, 69.2% and 39.8% , 35.5% were suffered from 7,8 the anxiety and depression in the COPD pa ents. Nepal being a culturally diverse country, the impact of mental illness in health may vary in different communi es.…”

Section: Introductionmentioning

confidence: 99%

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Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

Jha¹,

Jha²

2021

Birat J. Health Sci.

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Introduction: Anxiety and Depression is a common comorbidity in chronic obstructive pulmonary disease patients. Impaired lung function is a risk factor for depression In COPD patients, reduced recreational activities and social Isolation is a major risk factor resulting in anxiety and depression. Objective: The objective of this study is to evaluate the prevalence of Anxiety and Depression among the COPD patients at Pulmonology unit of Nobel Medical College Teaching Hospital. Methodology: A hospital based cross- sectional research design was used for the study. A total of 185 patients with previously diagnosed COPD. Data were collected by using a face to face interview technique in patients to evaluate anxiety and depression using Nepali version of Hospital Anxiety and Depression Scale questionnaire at Nobel Medical College Teaching Hospital, Biratnagar, Nepal from May to August 2020. Data analysis were done by descriptive and inferential statistics. Results: A total of 185 patients participated in the study, 157 patients (84.9%) had anxiety, 107 patients (57.8%) had depression and 102 patients (55.1%) had both anxiety and depression. There was statistically significant association of anxiety and depression in COPD patients with age, religion, occupation, smoking status, duration of illness, history of previous hospitalization, number of hospitalization in previous year, type of family, domiciliary oxygen therapy. Conclusion: The study concluded that anxiety and depression had been most prevalent in COPD patients. Therefore health personnel working in the Pulmonology unit should be aware the early assessment and treatment of anxiety and depression of chronic obstructive pulmonary diseases patients.

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“…al. In present study reported pa ents lived in joint family prone to develop depression (p=0.046).This finding is consistent 7,15 with the result of previous studies.…”

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

Jha¹,

Jha²

2021

Birat J. Health Sci.

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“…[11] Similarly the study done in Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal revealed that patient's age, ethnicity, educational status, marital status, current working status, duration of illness, history of previous hospitalization were significantly associated with anxiety among the COPD patients. [14]…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Disease

2020

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Introduction: The prevalence of anxiety and depression among patients with COPD is significantly higher than the general population; there are serious barriers to the recognition and treatment of these co-morbid conditions. The study aimed to identify the anxiety and depression among patients with COPD. Methods: A cross sectional study design was adopted and consecutive sampling technique was used to collect 131 samples. A structured interview schedule of Beck Depression Inventory and Beck Anxiety Inventory was used. Results: Low level of anxiety was found among 83(63.4%) of COPD patients whereas 16(12.3%) had potentially concerning levels of anxiety. It also reveals that 31(23.7%) of the COPD patients were suffering from moderate depression, 14(10.7%) had severe depression whereas 7(5.3%) had extreme depression. A total of 28(21.4%) of them were free from depression. There was association between alcohol consumption and depression (p=0.00). Likewise, there was association between age (p=0.03), educational status (p=0.04), types of family (p=0.00), smoking habit (p=0.01), duration of disease diagnosed (p=0.01) and duration of treatment (p=0.00) with anxiety. Conclusions: It is concluded that one fourth of the COPD patients had moderate level of anxiety as well as depression. Additionally, some of the COPD patients also suffered from extreme depression.

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“…8 In addition, studies in Nepal shows the prevalence of diabetes mellitus (DM) type II is 29.2%, 9 among COPD patient is 69.2%. 10 In developing countries like Nepal, where health care facilities and human resources are limited, no conclusive research explains depression in this region. Therefore, the general objective of this research is to determine the prevalence and correlation of depressive symptoms in patients with chronic physical illness and relation to attributes of depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of depressive symptoms in patients with chronic physical illness: A single institutional cross-sectional study from Nepal

et al. 2022

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Background Depression is a global public health problem. Studies show comorbid depression increases morbidity, mortality, and associated risk of poor adherence compared to those without depression. Materials and Method An analytical cross-sectional study was conducted among 326 patients who met the inclusion criteria. They were selected following simple random sampling from medical OPD and ward of Shree Birendra Hospital Kathmandu, Nepal. Semi-structured interview schedule (SSIS), Beck Depression Inventory-II (BDI-II), and Kuppuswamy’s Scale (KS) were used for data collection. Data analysis was done using SPSS version 26 and STATA version 15. Simple frequency distribution of attributes presented in tables and association assessed using Chi-square/ Fisher’s exact test. Further, the relation between depression and other independent factors is quantified using multivariate/ multivariable logistics regression analyses. Result Using Beck depression inventory (BDI-II) as a tool to determine depression 52.1% (n=170) had minimal or no depression, 16.9% (n=55) had mild depression, 18.7 %( n=61) had moderate depression and 12.3% (n=40) had severe depression i.e. 47.9% of population had some form of depression. Prevalence of depression among patient with single comorbidity found to be 30.9% (n=25, N=81) for hypertension, 43.3% (n=13, N=30) for diabetes mellitus, 45.6% (n=31, N=68) for chronic obstructive pulmonary disease, 77.5% (n=31, N=40) for chronic kidney disease, and 60 %( n=9, N=15) for chronic heart disease. Depression among patient with multiple comorbidities (more than one disease above mention) was found to be 51.1% (n=47, N=92). Prevalence of depression was more among patients with history of longer duration of illness; 11 years and above 52.9 % (n=36, N=68); 6-10 years 48.3 % (n=43, N=89); 1-5 years 45.6 %( n=77, N=169). Conclusion This study showed that the prevalence of depression has a significant relationship with the duration of illness. Therefore, early recognition and treatment play a crucial role in reducing the effects of depression.

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Prevalence of Anxiety and Depression in Patient with Chronic Obstructive Pulmonary Disease

Cited by 6 publications

References 13 publications

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Disease

Prevalence of depressive symptoms in patients with chronic physical illness: A single institutional cross-sectional study from Nepal

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