Surprisingly High Prevalence of Anxiety and Depression in Chronic Breathing Disorders

Kunik, Mark E.; Roundy, Kent; Veazey, Connie; Souchek, Julianne; Richardson, Peter; Wray, Nelda P.; Stanley, Melinda A.

doi:10.1016/s0012-3692(15)34468-8

Cited by 318 publications

(429 citation statements)

References 40 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%

“…15,56 Our findings are consistent with the findings of other investigators since psychological symptoms in emerging adulthood were related to physical diseases and symptoms later in adulthood, 56 which, in turn, were related to psychiatric disorders in adulthood. 30 One possible mechanism for this association is that psychological symptoms might increase the risk for both cigarette smoking and physical disease. 15 Our results demonstrated that physical disease/symptoms preceded family financial difficulty, which in turn was associated with psychiatric disorders.…”

Section: Discussionmentioning

confidence: 99%

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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%

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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“…Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Myocardial Infarction (MI)) [5][6][7][8][9][10][11][12]. Functional decline associated with chronic medical illness is often accompanied by depressive symptoms, which arise in 20% to 50% of chronically ill persons [13][14][15][16]. Depressive symptoms can reduce a patients' ability to cope with physical symptoms and adhere to medical treatment, causing increased health care utilization and cost [17][18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Design and rationale for a randomized controlled trial to reduce readmissions among patients with depressive symptoms

Mitchell

Martin

Krizman

et al. 2015

Contemporary Clinical Trials

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Background-The Re-Engineered Discharge (Project RED) reduces 30-day readmission rates by 30 percent. However, our data indicates that for patients displaying depressive symptoms during hospitalization, Project RED is less effective in preventing unplanned readmission. We aim to examine the effectiveness of RED-D, a modified brief Cognitive behavioral therapy (CBT) protocol delivered as a post-discharge extension of the Re-Engineered Discharge, in reducing 30-day readmissions rates and emergency department (ED) use as well as depressive symptoms for medical patients with comorbid depressive symptoms.

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“…Our study investigated the prevalence of both anxiety and depression disorders in male and female COPD and Bronchial Asthma patients with a wide range of disease severity. A recent study by Kunik et al 9 investigated the prevalence of anxiety and depression in a large sample of patients with chronic breathing disorders, including COPD, but the authors enrolled only patients who reported a significant level of anxiety and depression in a telephone screening. The significant findings of our study are as follows: (1) The prevalence of anxiety is very high as compared to depression in patients of both COPD and Bronchial Asthma; (2) Male patients have higher levels of anxiety and depression; (3) More patients had grade one dyspnoea followed by grade two and then grade one.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Morbidities in Patients of Copd and Bronchial Asthma Attending Opd of Tertiary Care Hospital

Majid¹,

Junaid²,

Ahmad³

et al. 2016

jemds

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BACKGROUNDChronic pulmonary diseases are a global health problem and the number of patients being treated in primary care settings is increasing. The prevalence of a life-time diagnosis of asthma has increased in all age groups. There has been a dramatic shift in the conceptualization and treatment of asthma and COPD in the last 50 years. Psychiatric disorders, especially anxiety disorders, are very common in patients with asthma and COPD. Anxiety is also common in COPD and is related to some of the same factors described for asthma including the psychological response to the experience of breathlessness as well as side effects of beta-agonists. Since there is paucity of relevant data from Kashmir, this study was designed to find the co morbidity in patients of COPD and Asthma in a tertiary care teaching hospital in Srinagar, Kashmir.

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Surprisingly High Prevalence of Anxiety and Depression in Chronic Breathing Disorders

Cited by 318 publications

References 40 publications

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

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

Design and rationale for a randomized controlled trial to reduce readmissions among patients with depressive symptoms

Psychiatric Morbidities in Patients of Copd and Bronchial Asthma Attending Opd of Tertiary Care Hospital

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