PREVALENCE OF ANXIETY AND DEPRESSION IN STABLE PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Keywords:Anxiety, Beck Anxiety Inventory, COPD, Depression, PHQ -9
Introduction: To study the prevalence of anxiety and depression in stable COPD patients.
Methodology: 100patients of stable COPD were assessed to look for the presence of anxiety and depression using beck anxiety inventory (BAI) and patient health questionnaire (PHQ-9). Patients already on treatment forpsychiatric illnesses were excluded from the study. Patients with total score above cut off value (BAI >7 ORPHQ-9 >4), were assessed in the psychiatry department. Quantitative data was compiled and statistical analysis was done.
Results: Among study population 68% were males, 62% were in the age group of 60-80years, 83 % were ex smokers and 92 % of them were exposed to indoor air pollution (chullahs). It was found that 64 % of the study population had psychiatric morbidity out of which 42% had mixed anxiety and depressive symptoms. Psychiatric symptoms were more prevalent in female patients (97%, P value is0.003), and in patients who had more severe disease (P value is 0.04), 6 minute walk distance < 300 m (P value is 0.00001), percentage of desaturatoin> 3% after 6 M.W (P value is 0.0001) and Smoking Index >400.Smoking status and 6 minute walk distance were independently associated with the development of anxiety and depression with significant P values in stable COPD patients.
Conclusion: Anxiety and depression are common psychiatric co-morbidities associated with COPD patients. Early diagnosis and proper management of COPD and timely evaluation for psychiatric illnesses is essential for the better outcomes in COPD patients.
How to Cite
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
National Journal of Medical Research © 2011 by Medsci Publication is licensed under Attribution-ShareAlike 4.0 International
Based on work at www.njmr.in.