Association between Psychological Status and Dyspnea in Patients with Chronic Obstructive Pulmonary Disease
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2017, Vol 6, Issue 3
Abstract
Background: Dyspnea together with anxiety and depression are the most common and important comorbidities in patients with chronic obstructive pulmonary disease. Anxiety and depression can potentiate the intensity of dyspnea in this population. The current study was aimed to investigate the psychological status and perceived level of dyspnea in COPD patients. Methods: A cross sectional analytical study was carried out among 221 COPD patients at respiratory outpatient department of Tribhuvan University Teaching Hospital (TUTH), Nepal. Patients’ psychological status was assessed using a validated Hospital Anxiety and Depression Scale (HADS) and dyspnea was assessed using the modified Medical Research Council Dyspnea Scale (mMRC). Results: Out of 221 patients, 54.5% patients had symptoms suggestive of anxiety (HADS-A Score ≥11) and 51.6% patients reported symptoms suggestive of depression (HADS-D Score ≥11). Similarly, 92.8% patients reported some degree of dyspnea. Data showed that there was strong positive correlation of dyspnea with anxiety (r=0.75, p<0.001) and depression (r=0.79, p<0.001). Conclusion: The results from this study concludes that anxiety, depression and dyspnea are common symptom in COPD, and there was a positive correlation of psychological status and perceived level of dyspnea. Psychological status is therefore an important factor to consider when treating patients with dyspnea. Keywords: COPD, Dyspnea, Anxiety, Depression, HADS.
Authors and Affiliations
Sita Sharma
Keywords
Related Articles
- EP ID EP417420
- DOI -
- Views 146
- Downloads 0
PREVALENCE OF VITAMIN A DEFICIENCY DISORDER AMONG CHILDREN AGED 1-5 YEARS
Randomized controlled trial data of vitamin A interventions and survival were used to estimate the risk of mortality associated with vitamin A deficiency. The published relative risks were adjusted for the estimated prev...
Development of Novel Method for Determination of Phenylephrine Hydrochloride and Cetirizine Hydrochloride in Tablet Dosage Form using RP-HPLC
The literature survey shows that only single complicated method with multiple components of mobile phase is present for the simultaneous determination of phenylephrine hydrochloride and cetirizine hydrochloride in tablet...
CURRENT NECESSITY OF PROTEASES: OVERVIEW
The use of proteases as medicine is also popular as the study of proteases has helped us better understands inflammatory conditions and immune regulation. If a protein (part of living cell) component including other nece...
RETARDATION OF PROGRESSION OF CHRONIC KIDNEY DISEASE THROUGH PHARMACOLOGICAL INTERVENTIONS
Objective: Chronic Kidney Disease (CKD) patients have multiple co-morbidities and complications, and are prescribed with large number of medications. Studies on therapeutic strategies to slow the chronic kidney disease p...
INSOMNIA WITH HOMOEOPATHY
Most people encounter sleep difficulties from time to time, often related to stress or pain. Many of these bouts get better without treatment. Unfortunately, in a significant proportion of the population, sleep problems...