Evaluation of Depression and Variables Associated With Severity of Depression in Patients with Chronic Obstructive Pulmonary Disease (COPD)
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 2
Abstract
Background:COPD is a respiratory disorder which has association with many comorbid illnesses. Psychological impairment in the form of depression is one such a significant comorbid condition whose impact on COPD is generally overlooked. This study was done to assess the risk of depression and factors correlating with severity of depression in patients with COPD.Materials and Methods:100 patients with a registered diagnosis of COPD attending outpatient section in respiratory medicine department were enrolled. Demographic and Clinical history recorded. Severity of COPD was assessed using spirometry(GOLD guidelines) and degree of depression assessed using PHQ-9(Patient Health Questionnaire).Results:Cummulative prevalence of depression in our study was 76% of which 13% had major depressive symptoms. Severity of depression had a strong positive correlation with increased severity of COPD,increased degree of dyspnoea and prolonged duration of illness.Conclusion:Prevalence of depression in COPD is generally underestimated. Using simple screening questionnaire either at bedside or during regular follow up visits to detect depression should be made mandatory in every case of COPD. This might help in planning psychological intervention if any at the earliest and also improve the quality of life along with other pulmonary rehabilitation measures.
Authors and Affiliations
Dr. T. Bindu
Keywords
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