Prevalence of Anxiety and Depression in Chronic Obstructive Pulmonary Disease (COPD).
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 6
Abstract
AIM: To know the prevalence and severity of anxiety and depression in chronic obstructive pulmonary disease (COPD) patients. Materials and Methods: A Hospital Based cross sectional study was conducted in COPD PATIENTS IN YENEPOYA MEDICAL COLLEGE HOSPITAL over a period of 3 months in 2017. The present study was carried out after obtaining the Ethical committee clearance. Patients of all ages, registered in YMCH admitted / attending and willing to participate in the study were enrolled after proper counseling. The procedure was explained to patients and were informed the purpose of the study. Informed consent was taken from each patient. Patient was assured about their confidentiality. Relevant clinical data (demographic- age, sex and education) was obtained from the patient. Answers related to knowledge and practices related to anxiety and depression was evaluated as the grading in the questionnaire. Sample size was 49 (forty nine patients). Results: In this study total of 49 COPD patients were taken of which males were 43 (87.8%) and females were 6 ( 12.2%).Based on Becks depression index, ,14.3% had normal ups and downs,16.3% had mild mood disturbances,28.6% had borderline depression,38.8% had moderate depression and 2% had severe depression. No cases were reported to have extreme depression. Based on Hamilton anxiety index 55.1% had mild anxiety, 36.7% had moderate anxiety and 8.2% had severe anxiety. Based on grading of COPD, in grade 1 among 5 cases: 3 had normal ups and downs, 1 had borderline depression and 1 had moderate depression. In grade II among 12 cases: 1 had normal ups and downs, 3 had mild mood disturbances, 4 had borderline depression,4 had moderate depression. In grade III among 21 cases: 3 were having normal ups and downs,3 had mild mood disturbances,6 had borderline depression,9 had moderate depression. In grade IV among 11 cases 2 had mild mood disturbances,3 had borderline depression,5 had moderate depression and 1 had severe depression. Conclusion: The present study concludes that prevalence of anxiety and depression is significant in COPD patients. Thus we can conclude that timely and appropriate assessment of COPD patients for co-morbidities like anxiety and depression should be routinely screened and appropriate interventions to be provided to improve the quality of life.
Authors and Affiliations
Sonia Elizabeth Ninan
Keywords
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