Depression, anxiety and health status after hospitalisation for COPD: a multicentre study in the Nordic countries

2.50
Hdl Handle:
http://hdl.handle.net/2336/6585
Title:
Depression, anxiety and health status after hospitalisation for COPD: a multicentre study in the Nordic countries
Authors:
Gudmundsson, Gunnar; Gislason, Thorarinn; Janson, Christer; Lindberg, Eva; Suppli Ulrik, Charlotte; Brøndum, Eva; Nieminen, Markku M; Aine, Tiina; Hallin, Runa; Bakke, Per
Citation:
Respir Med 2006, 100(1):87-93
Issue Date:
1-Jan-2006
Abstract:
Patients with chronic obstructive pulmonary disease (COPD) often report anxiety, depression and poor health status, not least if they experience repeated hospitalisations due to acute exacerbations. The aim of this study was to analyse the interrelationships between health status, anxiety, depression and physical status in COPD patients being discharged after hospitalisation. This was a prospective study of 416 patients in five university hospitals in each of the Nordic countries. Data included demographic information, lung function and co-morbidity. The Hospital Anxiety and Depression Scale and St. George's Respiratory Questionnaire (SGRQ) were applied to all patients. Both anxiety and depression were common among these patients. Anxiety was more common in women than in men (47% vs. 34%, P=0.009) and current smokers had a higher prevalence of both anxiety (54% vs. 37%) and depression (43% vs. 23%) than non-smokers (P<0.01). In general, the studied COPD patients had poor health status, especially those with anxiety, depression or both. Psychological status was independently related to all dimensions of SGRQ. Higher GOLD stages were significantly associated with increasing impairment in health status. In conclusion this multicentre study showed that anxiety and depression are common in patients with COPD, and, furthermore, that patients with psychological disorders have poor health status. Screening for depression and anxiety may help to identify patients with poor quality of life and an urgent need for intervention in order to improve their health status.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.sciencedirect.com/science/article/B6WWS-4G54HJG-3/2/68412a00e5ed0b94eb27cd0627b41697

Full metadata record

DC FieldValue Language
dc.contributor.authorGudmundsson, Gunnar-
dc.contributor.authorGislason, Thorarinn-
dc.contributor.authorJanson, Christer-
dc.contributor.authorLindberg, Eva-
dc.contributor.authorSuppli Ulrik, Charlotte-
dc.contributor.authorBrøndum, Eva-
dc.contributor.authorNieminen, Markku M-
dc.contributor.authorAine, Tiina-
dc.contributor.authorHallin, Runa-
dc.contributor.authorBakke, Per-
dc.date.accessioned2006-12-15T16:05:38Z-
dc.date.available2006-12-15T16:05:38Z-
dc.date.issued2006-01-01-
dc.date.submitted2006-12-15-
dc.identifier.citationRespir Med 2006, 100(1):87-93en
dc.identifier.issn0954-6111-
dc.identifier.pmid15893921-
dc.identifier.doi10.1016/j.rmed.2005.04.003-
dc.identifier.otherPAD12-
dc.identifier.urihttp://hdl.handle.net/2336/6585-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractPatients with chronic obstructive pulmonary disease (COPD) often report anxiety, depression and poor health status, not least if they experience repeated hospitalisations due to acute exacerbations. The aim of this study was to analyse the interrelationships between health status, anxiety, depression and physical status in COPD patients being discharged after hospitalisation. This was a prospective study of 416 patients in five university hospitals in each of the Nordic countries. Data included demographic information, lung function and co-morbidity. The Hospital Anxiety and Depression Scale and St. George's Respiratory Questionnaire (SGRQ) were applied to all patients. Both anxiety and depression were common among these patients. Anxiety was more common in women than in men (47% vs. 34%, P=0.009) and current smokers had a higher prevalence of both anxiety (54% vs. 37%) and depression (43% vs. 23%) than non-smokers (P<0.01). In general, the studied COPD patients had poor health status, especially those with anxiety, depression or both. Psychological status was independently related to all dimensions of SGRQ. Higher GOLD stages were significantly associated with increasing impairment in health status. In conclusion this multicentre study showed that anxiety and depression are common in patients with COPD, and, furthermore, that patients with psychological disorders have poor health status. Screening for depression and anxiety may help to identify patients with poor quality of life and an urgent need for intervention in order to improve their health status.en
dc.language.isoenen
dc.publisherW.B. Saundersen
dc.relation.urlhttp://www.sciencedirect.com/science/article/B6WWS-4G54HJG-3/2/68412a00e5ed0b94eb27cd0627b41697-
dc.subject.meshAgeden
dc.subject.meshAnxietyen
dc.subject.meshDepressionen
dc.subject.meshFemaleen
dc.subject.meshFinland/epidemiologyen
dc.subject.meshHealth Statusen
dc.subject.meshHospitalizationen
dc.subject.meshHumansen
dc.subject.meshIceland/epidemiologyen
dc.subject.meshMaleen
dc.subject.meshPrevalenceen
dc.subject.meshProspective Studiesen
dc.subject.meshPulmonary Disease, Chronicen
dc.subject.meshObstructiveen
dc.subject.meshQuality of Lifeen
dc.subject.meshScandinavia/epidemiologyen
dc.titleDepression, anxiety and health status after hospitalisation for COPD: a multicentre study in the Nordic countriesen
dc.typeArticleen
dc.identifier.journalRespiratory medicineen
dc.format.digYES-

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