2020Nepal Journal of Medical SciencesOpen access

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Disease

Chandra Prakash Acharya, Kalpana Poudel, Rekha Thapaliya

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Abstract

Introduction: The prevalence of anxiety and depression among patients with COPD is significantly higher than the general population; there are serious barriers to the recognition and treatment of these co-morbid conditions. The study aimed to identify the anxiety and depression among patients with COPD. Methods: A cross sectional study design was adopted and consecutive sampling technique was used to collect 131 samples. A structured interview schedule of Beck Depression Inventory and Beck Anxiety Inventory was used. Results: Low level of anxiety was found among 83(63.4%) of COPD patients whereas 16(12.3%) had potentially concerning levels of anxiety. It also reveals that 31(23.7%) of the COPD patients were suffering from moderate depression, 14(10.7%) had severe depression whereas 7(5.3%) had extreme depression. A total of 28(21.4%) of them were free from depression. There was association between alcohol consumption and depression (p=0.00). Likewise, there was association between age (p=0.03), educational status (p=0.04), types of family (p=0.00), smoking habit (p=0.01), duration of disease diagnosed (p=0.01) and duration of treatment (p=0.00) with anxiety. Conclusions: It is concluded that one fourth of the COPD patients had moderate level of anxiety as well as depression. Additionally, some of the COPD patients also suffered from extreme depression.

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Introduction: The prevalence of anxiety and depression among patients with COPD is significantly higher than the general population; there are serious barriers to the recognition and treatment of these co-morbid conditions. The study aimed to identify the anxiety and depression among patients with COPD. Methods: A cross sectional study design was adopted and consecutive sampling technique was used to collect 131 samples. A structured interview schedule of Beck Depression Inventory and Beck Anxiety Inventory was used. Results: Low level of anxiety was found among 83(63.4%) of COPD patients whereas 16(12.3%) had potentially concerning levels of anxiety. It also reveals that 31(23.7%) of the COPD patients were suffering from moderate depression, 14(10.7%) had severe depression whereas 7(5.3%) had extreme depression. A total of 28(21.4%) of them were free from depression. There was association between alcohol consumption and depression (p=0.00). Likewise, there was association between age (p=0.03), educational status (p=0.04), types of family (p=0.00), smoking habit (p=0.01), duration of disease diagnosed (p=0.01) and duration of treatment (p=0.00) with anxiety. Conclusions: It is concluded that one fourth of the COPD patients had moderate level of anxiety as well as depression. Additionally, some of the COPD patients also suffered from extreme depression.

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Available abstract

Introduction: The prevalence of anxiety and depression among patients with COPD is significantly higher than the general population; there are serious barriers to the recognition and treatment of these co-morbid conditions. The study aimed to identify the anxiety and depression among patients with COPD. Methods: A cross sectional study design was adopted and consecutive sampling technique was used to collect 131 samples. A structured interview schedule of Beck Depression Inventory and Beck Anxiety Inventory was used. Results: Low level of anxiety was found among 83(63.4%) of COPD patients whereas 16(12.3%) had potentially concerning levels of anxiety. It also reveals that 31(23.7%) of the COPD patients were suffering from moderate depression, 14(10.7%) had severe depression whereas 7(5.3%) had extreme depression. A total of 28(21.4%) of them were free from depression. There was association between alcohol consumption and depression (p=0.00). Likewise, there was association between age (p=0.03), educational status (p=0.04), types of family (p=0.00), smoking habit (p=0.01), duration of disease diagnosed (p=0.01) and duration of treatment (p=0.00) with anxiety. Conclusions: It is concluded that one fourth of the COPD patients had moderate level of anxiety as well as depression. Additionally, some of the COPD patients also suffered from extreme depression.

Key concepts: Medicine, Depression (economics), COPD, Anxiety, Internal medicine, Beck Depression Inventory, Population, Beck Anxiety Inventory

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