Depression is a major determinant of both disease-specific and generic health-related quality of life in people with severe COPD

Jang, Sun Mi; Kim, Ki Uk; Na, Hae Jung; Song, Suk-Won; Lee, Sangeun; Lee, Haejung; Kim, Yun Seong; Lee, Min Ki; Park, Hye Kyung

doi:10.1177/1479972318775422

Cited by 24 publications

(11 citation statements)

References 48 publications

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“…Chronic kidney disease patients suffer from both physical and psychological symptoms which may emerge at different stages during the course of the disease [26]. Jang et al (2019) assessed the HRQOL of patients with severe chronic obstructive pulmonary disease (COPD) using SF 36 study instrument and the PCS and MCS were 56.7 and 69.5 indicating that the HRQOL of CKD patients is much worse compared to COPD [27]. Similarly two international studies done to assess the HRQOL of stroke [28] and chronic heart failure [29] revealed that the stroke patients had relatively low HRQOL and chronic heart failure patients had a similar HRQOL when compared to the results of our study participants.…”

Section: Discussionmentioning

confidence: 99%

Health related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease

Senanayake

Gunawardena

Palihawadana

et al. 2020

Health Qual Life Outcomes

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Introduction:The current epidemic of chronic kidney disease (CKD) in Sri Lanka is ascribed to the exponential increase in the number of CKD patients, which cannot be attributed to any known etiology (CKDu). The aim of this study is to describe the health related quality of life (HRQOL) and the associated factors among CKD/CKDu patients in a rural district in Sri Lanka. Methods: A community based cross-sectional study included 1174 CKD/CKDu patients. Kidney Disease Quality of Life-Short Form was used to assess the HRQOL, while Centre for Epidemiologic Studies Depression Scale, General Health Questionnaire (GHQ) 12 and CKD Symptom Index -Sri Lanka were used to assess presence of depression, psychological distress and symptom burden respectively. Three summary scores; kidney disease (KDSC), physical (PCS) and mental (MCS) are derived from Kidney Disease Quality of Life-Short Form (KDQOL-SF™). Results: Mean age of the study population was 58.3 years (standard deviation (SD) 10.7). Median KDSC (58.4; inter-quartile range (IQR) 54.2-63.4), was higher than the median scores of PCS (35.0; IQR 26.2-41.9) and MCS (58.4;). Multiple linear regression revealed low income, advanced stages of CKD, symptom burden, being positive for depression and psychological distress were significantly associated with low HRQOL. Conclusion:The HRQOL of the CKD patients in this rural Sri Lankan population was found to be poor. Superior socioeconomic status, less physical and psychological symptom burden were found to be independently associated with better HRQOL. Periodical screening of the CKD patients for depression and psychological distress and measures to alleviate symptom burden seem to be important to improve the HRQOL of these patients.

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Section: Discussionmentioning

confidence: 99%

Health related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease

Senanayake

Gunawardena

Palihawadana

et al. 2020

Health Qual Life Outcomes

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“…At present, it is the fourth most common cause of death in the United States 1 . Anxiety, depression, and loneliness are commonly recognized psychologic comorbidities of COPD 2, 3, 4. Quality of life in patients with COPD is affected by these factors and comorbidities leading to an inability to engage in activities, decreased exercise capacity, and anxiety/depression 4, 5…”

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confidence: 99%

Loneliness and ED Visits in Chronic Obstructive Pulmonary Disease

Marty

Novotny

Benzo

2019

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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The primary objective of this study was to investigate the association of loneliness and the incidence of ED visits in a large and well-characterized cohort of patients with severe chronic obstructive pulmonary disease (COPD); the association of loneliness with performance measures and health perception was the secondary objective. Baseline data were used from the National Emphysema Treatment Trial (NETT), which investigated the effectiveness of lung volume reduction surgery in patients with moderate-to-severe COPD. Patients received Quality of Wellbeing questionnaires, which asked about loneliness and social isolation. For comparing baseline variables between lonely and non-lonely subjects, we used c 2 tests for categorical variables and Wilcoxon tests for continuous variables. The association of loneliness with ED visits and health perception was assessed with a logistic model that adjusted for multiple critical confounders. The study took place from December 2002, to December 2004, with a follow-up period of 5 years to assess loneliness and 24 months to assess use of the emergency department. There were 1218 patients analyzed, mean age 65 (standard deviation [SD] 12), 47% were women, FEV 1% 41 (SD 12); 7.9% of participants reported feeling lonely. These individuals had worse health ratings, 6-minute walk tests (6MWTs), and breathlessness. Loneliness was independently associated with ED visits after adjusting for age, lung function, dyspnea, 6MWT, treatment, and gender, odds ratio (OR) 1.57 (95% confidence interval [CI], 1.005-2.466), P¼.04. This study suggests that loneliness in patients with COPD is significantly and independently associated to ED visits and reduced health perception. Addressing loneliness of patients with COPD in the outpatient setting may contribute to improved health perception and less health care utilization.

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“…26 However, in addition to the clinical aspects, it is also useful to underpin that emotional and social wellbeing are involved in COPD management. As the disease progresses, it becomes more difficult to carry out even the simplest daily activities, so much so that only 30.6% of COPD patients say they are satisfied with their life [27]. According to this view, our data demonstrated that three-month, twice-weekly of CRT, as compared to baseline condition was effective in reducing perception of anxiety, depression and stress levels and increasing well-being and vitality in COPD patients.…”

Section: Discussionmentioning

confidence: 57%

A controlled respiratory training to improve quality of life and well-being perception in chronic obstructive pulmonary disease patients

Mastorci¹,

Mannucci²,

Lazzeri³

et al. 2021

Biomed Res Clin Prac

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Background: Chronic Obstructive Pulmonary Disease (COPD) requires continuous patient management caused by frequent exacerbations with consequent hospitalizations and a worsening of the patient's quality of life. Pulmonary rehabilitation improves exercise tolerance, but many patients do not have access to these programs. Aim:We assumed that 3 months of controlled respiratory training (CRT), providing benefits on well-being in healthy subjects, can represent a valid strategy to improve health status and better disease management in COPD patients. Design: Quality improvement in health careSetting: Outpatients attending the rehabilitation treatment room of a single centre.Population: 34 patients with COPD (according GOLD 2019 classification) were enrolled. Methods:Patients were divided into TREAT group (n = 18, 16 males, age 73.83 ± 6.71 years) and control group (CTR: 13 males, age 74.06 ± 6.38 years). Before and after CRT a battery of psychological questionnaires were assessed. T Results: REAT group in Post-CRT, as compared to CTR, showed a reduction in depressive symptoms (BDI, p<0.05; POMS depression, p<0.05), anger (p<0.01), stress perception (PSS, p<0.05), and anxiety levels (BAI, p=0.05). Also, CRT improved general health (p<0.01) and vitality (p<0.05). Conclusions:This preliminary study demonstrated that CRT is effective to improve quality of life and well-being perception in patients with COPD. Larger studies will need to confirm the long-term clinical and psychological benefits of this holistic approach, addictive to the traditional clinical practice, not only for symptomatic COPD, but also more generally to all patients with chronic diseases. Clinical rehabilitation impact:In clinical settings, for COPD patients, who experience the chronic nature of illness, we propose an additive holistic approach to the traditional clinical practice to improve health-related quality of life, and thus, a better disease management.

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Depression is a major determinant of both disease-specific and generic health-related quality of life in people with severe COPD

Cited by 24 publications

References 48 publications

Health related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease

Health related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease

Loneliness and ED Visits in Chronic Obstructive Pulmonary Disease

A controlled respiratory training to improve quality of life and well-being perception in chronic obstructive pulmonary disease patients

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