Factors Associated with Depression in COPD: A Multicenter Study

Rivera, Carlos Martínez; Galicia, Joaquín Costan; Alcázar, Bernardino; García-Polo, Cayo; Iturriaga, Luis Alberto Ruiz; Herrejón, Alberto; Lucas, José Antonio Ros; García-Sidro, Patricia; Tirado-Conde, Gema; Lόpez-Campos, José Luís; Alises, Sagrario Mayoralas; Miguel-Díez, Javier de; Esquinas, Cristina; Miravitlles, Marc

doi:10.1007/s00408-016-9862-7

Cited by 51 publications

(33 citation statements)

References 52 publications

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“…While hospital stay was not associated with depression or anxiety, emergency room admissions within the year was determined to be an independent risk factor for anxiety and depression. A study investigating the depression-related factors in COPD, chronic airway diseases like bronchiectasis reported that emergency room admissions and hospital stay were more frequent in cases with depression but exacerbations were not significantly high 15. In the present study, patients were inquired for emergency room admissions for respiratory problems within the last year, but whether these were exact exacerbations of bronchiectasis was not investigated.…”

Section: Discussionmentioning

confidence: 73%

“…According to data from the World Health Organization, the prevalence of depression ranges from 3% to 16.9% 13. Despite the availability of studies on the prevalence of depression and anxiety and the related risk factors in chronic respiratory diseases, particularly in COPD, there is a limited number of studies published on the prevalence of depression and anxiety in adult patients with bronchiectasis 5,14,15. A limited number of previous studies in the literature reported a higher prevalence of depression and anxiety in bronchiectasis cases in comparison to general population 8,9.…”

Section: Discussionmentioning

confidence: 99%

“…Particularly in COPD, FEV 1 and FVC are considered to be the risk factors for depression 5,15. Girón Moreno et al conducted a study in cases with non-cystic fibrosis bronchiectasis and found no significant relationship between FEV 1 and depression or anxiety 8.…”

Section: Discussionmentioning

confidence: 99%

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Factors related to depression and anxiety in adults with bronchiectasis

Niksarlıoğlu

Özkan

Günlüoğlu

et al. 2016

NDT

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Introduction and backgroundPatients with chronic lung diseases frequently have depressive and anxiety symptoms, but there are very few studies looking at this in patients with bronchiectasis.AimThis study aimed to investigate depression and anxiety and related factors among patients with non-cystic fibrosis bronchiectasis.Patients and methodsThis was a prospective study of 133 patients with bronchiectasis. Patients with confirmed diagnosis of bronchiectasis with high-resolution computed tomography were enrolled in the study. Patients that were clinically stable in the previous 4 weeks were evaluated with the Hospital Depression and Anxiety scale. Symptoms, pulmonary function tests, and medical treatments were recorded.ResultsThe mean age of patients was 49.5±14.5 years (range, 18–77 years), and 81 (60.9%) patients were females. Twenty-eight (21.1%) patients had depression, and 53 (39.8%) had anxiety. Depression score was related to family situation (living with a partner), previous depression history and admission to an emergency department within the last year. Anxiety score was related to female gender, the family situation (living with a partner), previous depression history, and admission to an emergency department within the last year (P<0.05). Depression was positively correlated with hemoptysis, admission to an emergency department within the last year and living with a partner. Anxiety was positively correlated with education level, previous depression history, admission to an emergency department within the last year, and living with a partner.ConclusionPatients with non-cystic fibrosis bronchiectasis are at increased risk for depression and anxiety. Untreated and undetected depressive/anxiety symptoms may increase physical disability, morbidity, and health care utilization. It is important for clinicians to be aware of the presence of depression and anxiety in bronchiectasis.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

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Factors related to depression and anxiety in adults with bronchiectasis

Niksarlıoğlu

Özkan

Günlüoğlu

et al. 2016

NDT

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Section: Number and Type Of Comorbiditiesmentioning

confidence: 93%

“…202,206,221 The greatest differences were found between those with and without depression. Both Martinez Rivera et al 202 and Miravitlles et al 206 found that patients with COPD and depression had a lower mean HSUV than patients with COPD only (0.40 and 0.55 vs. 0.76 and 0.83, respectively). Miravitlles et al 221 also found that those with comorbid cardiovascular disease had a lower mean HSUV (0.78) than patients with COPD only (0.82); however, no differences were found for patients with and without diabetes, and patients with comorbid haematological malignancies had similar HSUVs.…”

Section: Number and Type Of Comorbiditiesmentioning

confidence: 93%

The health impacts of energy performance investments in low-income areas: a mixed-methods approach

et al. 2018

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BackgroundCold homes and fuel poverty contribute to health inequalities in ways that could be addressed through energy efficiency interventions.ObjectivesTo determine the health and psychosocial impacts of energy performance investments in low-income areas, particularly hospital admissions for cardiorespiratory conditions, prevalence of respiratory symptoms and mental health status, hydrothermal conditions and household energy use, psychosocial outcomes, cost consequences to the health system and the cost utility of these investments.DesignA mixed-methods study comprising data linkage (25,908 individuals living in 4968 intervention homes), a field study with a controlled pre-/post-test design (intervention,n = 418; control,n = 418), a controlled multilevel interrupted time series analysis of internal hydrothermal conditions (intervention,n = 48; control,n = 40) and a health economic assessment.SettingLow-income areas across Wales.ParticipantsResidents who received energy efficiency measures through the intervention programme and matched control groups.Main outcome measuresPrimary outcomes – emergency hospital admissions for cardiorespiratory conditions, self-reported respiratory symptoms, mental health status, indoor air temperature and indoor relative humidity. Secondary outcomes – emergency hospital admissions for chronic obstructive pulmonary disease-related cardiorespiratory conditions, excess winter admissions, health-related quality of life, subjective well-being, self-reported fuel poverty, financial stress and difficulties, food security, social interaction, thermal satisfaction and self-reported housing conditions.MethodsAnonymously linked individual health records for emergency hospital admissions were analysed using mixed multilevel linear models. A quasi-experimental controlled field study used a multilevel repeated measures approach. Controlled multilevel interrupted time series analyses were conducted to estimate changes in internal hydrothermal conditions following the intervention. The economic evaluation comprised cost–consequence and cost–utility analyses.Data sourcesThe Patient Episode Database for Wales 2005–14, intervention records from 28 local authorities and housing associations, and scheme managers who delivered the programme.ResultsThe study found no evidence of changes in physical health. However, there were improvements in subjective well-being and a number of psychosocial outcomes. The household monitoring study found that the intervention raised indoor temperature and helped reduce energy use. No evidence was found of substantial increases in indoor humidity levels. The health economic assessment found no explicit cost reductions to the health service as a result of non-significant changes in emergency admissions for cardiorespiratory conditions.LimitationsThis was a non-randomised intervention study with household monitoring and field studies that relied on self-response. Data linkage focused on emergency admissions only.ConclusionAlthough there was no evidence that energy performance investments provide physical health benefits or reduce health service usage, there was evidence that they improve social and economic conditions that are conducive to better health and improved subjective well-being. The intervention has been successful in reducing energy use and improving the living conditions of households in low-income areas. The lack of association of emergency hospital admissions with energy performance investments means that we were unable to evidence cost saving to health-service providers.Future workOur research suggests the importance of incorporating evaluations with follow-up into intervention research from the start.FundingThe National Institute for Health Research Public Health Research programme.

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Factors Associated with Depression in Chronic Obstructive Pulmonary Disease

Kawada

2016

Lung

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Factors Associated with Depression in COPD: A Multicenter Study

Abstract: Nearly one-quarter of the patients with COPD in this study presented clinically significant depression associated with worse quality of life, reduced exercise capacity, greater dyspnea, and a higher score in the BODE index.

Cited by 51 publications

References 52 publications

Factors related to depression and anxiety in adults with bronchiectasis

Factors related to depression and anxiety in adults with bronchiectasis

The health impacts of energy performance investments in low-income areas: a mixed-methods approach

Factors Associated with Depression in Chronic Obstructive Pulmonary Disease

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