Sex Differences in the Prevalence of Psychiatric Disorders and Psychological Distress in Patients With COPD

Laurin, Catherine; Lavoie, Kim; Bacon, Simon; Dupuis, Gilles; Lacoste, Guillaume; Cartier, André; Labrecque, Manon

doi:10.1378/chest.07-0134

Cited by 150 publications

(119 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, the sex effect on dyspnoea was comparable to that of other respiratory symptoms characteristic of COPD (cough, wheeze and phlegm). These findings are consistent with those reported in general populations [23,24] and in selected COPD subjects [13][14][15][16]. However, COPD seems to have a larger impact on males than females, as measured by the magnitude of differences in perception of health, symptoms and physical performance.…”

Section: Discussionsupporting

confidence: 92%

“…In general females with COPD report worse symptoms (in particular dyspnoea), have lower exercise capacity, worse HRQoL, and more anxiety and depression [13][14][15][16]18]. However, there is general population information from the USA (National Health Interview Survey) and Europe (health status indicators from the Statistics on Income and Living Conditions Surveys) indicating that, compared with males, females report worse health status, more difficulties in physical functioning and more feelings of sadness, hopelessness, worthlessness, nervousness and restlessness [23,24].…”

Section: Discussionmentioning

confidence: 99%

“…Female patients report more anxiety and depression, worse symptoms, have lower exercise capacity, more airway hyperresponsiveness and perceive a worse healthrelated quality of life (HRQoL) [13][14][15][16][17][18]. These data suggest that the manifestations of COPD may differ in females; thus, the influence of sex on the expression of COPD is now receiving increased attention.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Sex-related differences in COPD in five Latin American cities: the PLATINO study

Varela

de²,

Halbert³

et al. 2010

Eur Respir J

111

View full text Add to dashboard Cite

There is evidence to suggest sex differences exists in chronic obstructive pulmonary disease (COPD) clinical expression. We investigated sex differences in health status perception, dyspnoea and physical activity, and factors that explain these differences using an epidemiological sample of subjects with and without COPD.PLATINO is a cross-sectional, population-based study. We defined COPD as post-bronchodilator forced expiratory volume in 1 s/forced vital capacity ratio ,0.70, and evaluated health status perception (Short Form (SF)-12 questionnaire) and dyspnoea (Medical Research Council scale).Among 5,314 subjects, 759 (362 females) had COPD and 4,555 (2,850 females) did not. In general, females reported more dyspnoea and physical limitation than males. 54% of females without COPD reported a dyspnoea score o2 versus 35% of males. A similar trend was observed in females with COPD (63% versus 44%). In the entire study population, female sex was a factor explaining dyspnoea (OR 1.60, 95%CI 1.40-1.84) and SF-12 physical score (OR -1.13, 95%CI -1.56--0.71). 40% of females versus 28% of males without COPD reported their general health status as fair-to-poor. Females with COPD showed a similar trend (41% versus 34%). Distribution of COPD severity was similar between sexes, but currently smoking females had more severe COPD than currently smoking males.There are important sex differences in the impact that COPD has on the perception of dyspnoea, health status and physical activity limitation.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Sex-related differences in COPD in five Latin American cities: the PLATINO study

Varela

de²,

Halbert³

et al. 2010

Eur Respir J

111

View full text Add to dashboard Cite

show abstract

“…The extent to which women with COPD suffer from greater psychiatric and psychological morbidity remains unknown. Furthermore, there are limited data available about the impact of psychiatric disorders on the quality of life (QoL) and COPD severity in female patients in comparison to male patients (8).…”

Section: Introductionmentioning

confidence: 99%

Sex-related differences in COPD Assessment Test scores of COPD populationswith or without significant anxiety and/or depression

Varol¹,

Anar²,

Çimen³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

IntroductionSex-related differences have not been thoroughly explored in chronic obstructive pulmonary disease (COPD). The available data on symptom differences in female patients with COPD are quite limited. Most of the studies have not included a sufficient number of women within their scope to allow for accurate comparisons. Recent studies have suggested that while the overall prevalence and incidence of COPD are higher in men (1-3), the incidence of COPD in younger age groups (i.e. age 55-59) is now much higher in women (3). Women may be more susceptible to develop COPD and display more severe symptoms and activity intolerance (4). In addition, there are inadequate data available on the COPD Assessment Test (CAT) in female patients with COPD.Psychiatric disorders are highly prevalent in patients with COPD (5). In general, psychiatric disorders are more common in women than in men (6,7). The extent to which women with COPD suffer from greater psychiatric and psychological morbidity remains unknown. Furthermore, there are limited data available about the impact of psychiatric disorders on the quality of life (QoL) and COPD severity in female patients in comparison to male patients (8).The CAT is a short, simple questionnaire for assessing and monitoring COPD. It has good measurement properties, is sensitive to differences in state, and provides a valid, reliable, and standardized measure of COPD health status with worldwide relevance (9). This study primarily aimed to evaluate the possible CAT differences between male and female patients with or without a significantly high level of anxiety and/or depression by employing the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2011 strategy (10), and finally to establish a correlation between psychological aspects, symptoms, functional parameters, and QoL. Materials and methodsThis was a prospective observational study carried out between July 2013 and April 2014. The study was approved Background/aim: Sex-related differences have not been thoroughly explored in chronic obstructive pulmonary disease (COPD). We aimed to evaluate possible sex-related differences in COPD Assessment Test (CAT) scores of COPD patients with or without significant anxiety and/or depression. Materials and methods:Stable COPD patients were prospectively enrolled in the study between July 2013 and April 2014. Levels of anxiety, depression, dyspnea, and health-related quality of life parameters were assessed using specific questionnaires, including the CAT and others. Demographic and clinical data were recorded and physiological tests were performed. All the data were compared to determine any sex-related differences.Results: A total of 128 COPD patients (86 men, 42 women, mean age: 60.5 ± 9.3 years) were included. The women were significantly younger and had lower pack-years of cigarette smoking, and higher biomass smoke exposure, but displayed similarly severe COPD as compared to men. Beck anxiety (13.5-11) and Beck depression (15-11) inventory results were significantly higher...

show abstract

“…COPD is associated with increased risk for anxiety, depression, and other mental health disorders (Dowson et al, 2004;Singer et al, 2001). Psychiatric disorders are at least three times higher in COPD patients compared to the general population (Laurin et al, 2007). As the disease progresses, any kind of physical activity or social interaction may prove difficult.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Dyspnea and Fatigue Among the COPD Patients

Tel¹,

Bilgiç²,

Zorlu³

2012

Chronic Obstructive Pulmonary Disease - Current Concepts and Practice

View full text Add to dashboard Cite

Sex Differences in the Prevalence of Psychiatric Disorders and Psychological Distress in Patients With COPD

Cited by 150 publications

References 35 publications

Sex-related differences in COPD in five Latin American cities: the PLATINO study

Sex-related differences in COPD in five Latin American cities: the PLATINO study

Sex-related differences in COPD Assessment Test scores of COPD populationswith or without significant anxiety and/or depression

Evaluation of Dyspnea and Fatigue Among the COPD Patients

Contact Info

Product

Resources

About