DOI: https://doi.org/10.26641/2307-0404.2016.1.63456

Peculiarities of mental status in patients with chronic obstructive pulmonary disease in different phases of the pathological process.

T. O. Pertseva, L. I. Konopkina, Iu. V. Huba

Abstract


Chronic obstructive pulmonary disease (COPD) has a significant impact on various aspects of life of patients due to of daily symptoms, frequent exacerbations, comorbid conditions, including anxiety and depression. In the scientific literature there are different data on the relationship between the frequency of occurrence and severity of exacerbations of COPD on the one hand and concomitant depression and increased anxiety on the other hand. The aim of our study – to examine frequency and se­verity of depression and anxiety in patients with COPD exacerbation and in stable phase of the disease in patients with varying terms of remission. We examined 108 patients with COPD, which were divided into two groups. The main group – 16 patients with COPD were examined in two visits: in exacerbation and after two months of its completion. A comparison group – 92 patients with COPD in stable phase of the disease for at least three months. Examination of pa­tients included general clinical methods, evaluation of clinical symptoms of COPD, evaluation of mental status using Hospital Anxiety and Depression Scale. It was found that symptoms of depression and anxiety are more expressied in pa­tients with COPD exacerbation than in the stable phase. It was determined that the frequency of depression and anxiety in patients with COPD tends to decrease in two months after the exacerbation. It was also shown that mild depression and anxiety prevail in COPD patients with impaired mental state. In addition, there was found correlation between severity of dyspnea and depression severity in COPD patients with concomitant depression in the stable phase of the disease.


Keywords


COPD exacerbation; remission; depression; anxiety

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References


Order of Ministry of Health of Ukrainy N 555 of 06/27/2013. "On approval and introduction of medical and technological documents for standardization of medical care in chronic obstructive pulmonary disease". Kyiv. 2013;1–146. Ukrainian. 2. Rebrova OYu. [Statistical analysis of medical data. Application of software package STATISTICA] Moscow: Mediasphera; 2002. Russian. 3. Feshchenko YuI, Yashyna LO, Dziublyk OIa, Havrysiuk VK. [Chronic obstructive pulmonary disease: etiology, pathogenesis, classification, diagnosis, therapy (draft national agreement))]. Ukrainskyi pulmono-lohichnyi zhurnal. 2013;3:7–12. Ukrainian. 4. Bailey PH. The Dyspnea-Anxiety-Dyspnea Cycle – COPD Patients’ Stories of Breathlessness: “It’s Scary / When You Can’t Breathe”. Qualitative Health Research. 2004;14(6):760-78. 5. Barnes PJ, Celli BR. Systemic manifestations and comorbidities of COPD. European Respiratory Journal. 2009;33(5):1165-85. 6. Crawford JR. Brief report Normative data for the HADS from a large non-clinical sample. British Journal of Clinical Psychology. 2001;40:429-34. 7. Global initiative for chronic obstructive lung disease (GOLD). Global strategy for diagnosis, ma-nagement, and prevention of chronic obstructive pulmonary disease. Update 2014. P. 4 Available rom: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2014_Jan23.pdf. 8. Laurin C, Moullec G, Bacon SL, Lavoie KL. Impact of Anxiety and Depression on Chronic Obstruc-tive Pulmonary Disease Exacerbation Risk. American Journal Respiratory Critical Care Medicine. 2012;185(9):918-23. 9. Julian LJ. Measures of Anxiety State-Trait An-xiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care & Research. 2011;63(11):467-72. 10. NINDS CDE Notice of Copyright Hospital Anxiety Depression Scale (HADS). Available from: https://commondataelements.ninds.nih.gov/Doc/NOC/Hospital_Anxiety_Depression_Scale_NOC_Link.pdf. 11. Pooler A, Beech R. Examining the relationship between anxiety and depression and exacerbations of COPD which result in hospital admission: a systematic review. International Journal of COPD. 2014;9:315-30. 12. Quint JK, Baghai-Ravary R, Donaldson GC, Wedzicha JA. Relationship between depression and exacerbations in COPD. European Respiratory Journal. 2008;32:53-60.


GOST Style Citations


1. Про затвердження та впровадження медико-технологічних документів зі стандартизації медичної допомоги при хронічному обструктивному захворю-ванні легень: Наказ МОЗ України № 555 від 27.06.2013 р. – Київ, 2013. – 146 с. 2. Реброва О.Ю. Статистический анализ меди-цинских данных. Применение пакета прикладных программ STATISTICA / О.Ю. Реброва – Москва: Ме-диасфера, 2002. – 312 с. 3. Хронічне обструктивне захворювання легень: етіологія, патогенез, класифікація, діагностика, тера-пія (проект національної угоди) / Ю.І. Фещенко, Л.О. Яшина, О.Я. Дзюблик, В.К. Гаврисюк [та ін.] // Укр. пульмонол. журнал. – 2013. – № 3, додаток. – С. 7–12. 4. Bailey P.H. The Dyspnea-Anxiety-Dyspnea Cycle – COPD Patients’ Stories of Breathlessness: “It’s Scary /When You Can’t Breathe” / P. H. Bailey // Qualitative Health Research. – 2004. – Vol. 14, N 6. – P. 760-778. 5. Barnes P.J. Systemic manifestations and comorbi-dities of COPD / P. J. Barnes, B. R. Celli // Eur. Resp. J. – 2009. – Vol. 33, N 5. – P. 1165–1185. 6. Brief report Normative data for the HADS from a large non-clinical sample / J.R. Crawford, J. D. Henry, C. Crombie, E. P. Taylor // Br. J. Clin. Psychology. – 2001. – Vol. 40. – P. 429–434. 7. Global initiative for chronic obstructive lung disease (GOLD). Global strategy for diagnosis, mana-gement, and prevention of chronic obstructive pulmonary disease. Update 2014. [Internet] – P. 14 – Available from: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2014_Jan23.pdf. 8. Impact of Anxiety and Depression on Chronic Obstructive Pulmonary Disease Exacerbation Risk / C. Laurin, G. Moullec, S.L. Bacon, K.L. Lavoie // Am. J. Resp. Crit. Care Med. – 2012. – Vol. 185, Iss. 9. – P. 918–923. 9. Julian L.J. Measures of Anxiety State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-An-xiety (HADS-A) / L.J. Julian // Arthritis Care & Research. – 2011. – Vol. 63. – N S11. – P. 467–472. 10. NINDS CDE Notice of Copyright Hospital Anxiety Depression Scale (HADS) [Internet]. – Available from: https://commondataelements.ninds. nih.gov/Doc/NOC/Hospital_Anxiety_Depression_Scale_NOC_Link.pdf. 11. Pooler A., Beech R. Examining the relationship between anxiety and depression and exacerbations of COPD which result in hospital admission: a systematic review / A. Pooler, R. Beech // Inter. J. COPD. – 2014. – Vol. 9. – P. 315–330. 12. Relationship between depression and exa-cerbations in COPD / J.K. Quint, R. Baghai-Ravary, G.C. Donaldson, J.A. Wedzicha // Eur. Resp. J. – 2008. – Vol. 32. – P. 53–60.




 

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