Original Research Article
Year: 2020 | Month: March | Volume: 7 | Issue: 3 | Pages: 267-272
Psychiatric Comorbidities in Patients with Chronic Obstructive Pulmonary Disease – A Hospital Based Cross Sectional Study
Ranjith Ravella1, Don Gregory Mascarenhas2, Supriya Hegde Aroor3, Prasanth YM4
1Resident; Department of Medicine, Father Muller Medical College, Mangaluru.
2Associate Professor; Department of Pulmonary Medicine, Father Muller Medical College, Mangaluru.
3Professor; Department of Psychiatry, Father Muller Medical College, Mangaluru.
4Associate Professor; Department of General Medicine, Father Muller Medical College, Mangaluru.
Corresponding Author: Don Gregory Mascarenhas
ABSTRACT
Introduction: COPD is associated with significant concomitant chronic diseases, which increase its morbidity and mortality. The coexistence of anxiety or depression in COPD patients are associated with increased hospital stay and decreased quality of life. The relation between COPD and its association with anxiety and depression appears to be multifactorial and bidirectional.
Objectives: To study the psychiatric comorbidities like anxiety and depression in chronic obstructive pulmonary disease based on its severity according to Global Initiative for Obstructive Lung Disease (GOLD).
Methods: Study was done in department of pulmonary medicine in coordination with department of psychiatry at Father Muller Medical College, located in Mangalore, Karnataka. A total of 100 patients, 50 patients diagnosed with COPD as cases and 50 patients from general population as controls. Evaluation of psychiatric comorbidities was done using Hospital Anxiety and Depression Scale.
Results: Psychiatric comorbidities are more prevalent in COPD patients (38%) compared to controls or healthy volunteers (4%).
Conclusions: All patients diagnosed with COPD need to be screened for psychiatric comorbidities using screening questionnaire as it increases the morbidity.
Keywords: COPD, Anxiety, Depression.
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