Clinical impact of depression and anxiety in patients with non-cystic fibrosis bronchiectasis

被引:5
作者
Bekir, Melahat [1 ]
Kocakaya, Derya [2 ]
Balcan, Baran [2 ]
Olgun Yildizeli, Sehnaz [2 ]
Eryuksel, Emel [2 ]
Ceyhan, Berrin [2 ]
机构
[1] Okan Univ, Tip Fak, Gogus Hastaliklari Anabilim Dali, Istanbul, Turkey
[2] Marmara Univ, Tip Fak, Gogus Hastaliklari Anabilim Dali, Istanbul, Turkey
来源
TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX | 2020年 / 68卷 / 02期
关键词
Depression; anxiety; bronchiectasis; SEVERITY; STANDARDIZATION; OUTPATIENTS;
D O I
10.5578/tt.69348
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Introduction: Bronchiectasis is a chronic suppurative disease characterized by abnormal bronchial dilatation. The nature of bronchiectasis may have negative impact on psychological status, however it is poorly studied in relation to clinical indices, particularly the severity of disease. Primary aim of this study is to detect depression and anxiety in patients with non-cystic fibrosis bronchiectasis and to evaluate its relationship with disease severity indexes. Materials and Methods: Ninety (male/female= 37/53; median age 45 years) stable non-cystic fibrosis bronchiectatic adult patients were enrolled into this study. Dyspnea scores, number of exacerbations and hospital admissions within the last year, body-mass index, pulmonary function tests, sputum cultures, bronchiectasis disease severity indexes (BSI and FACED) were assessed. Anxiety and depression were evaluated by using the Turkish version of the hospital anxiety and depression scale questionaire. Results: Anxiety was diagnosed in 30% of patients and depression was diagnosed in 41% of the participants. Female participants had significantly higher rates of depression (55% vs. 22%; p= 0.002). Exacerbation rates within the last year were higher among the subjects with anxiety, moreover, patients with depression had shorter duration of disease. 851 and FACED severity indexes increased with longer duration of disease (5.6 +/- 5.0 yrs in mild group vs. 10.1 +/- 9.2 yrs in moderate-to-severe group, p= 0.035 and 5.7 +/- 5.4 yrs in mild group vs. 12.1 +/- 9.7 yrs in moderate-to-severe group, p= 0.001, respectively), however, anxiety and depression were not related with BSI and FACED severity indexes. Conclusion: Patients with non-cystic fibrosis bronchiectasis have an increased risk for depression and anxiety. Duration of disease and higher exacerbation rate are related with psychological status and indexes increased with longer duration of disease. Lady detection and taking the necessary measures to improve the psychological state is necessary for the overall management of these patients.
引用
收藏
页码:103 / 111
页数:9
相关论文
共 20 条
[1]   Anxiety-depressive disorders and bronchiectasis [J].
Boussoffara, L. ;
Boudawara, N. ;
Gharsallaoui, Z. ;
Sakka, M. ;
Knani, J. .
REVUE DES MALADIES RESPIRATOIRES, 2014, 31 (03) :230-236
[2]   The Bronchiectasis Severity Index An International Derivation and Validation Study [J].
Chalmers, James D. ;
Goeminne, Pieter ;
Aliberti, Stefano ;
McDonnell, Melissa J. ;
Lonni, Sara ;
Davidson, John ;
Poppelwell, Lucy ;
Salih, Waleed ;
Pesci, Alberto ;
Dupont, Lieven J. ;
Fardon, Thomas C. ;
De Soyza, Anthony ;
Hill, Adam T. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 189 (05) :576-585
[3]   A NEW METHOD OF CLASSIFYING PROGNOSTIC CO-MORBIDITY IN LONGITUDINAL-STUDIES - DEVELOPMENT AND VALIDATION [J].
CHARLSON, ME ;
POMPEI, P ;
ALES, KL ;
MACKENZIE, CR .
JOURNAL OF CHRONIC DISEASES, 1987, 40 (05) :373-383
[4]   Anxiety and depression in adult outpatients with bronchiectasis: Associations with disease severity and health-related quality of life [J].
Gao, Yong-Hua ;
Guan, Wei-Jie ;
Zhu, Ya-Nan ;
Chen, Rong-Chang ;
Zhang, Guo-Jun .
CLINICAL RESPIRATORY JOURNAL, 2018, 12 (04) :1485-1494
[5]   Presence of Anxiety and Depression in Patients With Bronchiectasis Unrelated to Cystic Fibrosis [J].
Giron Moreno, Rosa Maria ;
Fernandes Vasconcelos, Gilda ;
Cisneros, Carolina ;
Mar Gomez-Punter, Rosa ;
Segrelles Calvo, Gonzalo ;
Ancochea, Julio .
ARCHIVOS DE BRONCONEUMOLOGIA, 2013, 49 (10) :415-420
[6]   Pulmonary exacerbation in adults with bronchiectasis: a consensus definition for clinical research [J].
Hill, Adam T. ;
Haworth, Charles S. ;
Aliberti, Stefano ;
Barker, Alan ;
Blasi, Francesco ;
Boersma, Wim ;
Chalmers, James D. ;
De Soyza, Anthony ;
Dimakou, Katerina ;
Elborn, J. Stuart ;
Feldman, Charles ;
Flume, Patrick ;
Goeminne, Pieter C. ;
Loebinger, Michael R. ;
Menendez, Rosario ;
Morgan, Lucy ;
Murris, Marlene ;
Polverino, Eva ;
Quittner, Alexandra ;
Ringshausen, Felix C. ;
Tino, Gregory ;
Torres, Antoni ;
Vendrell, Montserrat ;
Welte, Tobias ;
Wilson, Rob ;
Wong, Conroy ;
O'Donnell, Anne ;
Aksamit, Timothy .
EUROPEAN RESPIRATORY JOURNAL, 2017, 49 (06)
[7]   The association of depression and anxiety with medical symptom burden in patients with chronic medical illness [J].
Katon, Wayne ;
Lin, Elizabeth H. B. ;
Kroenke, Kurt .
GENERAL HOSPITAL PSYCHIATRY, 2007, 29 (02) :147-155
[8]   Sex bias in diagnostic delay in bronchiectasis: An analysis of the Spanish Historical Registry of Bronchiectasis [J].
Ma Giron, Rosa ;
de Gracia Roldan, Javier ;
Olveira, Casilda ;
Vendrell, Montserrat ;
Angel Martinez-Garcia, Miguel ;
de la Rosa, David ;
Maiz, Luis ;
Ancochea, Julio ;
Vazquez, Liliana ;
Borderias, Luis ;
Polverino, Eva ;
Martinez-Moragon, Eva ;
Rajas, Olga ;
Soriano, Joan B. .
CHRONIC RESPIRATORY DISEASE, 2017, 14 (04) :360-369
[9]   Standardisation of the single-breath determination of carbon monoxide uptake in the lung [J].
MacIntyre, N ;
Crapo, RO ;
Viegi, G ;
Johnson, DC ;
van der Grinten, CPM ;
Brusasco, V ;
Burgos, F ;
Casaburi, R ;
Coates, A ;
Enright, P ;
Gustafsson, P ;
Hankinson, J ;
Jensen, R ;
McKay, R ;
Miller, MR ;
Navajas, D ;
Pedersen, OF ;
Pellegrino, R ;
Wanger, J .
EUROPEAN RESPIRATORY JOURNAL, 2005, 26 (04) :720-735
[10]   Multidimensional approach to non-cystic fibrosis bronchiectasis: the FACED score [J].
Martinez-Garcia, Miguel A. ;
de Gracia, Javier ;
Vendrell Relat, Monserrat ;
Giron, Rosa-Maria ;
Maiz Carro, Luis ;
de la Rosa Carrillo, David ;
Olveira, Casilda .
EUROPEAN RESPIRATORY JOURNAL, 2014, 43 (05) :1357-1367