Skip to main content

Assessment of the prevalence of depression in chronic obstructive pulmonary disease patients

Abstract

Background

Depression often occurs in patients with chronic obstructive pulmonary disease (COPD). In stable COPD, the prevalence of clinical depression ranges between 10 and 42%. The risk of depression is higher in patients with severe COPD, compared with control participants, reaching up to 62%, in oxygen-dependent patients.

Aim

The aim of this work was to study the prevalence of depression in COPD patients.

Patients and methods

The present study was carried out on 100 male COPD patients and 10 female COPD patients admitted to Mansoura Chest Hospital and the chest department of Benha University Hospital during the period from 2014 to 2016. All participants were submitted to Beck’s depression Inventory questionnaire.

Results

The degree of depression assessed by Beck’s score increased significantly with the degree of COPD, use of long-term oxygen therapy, and low BMI.

Conclusion

The prevalence and severity of depression increase with increasing severity of COPD.

References

  1. Kunik ME, Roundy K, Veazey C, Souchek J, Richardson P, Wray NP, Stanley MA. Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest 2005;127:1205–1211.

    PubMed  Google Scholar 

  2. Lacasse Y, Rousseau L, Maltais F. Prevalence of depressive symptoms and depression in patients with severe oxygen-dependent chronic obstructive pulmonary disease. J Cardiopulm Rehabil 2001;21:80–86.

    Article  CAS  Google Scholar 

  3. Cully JA, Graham DP, Stanley MA, Ferguson CJ, Sharafkhaneh A, Souchek J, Kunik ME. Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression. Psychosomatics 2006;47:312–319.

    Article  Google Scholar 

  4. Gudmundsson G, Gislason T, Janson C, Lindberg E, Suppli Ulrik C, Brøndum E, et al. Depression, anxiety and health status after hospitalisation for COPD:a multicentre study in the Nordic countries. Respir Med 2006;100:87–93.

    Article  Google Scholar 

  5. Morabia A, Wynder EL. Cigarette smoking and lung cancer cell types. Cancer 1991;68:2074–2078.

    Article  CAS  Google Scholar 

  6. WHO. Global database on body mass index. Geneva:WHO; 2012.

    Google Scholar 

  7. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–571.

    Article  CAS  Google Scholar 

  8. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. XX:NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD); 2014.

    Google Scholar 

  9. Menezes AM, Perez-Padilla R, Jardim JR, Mueno A, Lopez MV, Valdivia G, et al. Chronic obstructive pulmonary disease in five latin American cities. Lancet 2005;366:1875–1881.

    Article  Google Scholar 

  10. Kurmi OP, Semple S, Simkhada P, Smith WC, Ayres JG. COPD and chronic bronchitis risk of indoor air pollution from solid fuel:a systematic review and meta-analysis. Thorax 2010;65:221–228.

    Article  Google Scholar 

  11. Van Manen JG, Bindels PJE, Dekker FW, IJzermans CJ, van der Zee JS, Schadé E. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax 2002;57:412–416.

    Article  Google Scholar 

  12. Janssen DJ, Spruit MA, Leue C, Gijsen C, Hameleers H, Schols JM, et al. Symptoms of anxiety and depression in COPD patients entering pulmonary rehabilitation. Chron Respir Dis 2010; 7:147.

    Article  Google Scholar 

  13. Ryu YJ, Chun EM, Lee JH, Chang JH. Prevalence of depression and anxiety in outpatients with chronic airway lung disease. Korean J Inter Med 2010;25:51–57.

    Article  Google Scholar 

  14. Lou P, Zhu Y, Chen P, Zhang P, Yu J, Zhang N, et al. Prevalence and correlations with depression, anxiety, and other features in outpatients with chronic obstructive pulmonary disease in China:a cross-sectional case control study. BMC Pulm Med 2012; 12:53.

    Article  Google Scholar 

  15. Di Marco F, Verga M, Reggente M, Casanova FM, Sanyus P, Blasi F, et al. Anxiety and depression in COPD patients:the roles of gender and disease severity. Respir Med 2006;100:1767–1774.

    Article  Google Scholar 

  16. Cooper CB. Determining the role of exercise in patients with chronic pulmonary disease. Med Sci Sports Exerc 1995;27:147–157.

    Article  CAS  Google Scholar 

  17. Cullen DL. Long term oxygen therapy adherence and COPD:what we don’t know. Chron Respir Dis 2006;3:217–222.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tarek S. Essawy MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Eissa, S.A., Essawy, T.S., Almahdy, M.A. et al. Assessment of the prevalence of depression in chronic obstructive pulmonary disease patients. Egypt J Bronchol 12, 187–192 (2018). https://doi.org/10.4103/1687-8426.233048

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1687-8426.233048

Keywords