Anxious? Don't Forget... So is Grandpa

2021 ◽  
Vol 36 (5) ◽  
pp. 226-227
Author(s):  
Ankita Adhia
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Chronic Illness ◽  
Older People ◽  
Pulmonary Disease ◽  
Respiratory Function ◽  
Mental Distress ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Older Person ◽  
Obstructive Pulmonary Disease

Despite the support systems that may be available, the scope of the recent pandemic is debilitating on a multitude of levels including, but not limited to, psychological, social, and financial. Older people already coping with mental distress on the sidelines of chronic illness, may be further compromised. The older person with chronic obstructive pulmonary disease (COPD) often struggles to withstand the anxiety and depression that is intertwined with symptoms of worsening respiratory function.

scholarly journals Reproducibility and Respiratory Function Correlates of Exhaled Breath Fingerprint in Chronic Obstructive Pulmonary Disease

PLoS ONE ◽  
2012 ◽  
Vol 7 (10) ◽  
pp. e45396 ◽  
Author(s):  
Raffaele Antonelli Incalzi ◽  
Giorgio Pennazza ◽  
Simone Scarlata ◽  
Marco Santonico ◽  
Massimo Petriaggi ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Respiratory Function ◽  
Chronic Obstructive ◽  
Exhaled Breath ◽  
Obstructive Pulmonary Disease

scholarly journals Accuracy of the Hospital Anxiety and Depression Scale for Identifying Depression in Chronic Obstructive Pulmonary Disease Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Christoph Nowak ◽  
Noriane A. Sievi ◽  
Christian F. Clarenbach ◽  
Esther Irene Schwarz ◽  
Christian Schlatzer ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Diagnostic Accuracy ◽  
Pulmonary Disease ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Hospital Anxiety ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Clinical Records

Psychological morbidity is common in chronic respiratory diseases. The diagnostic accuracy of the Hospital Anxiety and Depression Scale (HADS) and risk factors for comorbid depression in chronic obstructive pulmonary disease (COPD) are addressed. Consecutive COPD patients (GOLD stage I–IV, 40–75 years old) were enrolled in a multicentre, cross-sectional cohort study. Diagnosis of depression was ascertained through clinical records. Lung function, HADS score, 6-minute walking test (6-MWT), MRC dyspnoea score, and COPD Assessment Test (CAT) were evaluated. Two hundred fifty-nine COPD patients (mean age 62.5 years; 32% female; mean FEV1 48% predicted) were included. Patients diagnosed with depression (29/259; 11.2%) had significantly higher HADS-D and HADS-Total scores than nondepressed patients (median (quartiles) HADS-D 6 [4; 9] versus 4 [2; 7], median HADS-Total 14 [10; 20] versus 8 [5; 14]). Receiver-operating characteristic plots showed moderate accuracy for HADS-D, AUC 0.662 (95%CI 0.601–0.719), and HADS-Total, AUC 0.681 (95%CI 0.620–0.737), with optimal cut-off scores of >5 and >9, respectively. Sensitivity and specificity were 62.1% and 62.6% for HADS-D compared to 75.9% and 55.2% for HADS-Total. Age, comorbidities, sex, and lower airflow limitation predicted depression. The HADS exhibits low diagnostic accuracy for depression in COPD patients. Younger men with comorbidities are at increased risk for depression.

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