A Cross Sectional Study to Assess the Levels of Depression and Anxiety in Patients with Chronic Obstruction Pulmonary Disease in a Tertiary Care Hospital

Abstract

Background: Objective:  In  the  present  study,  demographic  profile,  knowledge  and  motivation  of  COPD  patients  attending tertiary  hospital,  the  level  of  anxiety  and  depression  is  assessed. Methods: This  cross-sectional study  was  carried  out  on  consecutive patients  with  COPD  during  their  routine  out-and  in-patient  visits  in  the tertiary care hospital during 4 months (April 2019 to July 2019). Physician confirmed cases of more than 1-year duration were included in the study. Thus 194 COPD patients were admitted in the ward. They were interviewed by  using  HADS  scale  and  Modified  Morisky  scale.  The  diagnosis  of  COPD  was  confirmed  by  Chest  X-ray  and Spirometery test and a history of exacerbation or hospitalization over past 6 months was also obtained. The chi square-test, t-test and one-way analysis of variance were used in the univariate analyses, whilst regression was used in the multiple variable analyses.

Results: A total of 194 COPD individuals, 124 Males and 70 Females were enrolled  in  the  study.  The  mean  age  of  the  respondents  was  49.16  ±  8.20  (25-62)  years.  The  mean  scores  for anxiety and depression were 19.12± 2.38 and 11.54± 2.50 respectively. Both anxiety and depression scores were statistically  significant  between  the  gender.    Among  males  70  %  cases  were  having  no  comorbid  conditions; however, 57.10 % females were having more than two comorbid conditions.

Conclusion: Present study illustrates that anxiety and depression are common in patients with COPD, furthermore, patients with depressive disorders have more comorbidities in comparison with patient with anxiety.