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

Pradeep Kumar  Choudhary; B N Singh

Pradeep Kumar Choudhary Associate Professor, Department of Community and Family Medicine, Venketeshwara institute of medical science and hospital, Gajraula, Amroha
B N Singh Professor, Department of Community and Family Medicine, Venketeshwara institute of medical science and hospital, Gajraula, Amroha

Keywords: COPD, Depression

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.

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