Email this article Anxiety and depression in patients with obstructive ventilation disorders: the respect study. Part 2
- Authors: Andreeva E.A.1, Pokhaznikova M.A.2, Moiseeva I.E.2, Kuznetsova O.Y.2, Degryse J.3,4
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Affiliations:
- Northern State Medical University
- North-Western State Medical University named after I.I. Mechnikov
- Institute of Health and Society of Catholic University of Louvain (UCL)
- Department of Public Health and Primary Health Care
- Issue: Vol 21, No 4 (2017)
- Pages: 15-20
- Section: Articles
- URL: https://journal-vniispk.ru/RFD/article/view/7753
- DOI: https://doi.org/10.17816/RFD2017415-20
- ID: 7753
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Abstract
The article presents an analysis of the risk factors for anxiety and depression in people with airflow limitation based on the results of the second (diagnostic) phase of the RESPECT (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). The data indicates that participants with airflow limitation that had been revealed during the epidemiological study and with borderline or abnormal anxiety and/or depression showed in diagnostic study persistent airflow limitation (FEV1/FVC = 66.48 ± 10.22, p < 0.05) and more perceived respiratory symptoms (CAT = 11.1 ± 10.01, mMRC = 1.68 ± 1.02, p < 0.001) compared to those without mental disorders. Also, they tended to have concomitant cardiovascular diseases (coronary heart disease, chronic heart failure, p < 0.001) and diabetes mellitus (p < 0.01) more frequently. Although chronic heart failure is the most prominent risk factor for anxiety/depression, it becomes non-significant when corrected for other somatic diseases and respiratory symptoms.
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##article.viewOnOriginalSite##About the authors
Elena A. Andreeva
Northern State Medical University
Author for correspondence.
Email: klmn.69@mail.ru
PhD, associate professor of the Department of Family Medicine
Russian Federation, ArkhangelskMarina A. Pokhaznikova
North-Western State Medical University named after I.I. Mechnikov
Email: marina.pokhaznikova@szgmu.ru
PhD, associate professor of the Department of Family Medicine
Russian Federation, Saint PetersburgIrina E. Moiseeva
North-Western State Medical University named after I.I. Mechnikov
Email: irina.moiseeva@szgmu.ru
PhD, associate professor of the Department of Family Medicine
Russian Federation, Saint PetersburgOlga Yu. Kuznetsova
North-Western State Medical University named after I.I. Mechnikov
Email: olga.kuznetsova@szgmu.ru
DSc, professor, Head of the Department of Family Medicine
Russian Federation, Saint PetersburgJean-Marie Degryse
Institute of Health and Society of Catholic University of Louvain (UCL); Department of Public Health and Primary Health Care
Email: jan.degryse@kuleuven.be
MD, PhD, professor
Belgium, Brussels; LeuvenReferences
- The Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017. // Available from: http://www.goldcopd.org. – Последнее посещение сайта 07.09.2017.
- Андреева Е.А., Похазникова М.А., Моисеева И.Е., и др. Распространенность тревоги и депрессии у пациентов с обструктивными нарушениями вентиляции по данным популяционного исследования RESPECT. Часть I // Российский семейный врач. – 2017. – Т. 21. – № 3. – С. 23–30. [Andreeva EA, Pokhaznikova MA, Moiseeva IE, et al. The prevalence of anxiety and depression among patients with obstructive ventilation disorders: the Respect study. Part I. Russian Family Doctor. 2017;21(3):23-30. (In Russ.)]. doi: 10.17816/RFD2017323-30.
- Cleland JA, Lee AJ, Hall S. Associations of depression and anxiety with gender, age, health-related quality of life and symptoms in primary care COPD patients. Fam Pract. 2007;24(3):217-223. doi: 10.1093/fampra/cmm009.
- Hanania NA, Müllerova H, Locantore NW, et al.; Evaluation of CLtIPSEsi. Determinants of depression in the ECLIPSE chronic obstructive pulmonary disease cohort. Am J Respir Crit Care Med. 2011;183(5):604-611. doi: 10.1164/rccm.201003-0472OC.
- Rodríguez-Pecci MS, de la Fuente-Aguado J, Montero-Tinnirello J, et al. Chronic obstructive pulmonary disease: differences between men and women. Medicina (B Aires). 2012;72(3):207-15.
- Zhang Q, Liao J, Liao X, et al. Disease knowledge level is a noteworthy risk factor of anxiety and depression in patients with chronic obstructive pulmonary disease: a cross-sectional study. BMC Pulm Med. 2014;14:92. doi: 10.1186/1471-2466-14-92.
- Rapsey CM, Lim CW, Al-Hamzawi A, et al. Associations between DSM-IV mental disorders and subsequent COPD diagnosis. J Psychosom Res. 2015;79(5):333-339. doi: 10.1016/j.jpsychores.2015.08.005.
- Decramer M, Rennard S, Troosters T, et al. COPD as a lung disease with systemic consequences–clinical impact, mechanisms, and potential for early intervention. COPD. 2008;5(4):235-256. doi: 10.1080/15412550802237531.
- Irwin MR, Miller AH. Depressive disorders and immunity: 20 years of progress and discovery. Brain Behav Immun. 2007;21(4):374-383. doi: 10.1016/j.bbi.2007.01.010.
- Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370.
- Dodd JW, Hogg L, Nolan J, et al. The COPD assessment test (CAT): response to pulmonary rehabilitation. A multicenter, prospective study. Thorax. 2011;66(5):425-9. doi: 10.1136/thx.2010.156372.
- Bestall JC, Paul EA, Garrod R, et al. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7):581-6.
- Gustad LT, Laugsand LE, Janszky I, et al. Symptoms of anxiety and depression and risk of heart failure: the HUNT Study. Eur J Heart Fail. 2014;16(8):861-870. doi: 10.1002/ejhf.133.
- Gustad LT, Laugsand LE, Janszky I, et al. Symptoms of anxiety and depression and risk of acute myocardial infarction: the HUNT 2 study. Eur Heart J. 2014;35(21):1394-1403. doi: 10.1093/eurheartj/eht387.
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