The Relations of depression, anxiety and daily life activity patients with different levels of severity of chronic obstructive pulmonary disease
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Abstract
Introduction and aim: COPD is one of the leading causes of morbidity and mortality worldwide and it leads to economic and social burdens at significant and increasing levels. We aimed to investigate the relationship between daily living activities and depression, anxiety and disease levels in patients with COPD in our study.
Materials and methods: Patients diagnosed with COPD were randomly enrolled to the study who admitted to the university polyclinics. Socio-demographic information form, mMRC dyspnea scale, COPD Assessment Test (CAT), London Chest Activity of Daily Living (LCADL) scale and Hospital Anxiety and Depression Scale (HADS) were applied. The collected data were evaluated by using statistical program.
Results: In the study, 119 patients were enrolled, 94 participants were male (79%) and 25 were female (21%). Thirteen people (10.9%) who never smoked during their lifetime, 67 people (56.3%) who left the cigarette and 39 people (32.8%) were still smoking from the patients who participated in the study. There were 19 clinical cases (16%) and 100 (84%) normal cases for anxiety and 35 clinical cases (29.4%) and 84 (70.6%) normal cases for depression in the whole group. The correlation coefficient between the total score of daily living activity scale and anxiety was found as r: .289, and there is a weak level meaningful relationship between them (p<0.01). The correlation coefficient between daily life activity scale total score and depression was found as r: .259 and there is a weak level meaningful relationship between them (p<0.01). The correlation coefficient between total daily activity score and CAT total score was calculated as r: .552, and there is a moderate level meaningful relationship between them (p<0.01).
Conclusion: In this study, it was concluded that activity of daily living in COPD patients was weakly correlated with depression and anxiety, and moderately correlated with disease level of severity. We believe that anxiety, depression, and severity of illness affects daily life activity in COPD patients, even if they are weak or moderate needed to be treated with a holistic approach.
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World Health Organisation (2017). Noncommunicable diseases. Fact sheet. Link: https://bit.ly/2MKB0yS
Karadakovan A, Eti Aslan F (2010) Care in Internal and Surgical Diseases. Adana: Nobel Medicine Publisher 99-111.
Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, et al. (2005) Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 171: 972-977. Link: https://bit.ly/3pPElvm
Taylor SE, Aspinwall LG (1996) Psychological aspects of serious illness: chronic conditions, fatal diseases, and clinical care. In: Costa PT, Vanden Bos GR, eds. Psychosocial aspects of chronic illness.
Sprangers MAG, de Regt EB, Andries F, van Agt HM, Bijl RV, et al. (2000) Which chronic conditions are associated with better or poorer quality of life? J Clin Epidemiol 53: 895-907. Link: https://bit.ly/3oNbA0F
Rothman AA, Wagner EH (2003) Chronic Illness Management: What is the role of primary care? Ann Intern Med 138: 256-261. Link: https://bit.ly/39FDQye
Yu T, Ter Riet G, Puhan MA, Frei A (2017) Physical activity and risk of comorbidities in patients with chronic obstructive pulmonary disease: a cohort study. NPJ Prim Care Respir Med 27: 36. Link: https://bit.ly/2YBgCmq
Sanchez-Salcedo P, Divo M, Casanova C, Pinto-Plata V, de-Torres JP, et al. (2014) Disease progression in young patients with COPD: rethinking the Fletcher and Peto model. Eur Respir J 44: 324-331. Link: https://bit.ly/2MrBr16
Murray CJ, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet 349: 1498-1504. Link: https://bit.ly/2NW3q9z
de Blok BM, de Greef MH, ten Hacken NH, et al. (2006) The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: a pilot study. Patient Educ Couns 61: 48-55. Link: https://bit.ly/3pLb8RY
Haro JM, Palacín C, Vilagut G, Martínez M, Bernal M, et al. (2006) Prevalencia de los trastornos mentales y factores asociados: resultados del estudio ESEMeD-Espan˜ Med Clin (Barc) 126: 445-451. Link: https://bit.ly/2YEseFk
Gulart AA, Munari AB, Klein SR, Venâncio RS, Alexandre HF, et al. (2020) The London Chest Activity of Daily Living scale cut-off point to discriminate functional status in patients with chronic obstructive pulmonary disease. Braz J Phys Ther 24: 264-272. Link: https://bit.ly/3axAoES
Schane RE, Walter LC, Dinno A, Covinsky KE, Woodruff PG (2008) Prevalence and risk factors for depressive symptoms in persons with chronic obstructive pulmonary disease. J Gen Intern Med 23: 1757-1762. Link: https://bit.ly/39FQEEM
Cooper CB (2009) Airflow obstruction and exercise. Respir Med 103: 325-334. Link: https://bit.ly/2MTiFj1
Nguyen HQ, Fan VS, Herting J, Lee J, Fu M, et al. (2013) Patients with COPD with higher levels of anxiety are more physically active. Chest 144: 145-151. Link: https://bit.ly/3cxpLVn
Garcia-Rio F, Rojo B, Casitas R, Lores V, Madero R, et al. (2012) Prognostic value of the objective measurement of daily physical activity in patients with COPD. Chest 142: 338-346. Link: https://bit.ly/2Li67l4
Global Initiative for Chronic Obstructive Lung Disease (GOLD) (2020) Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Link: https://bit.ly/3cvr3Ae
Pitta F, Troosters T, Probst VS, Spruit MA, Decramer M, et al. (2006) Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Eur Respir J 27: 1040-1055. Link: https://bit.ly/3rh5Ait
van Manen JG, Bindels PJ, Dekker FW, IJzermans CJ, van der Zee JS, et al. (2002) Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax 57: 412-416. Link: https://bit.ly/3auKVAF
GOLD (2017) Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease.
Yorgancioglu A, Polatli M, Aydemir Ö, Yilmaz ND, Kirkil G, et al. (2012) Turkish validity and reliability of the COPD assessment test. Tuberk Toraks 60: 314-320.
Met S (2009) Determination of Validity and Reliability of London Chest Activities of Daily Living Scale and Physical Activity Levels in Obstructive Pulmonary Patients. Science Specialization Thesis, Hacettepe University.
Özkan S (1993) Psychiatric Medicine: Consultation-Liaison Psychiatry, Istanbul. 83-291.