Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression.

The authors examined 179 veterans with chronic obstructive pulmonary disease (COPD) to determine the relative contribution of clinical depression and/or anxiety (Beck Depression and Beck Anxiety Inventories) to their quality of life (Chronic Respiratory Questionnaire and Medical Outcomes Survey Short Form). Multiple-regression procedures found that both depression and anxiety were significantly related to negative quality-of-life outcomes (anxiety with both mental and physical health quality-of-life outcomes, and depression primarily with mental health). When comorbid with COPD, mental health symptoms of depression and anxiety are some of the most salient factors associated with quality-of-life outcomes.

[1]  Randolph C. Arnau,et al.  Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients. , 2001, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[2]  F. Dekker,et al.  The influence of COPD on health-related quality of life independent of the influence of comorbidity. , 2003, Journal of clinical epidemiology.

[3]  R. Pauwels,et al.  Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. , 2001, American journal of respiratory and critical care medicine.

[4]  W. Katon,et al.  The association between depressive symptoms and health status in patients with chronic pulmonary disease. , 2001, General hospital psychiatry.

[5]  B. J. Zebb,et al.  The catastrophic misinterpretation of physiological distress. , 1999, Behaviour research and therapy.

[6]  A. Yohannes,et al.  Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire , 2000, International journal of geriatric psychiatry.

[7]  ATS statement: guidelines for the six-minute walk test. , 2002, American journal of respiratory and critical care medicine.

[8]  S. Salek Compendium of quality of life instruments , 1998 .

[9]  G. Guyatt,et al.  A measure of quality of life for clinical trials in chronic lung disease. , 1987, Thorax.

[10]  A. Beck,et al.  Beck Anxiety Inventory. , 1997 .

[11]  M. Hersen,et al.  Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. , 1997, Journal of anxiety disorders.

[12]  A. Beck,et al.  An inventory for measuring clinical anxiety: psychometric properties. , 1988, Journal of consulting and clinical psychology.

[13]  G. Brenes Anxiety and Chronic Obstructive Pulmonary Disease: Prevalence, Impact, and Treatment , 2003, Psychosomatic medicine.

[14]  Z. Nahas,et al.  Functional impairment in COPD patients: the impact of anxiety and depression. , 2000, Psychosomatics.

[15]  John E. Ware,et al.  SF-36 physical and mental health summary scales : a user's manual , 1994 .

[16]  M. Ferrer,et al.  Chronic Obstructive Pulmonary Disease Stage and Health-Related Quality of Life , 1997, Annals of Internal Medicine.

[17]  Mark E Kunik,et al.  Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. , 2005, Chest.

[18]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[19]  P. Areán,et al.  Psychometric evaluation of the Beck Anxiety Inventory with older medical patients. , 1997 .

[20]  S. Borson,et al.  Improvement in mood, physical symptoms, and function with nortriptyline for depression in patients with chronic obstructive pulmonary disease. , 1992, Psychosomatics.

[21]  H. Kemper,et al.  The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. , 1997, The European respiratory journal.

[22]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[23]  D. Mahler,et al.  Evaluation of the Short-Form 36-Item Questionnaire to Measure Health-Related Quality of Life in Patients With COPD , 1995 .

[24]  J. Vandenberghe,et al.  Anxiety and mood disorders in otorhinolaryngology outpatients presenting with dizziness: validation of the self-administered PRIME-MD Patient Health Questionnaire and epidemiology. , 2003, General hospital psychiatry.

[25]  C. Pisinger,et al.  Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review , 2004, Nordic journal of psychiatry.

[26]  J. Brazier,et al.  Comparison of outcome measures for patients with chronic obstructive pulmonary disease (COPD) in an outpatient setting. , 1997, Thorax.

[27]  I. Aydin,et al.  Depression, anxiety comorbidity, and disability in tuberculosis and chronic obstructive pulmonary disease patients: applicability of GHQ-12. , 2001, General hospital psychiatry.

[28]  Christer Janson,et al.  Anxiety and Depression are Related to the Outcome of Emergency Treatment in Patients with Obstructive Pulmonary Disease. , 2002, Chest.

[29]  J. Alonso,et al.  Chronic obstructive pulmonary disease stage and health-related quality of life. The Quality of Life of Chronic Obstructive Pulmonary Disease Study Group. , 1997, Annals of internal medicine.