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Cited by 238Chronic Obstructive Pulmonary Disease (COPD) ResearchCardiac Health and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Depression, anxiety and health status after hospitalisation for COPD: a multicentre study in the Nordic countries

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Gudmundsson, Gunnar, Gislason, Thorarinn, Janson, Christer, Lindberg, Eva, Suppli Ulrik, Charlotte, Brøndum, Eva, Nieminen, Markku M., Aine, Tiina +2 more·2006·Respiratory Medicine
DOI 10.1016/j.rmed.2005.04.003
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Abstract

Patients with chronic obstructive pulmonary disease (COPD) often report anxiety, depression and poor health status, not least if they experience repeated hospitalisations due to acute exacerbations. The aim of this study was to analyse the interrelationships between health status, anxiety, depression and physical status in COPD patients being discharged after hospitalisation. This was a prospective study of 416 patients in five university hospitals in each of the Nordic countries. Data included demographic information, lung function and co-morbidity. The Hospital Anxiety and Depression Scale and St. George's Respiratory Questionnaire (SGRQ) were applied to all patients. Both anxiety and depression were common among these patients. Anxiety was more common in women than in men (47% vs. 34%, P=0.009) and current smokers had a higher prevalence of both anxiety (54% vs. 37%) and depression (43% vs. 23%) than non-smokers (P<0.01). In general, the studied COPD patients had poor health status, especially those with anxiety, depression or both. Psychological status was independently related to all dimensions of SGRQ. Higher GOLD stages were significantly associated with increasing impairment in health status. In conclusion this multicentre study showed that anxiety and depression are common in patients with COPD, and, furthermore, that patients with psychological disorders have poor health status. Screening for depression and anxiety may help to identify patients with poor quality of life and an urgent need for intervention in order to improve their health status.

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  • Untreated and undetected anxiety and depressive symptoms may increase physical disability, morbidity, and health-care utilization.

    “Untreated and undetected anxiety and depressive symptoms may increase physical disability, morbidity, and health-care utilization.”

    From Anxiety and Depression in COPD (2008) · cites this paper as [26]

  • In patients who have recently recovered from an acute exacerbation of COPD, the prevalence of anxiety ranges between 9.3% and 58%.

    “In patients who have recently recovered from an acute exacerbation of COPD, the prevalence of depression is high and ranges between 19.4% and 50%, while anxiety ranges between 9.3% and 58% (Table 3).26–31”

    From Anxiety and Depression in COPD (2008) · cites this paper as [26]

  • In patients who have recently recovered from an acute exacerbation of COPD, the prevalence of depression ranges between 19.4% and 50%.

    “In patients who have recently recovered from an acute exacerbation of COPD, the prevalence of depression is high and ranges between 19.4% and 50%, while anxiety ranges between 9.3% and 58% (Table 3).26–31”

    From Anxiety and Depression in COPD (2008) · cites this paper as [26]

  • Lack of treatment for depression and anxiety is associated with poor quality of life and premature death.

    “Lack of treatment is also associated with poor quality of life and premature death.26,34–36”

    From Anxiety and Depression in COPD (2008) · cites this paper as [26]

  • Untreated or incompletely treated depression and anxiety have major implications for compliance with medical treatment, increased frequency of hospital admissions, prolonged length of stay, and increased consultations with primary care physicians.

    “Untreated or incompletely treated depression and anxiety have major implications for compliance with medical treatment, increased frequency of hospital admissions, prolonged length of stay, and increased consultations with primary care physicians.6,22,26”

    From Anxiety and Depression in COPD (2008) · cites this paper as [26]

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Research works printed but not linked: 2

  1. Siafakes NM, Vermeire P, Pride NB, Paoletti P, Gibson J, Howard P, et al. ERS-consensus statement: optimal assess- ment and management of chronic obstructive pulmonary disease (COPD). Eur Respir J 1995;8:1398-420.
  2. Croxton TL, Weinmann GG, Senior RM, Wise RA, Crapo JD, Buist AS. Clinical research in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2003;167:1142-9.

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Authors
Gudmundsson, G., Gislason, T., Janson, C., Lindberg, E., Suppli Ulrik, C., Brøndum, E., Nieminen, M. M., Aine, T., Hallin, R., & Bakke, P.
Affiliations
  • Uppsala University (SE)
  • University of Copenhagen (DK)
  • Tampere University Hospital (FI)
  • Haukeland University Hospital (NO)
ORCID
Venue
Respiratory Medicine
Publisher
Elsevier BV
Published
2006-01
Volume
100
Issue
1
Pages
87-93
ISSN
0954-6111 (ISSN-L)
DOI
10.1016/j.rmed.2005.04.003
OpenAlex
W2037026090
Cited by
238
References
24
Citations by year
2026: 3 · 2025: 6 · 2024: 7 · 2023: 8 · 2022: 6 · 2021: 9 · 2020: 7 · 2019: 9 · 2018: 15 · 2017: 13 · 2016: 13 · 2015: 15 · 2014: 12 · 2013: 19 · 2012: 12
FWCI
9.32
Type
journal article
Language
en
Open access
Licence
Locations
  • Respiratory Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Hirsla (Landspítali University Hospital) (submittedVersion)
Funders
Riksförbundet HjärtLung
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
chronic obstructive pulmonary disease, depression, anxiety, health status, quality of life, hospitalization, COPD exacerbations, St George's Respiratory Questionnaire, Hospital Anxiety and Depression Scale, GOLD staging, smoking, sex differences, psychological screening
MeSH terms
Aged, Anxiety, Depression, Female, Finland, Health Status, Hospitalization, Humans, Iceland, Male, Prospective Studies, Quality of Life, Scandinavian and Nordic Countries, Prevalence, Pulmonary Disease, Chronic Obstructive

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