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

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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, Hallin, Runa, Bakke, Per·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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The Hospital Anxiety and Depression Scale
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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: Janson, Christer
Lindberg, Eva
Brøndum, Eva
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: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 2755 d)
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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Depression, anxiety and health status after hospitalisation for COPD: A multicentre study in the Nordic countries

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