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Depression, anxiety and health status after hospitalisation for COPD: A multicentre study in the Nordic countries
Open accessAbstract
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.”
From Anxiety and Depression in COPD (2008) · cites this paper as [26]
In the citing paper
“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 the citing paper
“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 the citing paper
“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]
In the citing paper
“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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Citations
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Metadata
- 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)
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 100
- Issue
- 1
- Pages
- 87-93
- ISSN
- 0954-6111 (ISSN-L)
- 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
- 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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