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Cited by 91Chronic Obstructive Pulmonary Disease (COPD) ResearchSmoking Behavior and CessationAsthma and respiratory diseases

Associations of depressive symptoms with gender, body mass index and dyspnea in primary care COPD patients

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Chavannes, NH, Huibers, MJH, Schermer, TRJ, Hendriks, A, van Weel, C, Wouters, EFM, van Schayck, CP·2005·Family Practice
DOI 10.1093/fampra/cmi056
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Abstract

BACKGROUND: It has been suggested that severe COPD is associated with depressive symptoms, possibly linked to exacerbations, dyspnea and hospitalisation. However, scarce data are available in primary care where most patients suffer from mild or moderate disease. OBJECTIVE: We aimed to reveal associations of depressive symptoms with demographic and clinical characteristics in mild to moderate COPD. METHODS: Cross-sectional data on lung function measurements, exacerbation frequency, dyspnea, comorbidity, smoking behaviour, body mass index (BMI), age, gender and depressive symptoms (Beck Depression Inventory) of 147 primary care patients were assessed in multiple logistic regression analyses. RESULTS: Patients suffered from mild to moderate obstruction (FEV1 63.6% pred, range 45.1% to 82.1%). Female gender (OR 4.8, 95% CI 2.1 to 10.8), BMI > 25 (OR 0.4, 95% CI 0.2 to 0.8) and current smoking (OR 2.3, 95% CI 1.01 to 5.3) were univariately associated with depressive symptoms, while in a multivariate logistic model only female gender (OR 4.0, 95% CI 1.6 to 9.9), BMI > 25 (OR 0.3, 95% CI 0.1 to 0.7) and dyspnea (OR 1.8, 95% CI 1.1 to 2.9) were independently associated with depressive symptoms. Conclusion. These data suggest that in primary care depressive symptoms in COPD seem to be related with female gender, BMI and dyspnea. In this study, lung function, exacerbation rate, smoking behaviour, age and comorbidity are not independently associated with depressive symptoms in COPD of mild to moderate severity.

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  • Multiple observational studies link breathlessness with anxiety and depression.

    “Multiple observational studies link breathlessness with anxiety and depression.”

    From The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease (2017) · cites this paper as [5]

    The Discussion (p. 4) reports an association between dyspnea and depressive symptoms in this study’s patients with mild to moderate COPD. The Methods (p. 3) describe a cross-sectional analysis but do not include an anxiety measure. Although the Introduction (p. 2) discusses studies of depression and anxiety in COPD, it does not say that multiple studies linked breathlessness with both conditions. (LLM, conf=0.87)

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Research works printed but not linked: 2

  1. 14 Siafakas NM, Vermeire P , Pride NB, Paoletti P , Gibson J, Howard P et al . Optimal assessment and management of chronic obstructive pulmonary disease (COPD). Eur Respir J 1995; 8: 1398-1420.
  2. 27 Chavannes NH. A Palliative approach for COPD and heart failure? Eur J Pall Care 2001; 8: 225-227.

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Authors
Chavannes, N., Huibers, M., Schermer, T., Hendriks, A., van Weel, C., Wouters, E., & van Schayck, C.
Venue
Family Practice
Publisher
Oxford University Press (OUP)
Published
2005-07-15
Volume
22
Issue
6
Pages
604-607
ISSN
  • 0263-2136 (ISSN-L)
  • 1460-2229
DOI
10.1093/fampra/cmi056
OpenAlex
W2165204157
Cited by
91
References
28
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2022: 1 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 1 · 2014: 8 · 2013: 10 · 2012: 2
FWCI
5.80
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Family Practice (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, other-oa)
  • HighWire Press Open Archive (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, other-oa)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
Keywords
depressive symptoms, chronic obstructive pulmonary disease, dyspnea, body mass index, female gender, mild to moderate COPD, primary care patients, smoking, lung function, COPD exacerbations, comorbidities
MeSH terms
Aged, Cross-Sectional Studies, Depression, Dyspnea, Female, Humans, Male, Middle Aged, National Health Programs, Netherlands, Primary Health Care, Body Mass Index, Pulmonary Disease, Chronic Obstructive

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