Depression and COPD in older people: a review and discussion
Abstract
Depression affects approximately 40% of patients with chronic obstructive pulmonary disease (COPD) and is largely untreated. This review draws on the author's studies and the available literature to examine the problem. Older people with COPD experience moderate levels of depression, but this goes largely unrecognized and untreated. The prevalence, severity and risk factors for depression in this population are discussed. Treatment, in the form of pulmonary rehabilitation and antidepressant drug therapy, are discussed, but in the absence of well-controlled trials, it is difficult to draw any firm conclusions about the benefits of these therapies. However, an appropriate home care package, with the support of respiratory nurses, is of some benefit to housebound patients with COPD because it helps to relieve depression and improve their quality of life, especially among those with a high level of depressive symptoms.
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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 [27]
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 [27]
Many primary care physicians or caregivers of people with COPD are often surprised that depression is common.
“Many primary care physicians or caregivers of people with COPD are often surprised that depression is common.15,27”
From Anxiety and Depression in COPD (2008) · cites this paper as [27]
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- Authors
- Yohannes, A. M.
- Affiliations
- Manchester Metropolitan University (GB)
- Corresponding author
- Yohannes, Abebaw Mengistu
- Venue
- British Journal of Community Nursing
- Publisher
- Mark Allen Group
- Published
- 2005-01
- Volume
- 10
- Issue
- 1
- Pages
- 42-46
- ISSN
- 1462-4753 (ISSN-L)
- 2052-2215
- OpenAlex
- W2003815609
- Cited by
- 37
- References
- 40
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2013: 4 · 2012: 5
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Community Nursing (publishedVersion)
- PubMed (publishedVersion)
- e-space (Manchester Metropolitan University) (submittedVersion)
- 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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression, chronic obstructive pulmonary disease, older adults, untreated depression, depression prevalence, risk factors for depression, pulmonary rehabilitation, antidepressant treatment, home care, respiratory nursing, quality of life, housebound patients
- MeSH terms
- Aged, Antidepressive Agents, Depression, Female, Humans, Male, Risk Factors, Sex Factors, Comorbidity, Prevalence, Treatment Outcome, Pulmonary Disease, Chronic Obstructive
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