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A prospective research on depression among chronic obstructive pulmonary disease patients in a tertiary care hospital

Umadevi Shanmugam, Vinoth Kumar C, Venkata Anantha Shreya Bharat.




Abstract

Background: Chronic obstructive pulmonary disease (COPD) indicates chronic lung disorders presented by a gradually progressive irrevocable bronchial obstruction (progressive restriction of the enforced expiratory capacity in 1 s forced expiratory volume-1) and manifestation compound of recurring bronchial cough and breathlessness. The patient’s life enters into a vicious cycle due to the complications of concurrent depressive disorder.

Aims and Objectives: This research was conducted to evaluate the occurrence of despair among COPD patients in an advanced care hospital using a patient health questionnaire (PHQ-9) scale.

Materials and Methods: This research was led subsequently receiving authorization from Institutional Ethical Board and inscribed well-versed agreement from the patients in the department of respiratory medicine. The PHQ-9 scale was employed for screening and assessment of despair yielding relevant details. No intervention was administered for the research. The analysis was based on the information obtained from the investigation reports.

Results: Reddy et al. suggested the arbitrary classification of PHQ-9 scores: 0–4 indicates negligible misery, 5–9 minor misery, 10 and higher than indicates reasonable to acute misery. In our research, 39 patients scored PHQ-9 score between 0 and 4, 46 patients scored PHQ-9 score between 5 and 9, and 15 patients scored PHQ-9 score 10 and above.

Conclusion: The occurrence of depression among COPD patients is significantly excessive so validated screening tool for depression is required in COPD management.

Key words: Chronic Obstructive Pulmonary Disease; Depression; Patient Health Questionnaire-9






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