High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting.

IF 1.8 Q3 RESPIRATORY SYSTEM

Advances in respiratory medicine Pub Date : 2025-06-02 DOI:10.3390/arm93030012

Amun Mustafa, Asifa Karamat, Wajeeha Mustansar Toor, Tehmina Mustafa

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引用次数: 0

Abstract

Background: Depression and anxiety are common in patients with chronic respiratory diseases (CRDs), but their prevalence in intensive care settings, particularly in low-resource regions, remains underexplored.

Objective: To assess the prevalence and severity of depression and anxiety in patients with CRDs admitted to an intensive care unit (ICU) and identify associated factors.

Methods: A cross-sectional study was conducted at Gulab Devi Teaching Hospital, Lahore, Pakistan. Adult patients with CRDs admitted to the ICU were assessed using the Hamilton Depression Rating Scale. Statistical analyses included Fisher's exact test, Mann-Whitney/Kruskal-Wallis tests, and logistic regression.

Results: Depression was highly prevalent across all CRD categories: 83%, 89%, 84%, and 93% in obstructive, restrictive, infectious, and other respiratory disease categories, and severe depression in 16%, 18%, 14%, and 37%, respectively. Anxiety symptoms were also widespread (77-100%), with no significant differences across disease groups. Depression was significantly associated with older age (p < 0.001, OR 1.08) and anxiety symptoms (p < 0.001, OR 47.07). Female gender was linked to anxiety (p = 0.034, OR 4.17).

Conclusion: The high burden of depression and anxiety in ICU patients with CRDs underscores the need for routine psychiatric screening and integrated mental health care in critical-care settings.

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低资源环境下重症监护慢性呼吸系统疾病患者抑郁和焦虑的高患病率

背景：抑郁和焦虑在慢性呼吸系统疾病（CRDs）患者中很常见，但其在重症监护环境中的患病率，特别是在资源匮乏地区，仍未得到充分研究。目的：评估入住重症监护病房（ICU）的crd患者抑郁和焦虑的患病率和严重程度，并确定相关因素。方法：在巴基斯坦拉合尔Gulab Devi教学医院进行横断面研究。ICU收治的成年crd患者采用汉密尔顿抑郁评定量表进行评估。统计分析包括Fisher精确检验、Mann-Whitney/Kruskal-Wallis检验和逻辑回归。结果：抑郁症在所有CRD类别中都非常普遍：在阻塞性、限制性、传染性和其他呼吸道疾病类别中分别为83%、89%、84%和93%，严重抑郁症分别为16%、18%、14%和37%。焦虑症状也很普遍（77% -100%），不同疾病组间无显著差异。抑郁与年龄较大（p < 0.001, OR 1.08）和焦虑症状显著相关（p < 0.001, OR 47.07）。女性与焦虑相关（p = 0.034, OR 4.17）。结论：重症监护室crd患者的抑郁和焦虑负担较高，强调了在重症监护环境中进行常规精神病学筛查和综合精神卫生保健的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in respiratory medicine RESPIRATORY SYSTEM-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.