High proportion of depression and anxiety in younger patients with COPD: a cross-sectional study in primary care in Sweden.

IF 1.8 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Therese Öfverholm, Mikael Hasselgren, Karin Lisspers, Anna Nager, Gabriella Eliason, Maaike Giezeman, Christer Janson, Marta A Kisiel, Scott Montgomery, Björn Ställberg, Josefin Sundh, Hanna Sandelowsky
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Abstract

Background and aim: Patients with COPD and concurrent depression and/or anxiety are known to have an increased risk of exacerbations, morbidity, mortality, and deteriorated quality of life. Early detection of depression/anxiety may enable early interventions. The aims of this study were to describe the occurrence of depression and anxiety in primary care patients with COPD in Sweden, and to investigate age and gender differences together with other clinical factors associated with this comorbidity.

Methods: A cross-sectional study was performed on a cohort of patients with doctor's diagnoses of COPD. Patients were randomly selected based on the patients' contact with 98 primary healthcare centers and 13 hospitals in Sweden in 2014. Information about self-reported depression/anxiety, patient characteristics, symptoms, and comorbidity, were collected using patient self-completion questionnaires. Lung function data were extracted from medical records.

Results: Of the 2245 patients recruited, 23% (n = 524) reported depression/anxiety, 29% in women and 16% in men (p <0.001). Factors associated with depression/anxiety were being a woman (OR = 2.06 [95% CI 1.56-2.72]), current smoking (1.83 [1.37-2.43]), comorbid asthma (1.77 [1.32-2.37]), dyspnea (the modified Medical Research Council dyspnea scale ≥2 points) (1.58 [1.17-2.13]) and age <65 years (1.57 [1.17-2.10]). The youngest age groups had the highest proportions of patients with depression/anxiety.

Conclusions: Healthcare professionals need to be particularly aware of depression/anxiety in patients with COPD who are younger, women, current smokers, have comorbid asthma, or dyspnea.

年轻COPD患者抑郁和焦虑比例高:瑞典初级保健的横断面研究
背景和目的:已知COPD合并抑郁和/或焦虑的患者有加重、发病率、死亡率和生活质量恶化的风险增加。早期发现抑郁/焦虑可以进行早期干预。本研究的目的是描述瑞典初级保健COPD患者抑郁和焦虑的发生率,并调查年龄和性别差异以及与此合并症相关的其他临床因素。方法:对一组医生诊断为慢性阻塞性肺病的患者进行横断面研究。根据患者在2014年与瑞典98个初级卫生保健中心和13家医院的接触情况随机选择患者。使用患者自我完成问卷收集有关自我报告的抑郁/焦虑、患者特征、症状和合并症的信息。肺功能数据从医疗记录中提取。结果:在招募的2245例患者中,23% (n = 524)报告抑郁/焦虑,29%为女性,16%为男性(p结论:医疗保健专业人员需要特别注意年轻、女性、当前吸烟者、合并哮喘或呼吸困难的COPD患者的抑郁/焦虑。
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来源期刊
CiteScore
3.20
自引率
19.00%
发文量
47
审稿时长
>12 weeks
期刊介绍: Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice. Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include: • Clinical family medicine • Epidemiological research • Qualitative research • Health services research.
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