Pablo Salomón Montes-Arcón , Adalberto Campo-Arias , John Carlos Pedrozo-Pupo
{"title":"慢性阻塞性肺病加重与抑郁的关系","authors":"Pablo Salomón Montes-Arcón , Adalberto Campo-Arias , John Carlos Pedrozo-Pupo","doi":"10.1016/j.rcp.2022.07.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).</div></div><div><h3>Results</h3><div>The study included 408 patients aged between 40 and 102 years (mean 72.9<!--> <!-->±<!--> <!-->10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR<!--> <!-->=<!--> <!-->1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR<!--> <!-->=<!--> <!-->1.99; 95%CI, 1.23-3.23).</div></div><div><h3>Conclusions</h3><div>The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 443-447"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression\",\"authors\":\"Pablo Salomón Montes-Arcón , Adalberto Campo-Arias , John Carlos Pedrozo-Pupo\",\"doi\":\"10.1016/j.rcp.2022.07.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objectives</h3><div>Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).</div></div><div><h3>Results</h3><div>The study included 408 patients aged between 40 and 102 years (mean 72.9<!--> <!-->±<!--> <!-->10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR<!--> <!-->=<!--> <!-->1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR<!--> <!-->=<!--> <!-->1.99; 95%CI, 1.23-3.23).</div></div><div><h3>Conclusions</h3><div>The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.</div></div>\",\"PeriodicalId\":52477,\"journal\":{\"name\":\"Revista Colombiana de Psiquiatria\",\"volume\":\"53 4\",\"pages\":\"Pages 443-447\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Colombiana de Psiquiatria\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0034745022000877\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Colombiana de Psiquiatria","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0034745022000877","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression
Background and objectives
Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.
Methods
A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).
Results
The study included 408 patients aged between 40 and 102 years (mean 72.9 ± 10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR = 1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR = 1.99; 95%CI, 1.23-3.23).
Conclusions
The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.
期刊介绍:
Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.