Kim H F, Kunik M E, Molinari V A, Hillman S L, Lalani S, Orengo C A, Petersen N J, Nahas Z, Goodnight-White S
Baylor College of Medicine, Department of Psychiatry & Behavioral Sciences, Houston, Texas 77030-3498, USA.
Psychosomatics. 2000 Nov-Dec;41(6):465-71. doi: 10.1176/appi.psy.41.6.465.
The authors examined the relationship between functional status and comorbid anxiety and depression and the relationship between utilization of health care resources and psychopathology in elderly patients with chronic obstructive pulmonary disease (COPD). Elderly male veterans (N = 43) with COPD completed anxiety, depression, and functional status measures. The authors constructed regression models to explore the contribution of COPD severity, medical burden, depression, and anxiety to the dependent variables of functional impairment and health care utilization. Anxiety and depression contributed significantly to the overall variance in functional status of COPD patients, over and above medical burden and COPD severity, as measured by the 8 scales of the Medical Outcomes Study (MOS) 36-item Short Form Health Survey. Surprisingly, medical burden and COPD severity did not contribute significantly to overall variance in functional status. Few patients were receiving any treatment for anxiety or depression.
作者研究了慢性阻塞性肺疾病（COPD）老年患者的功能状态与共病焦虑和抑郁之间的关系，以及医疗保健资源利用与精神病理学之间的关系。患有COPD的老年男性退伍军人（N = 43）完成了焦虑、抑郁和功能状态测量。作者构建了回归模型，以探讨COPD严重程度、医疗负担、抑郁和焦虑对功能损害和医疗保健利用等因变量的影响。焦虑和抑郁对COPD患者功能状态的总体方差有显著贡献，超过了医疗负担和COPD严重程度，这是通过医疗结果研究（MOS）36项简短健康调查的8个量表来衡量的。令人惊讶的是，医疗负担和COPD严重程度对功能状态的总体方差没有显著贡献。很少有患者接受焦虑或抑郁的任何治疗。
