Potoczek Anna, Nizankowska-Mogilnicka Ewa, Bochenek Grazyna, Szczeklik Andrzej
Klinika Psychiatrii Dorosłych Katedry Psychiatrii CM UJ, Kraków.
Psychiatr Pol. 2008 Sep-Oct;42(5):719-30.
The authors examined psychiatrically a group of 45 patients suffering from severe COPD. The special interest of the study was the careful analysis of the time, context and content of different psychological traumas that the patients had experienced throughout their lives.
The authors examined 45 patients suffering from severe COPD (according to GOLD classification) during the present hospitalisation. There were 19 women (42%) and 26 men (58%). The average age was M = 64.56 years (SD = 10.64), and average duration of illness was M = 10.53 years (SD = 10.18). Mini International Neuropsychiatric Interview, Polish version 5.0.0, Panic and Agoraphobia Scale, Beck's Depression Inventory, Family Functioning Questionnaire (KOR), Sense of Coherence Scale (SOC-29), Defence Style Questionnaire (DSQ-40) and Life Inventory were used.
Although the proportion of women in the group of 45 patients with severe COPD was 42%, they seem to be more prone to depression and panic than men. It may be due to specific trauma of suffering and/or death of an emotionally close person, which occurred in 64.4% of the study group. This trauma may have an impact on the intensity of anxious and depressive symptoms, catastrophic interpretation of bodily symptoms and also the sense of coherence of patients with COPD.
It is possible, that strictly psychological and psychiatric problems affect the course and severity of COPD in women.
作者对一组45名重度慢性阻塞性肺疾病（COPD）患者进行了精神状态检查。该研究的特别关注点是仔细分析患者一生中所经历的不同心理创伤的时间、背景和内容。
作者在本次住院期间检查了45名患有重度COPD（根据全球慢性阻塞性肺疾病倡议组织（GOLD）分类）的患者。其中有19名女性（42%）和26名男性（58%）。平均年龄为M = 64.56岁（标准差 = 10.64），平均病程为M = 10.53年（标准差 = 10.18）。使用了波兰语版5.0.0的迷你国际神经精神病学访谈、惊恐和场所恐惧症量表、贝克抑郁量表、家庭功能问卷（KOR）、连贯感量表（SOC - 29）、防御方式问卷（DSQ - 40）和生活量表。
虽然在45名重度COPD患者组中女性比例为42%，但她们似乎比男性更容易出现抑郁和惊恐症状。这可能是由于在情感上亲近的人遭受痛苦和/或死亡这一特定创伤，该创伤发生在64.4%的研究组患者中。这种创伤可能会影响焦虑和抑郁症状的强度、对身体症状的灾难性解读以及COPD患者的连贯感。
严格意义上的心理和精神问题可能会影响女性COPD的病程和严重程度。
