Pulmonology Department, Hospital General Universitario Gregorio Marañón, Universidad Complutense Teaching and Research Unit for Preventive Medicine and Public Health, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain.
Respirology. 2011 Oct;16(7):1103-10. doi: 10.1111/j.1440-1843.2011.02015.x.
Patients with COPD, including those with chronic bronchitis (CB), have a high risk of suffering from psychiatric disorders. Although depression has always received greater attention in these patients, most of the published studies have been of poor methodological quality. Anxiety has received less attention than depression among COPD patients. The aim of this study was to assess the prevalence of anxiety and depression among patients with CB and to identify associated factors.
This was a descriptive, epidemiological population-based study. The study was based on individual data obtained from the 2006 Spanish National Health Survey. Subjects aged 40years and over were selected for the study. Individuals with CB were identified using a specific questionnaire. Sociodemographic characteristics and health-related variables were analysed.
Of the 20,060 subjects selected, 1320 were categorized as having CB (6.5%). The prevalence of anxiety was 15.6% among subjects with CB and 9.4% among those without the disease (P<0.01). Variables that were independently and significantly associated with anxiety among CB patients were female gender, increased age and concomitant comorbidities. The prevalence of depression was 15.9% among subjects with CB and 7.6% among those without the disease (P<0.05). Variables associated with depression among CB patients were female gender, middle age, poorer self-perception of health status, concomitant comorbidities, abstemiousness and the need for emergency room attendance in the previous year.
Anxiety or depression is around twice as frequent among CB patients as it is among those without CB. Variables associated with anxiety or depression among CB patients included female gender and concomitant comorbidities.
COPD 患者，包括慢性支气管炎（CB）患者，存在患精神障碍的高风险。尽管这些患者中抑郁一直受到更多关注，但大多数已发表的研究方法质量较差。与 COPD 患者相比，焦虑受到的关注较少。本研究旨在评估 CB 患者中焦虑和抑郁的患病率，并确定相关因素。
这是一项描述性、基于人群的流行病学研究。该研究基于 2006 年西班牙国家健康调查获得的个体数据。选择年龄在 40 岁及以上的个体进行研究。使用特定问卷识别 CB 患者。分析了社会人口统计学特征和与健康相关的变量。
在所选择的 20060 名受试者中，有 1320 名被归类为患有 CB（6.5%）。CB 患者中焦虑的患病率为 15.6%，而无该病的患者为 9.4%（P<0.01）。与 CB 患者焦虑独立且显著相关的变量是女性、年龄增加和并存合并症。CB 患者中抑郁的患病率为 15.9%，而无该病的患者为 7.6%（P<0.05）。与 CB 患者抑郁相关的变量是女性、中年、对健康状况的自我感知较差、并存合并症、节制和前一年需要急诊就诊。
CB 患者中焦虑或抑郁的发生率是无 CB 患者的两倍左右。与 CB 患者焦虑或抑郁相关的变量包括女性和并存合并症。
