School of Medical and Health Sciences, Edith Cowan University, Perth, Australia.
Purchasing and Performance Division, Data Collections Directorate, Western Australian Department of Health, Perth, Australia.
J Psychosom Res. 2019 May;120:60-65. doi: 10.1016/j.jpsychores.2019.03.004. Epub 2019 Mar 8.
Anxiety and depression are common comorbidities in people diagnosed with chronic obstructive pulmonary disease (COPD). Despite concomitant psychological symptomatology being reported in 22-48% of people with COPD, most literature focuses on identifying the risk factors for anxiety or depression separately. Therefore, our objective was to determine whether there is an association between people living with concomitant anxiety and depression and sociodemographic risk factors in people and living with COPD.
This was a cross-sectional study of 242 people living with COPD. Symptomatology of anxiety and depression were assessed using the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI-II). Univariate and multivariable logistic regression models were used to test the association between symptomatology and demographic predictor variables. Odds ratios and 95% confidence intervals were derived.
Of the 242 people included, 48.8% (n = 118) had no symptoms of anxiety or depression and 33.5%% (n = 81) had symptomatology for both. Multivariable modelling suggested younger age, having a carer, having a previous psychological medical history, having a higher number of comorbidities and poorer quality of life were associated with concomitant anxiety and depression compared to those without symptomatology.
Further work should be done to build upon our results which adds to the limited literature surrounding risk factors for concomitant psychological symptomatology to facilitate future discussion surrounding reducing these detrimental comorbidities in people with COPD.
焦虑和抑郁是慢性阻塞性肺疾病（COPD）患者常见的共病。尽管有 22-48%的 COPD 患者报告存在同时存在的心理症状，但大多数文献都侧重于分别确定焦虑或抑郁的风险因素。因此，我们的目的是确定同时患有焦虑和抑郁的人与 COPD 患者的社会人口统计学风险因素之间是否存在关联。
这是一项对 242 名 COPD 患者的横断面研究。使用贝克焦虑量表（BAI）和贝克抑郁量表第二版（BDI-II）评估焦虑和抑郁症状。使用单变量和多变量逻辑回归模型来测试症状与人口统计学预测变量之间的关联。得出了比值比和 95%置信区间。
在纳入的 242 名患者中，48.8%（n=118）没有焦虑或抑郁症状，33.5%（n=81）同时存在症状。多变量模型表明，与无症状者相比，年龄较小、有照顾者、有先前的心理病史、有更多的合并症和较差的生活质量与同时存在焦虑和抑郁有关。
应进一步开展工作，以建立在我们的研究结果基础上，这些结果增加了关于同时存在心理症状的风险因素的有限文献，有助于未来围绕减少 COPD 患者这些有害共病进行讨论。
