Jelić Ivana, Mihajlović Goran, Mihajlović Filip, Minić Nataša, Ratinac Miloš, Pantović-Stefanović Maja
Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Clinic of Psychiatry, University Clinical Center Kragujevac, 34000 Kragujevac, Serbia.
Healthcare (Basel). 2023 Apr 19;11(8):1175. doi: 10.3390/healthcare11081175.
Depression symptoms take place recurrently in patients suffering from COPD. This study aims to assess the effects of antidepressant therapy in patients with COPD and a depressive disorder in relation to COPD levels. The study population consisted of N = 87 patients diagnosed with COPD, according to the GOLD criteria, and a depressive disorder. All of the patients were subjected to clinical and psychiatric exploration according to psychiatric assessment instruments, which was followed by SSRI therapy for the duration of 8 weeks. The main methods used were descriptive statistics and analysis of variance. The results showed a different distribution of depressive symptoms at a different stage of COPD by FEV1 (χ = 30.47, df = 6, < 0.01) and by mMRC (χ = 34.6, df = 6, < 0.01). After the application of SSRIs, there was a significant improvement in HDRS scores in all stages of COPD by FEV1 (χ = 251.62, df = 9, < 0.01) and by mMRC (χ = 919.17, df = 9, < 0.01). This study contributes to the improvement in the quality of life of patients by the targeted application of SSRI therapy and, therefore, more precise and better overall treatment results.
慢性阻塞性肺疾病(COPD)患者会反复出现抑郁症状。本研究旨在评估抗抑郁治疗对患有COPD且伴有抑郁障碍患者的影响,并探讨其与COPD严重程度的关系。研究对象包括87例根据慢性阻塞性肺疾病全球倡议(GOLD)标准确诊为COPD且伴有抑郁障碍的患者。所有患者均按照精神科评估工具进行临床和精神科检查,随后接受为期8周的选择性5-羟色胺再摄取抑制剂(SSRI)治疗。主要使用的方法为描述性统计和方差分析。结果显示,根据第1秒用力呼气容积(FEV1)(χ = 30.47,自由度 = 6,P < 0.01)和改良英国医学研究委员会(mMRC)呼吸困难量表(χ = 34.6,自由度 = 6,P < 0.01),COPD不同阶段的抑郁症状分布存在差异。应用SSRI后,根据FEV1(χ = 251.62,自由度 = 9,P < 0.01)和mMRC(χ = 919.17,自由度 = 9,P < 0.01),COPD各阶段的汉密尔顿抑郁量表(HDRS)评分均有显著改善。本研究通过有针对性地应用SSRI治疗,有助于提高患者的生活质量,从而获得更精确、更好的整体治疗效果。