Qiu Chang-Jian, Wu Shuang
Department of Psychiatry, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Psychiatry. 2024 Dec 19;14(12):1797-1803. doi: 10.5498/wjp.v14.i12.1797.
Chronic obstructive pulmonary disease (COPD) is a common respiratory disorder that often co-occurs with depression and anxiety, worsening disease progression and reducing quality of life. A thorough review of the existing literature was conducted, including searches in PubMed, Embase, PsycINFO, and Cochrane Library databases up to 2024. This review encompasses a critical analysis of studies reporting on the prevalence, impact, and management of depression and anxiety in COPD patients. We found a high prevalence of psychological comorbidities in COPD patients, which were associated with worse disease outcomes, including increased exacerbations, hospitalizations, and reduced health-related quality of life. Diagnosing and managing these conditions is complex due to overlapping symptoms, necessitating a comprehensive patient care approach. While there has been progress in understanding COPD comorbidities, there is a need for more personalized and integrated treatments. This review emphasizes the need for increased awareness, tailored treatment plans, and further research for effective interventions.
慢性阻塞性肺疾病(COPD)是一种常见的呼吸系统疾病,常与抑郁和焦虑并发,会加剧疾病进展并降低生活质量。我们对现有文献进行了全面回顾,包括检索截至2024年的PubMed、Embase、PsycINFO和Cochrane图书馆数据库。本综述对报告慢性阻塞性肺疾病患者抑郁和焦虑的患病率、影响及管理的研究进行了批判性分析。我们发现慢性阻塞性肺疾病患者心理合并症的患病率很高,这些合并症与更差的疾病结局相关,包括急性加重次数增加、住院次数增加以及健康相关生活质量下降。由于症状重叠,诊断和管理这些病症很复杂,因此需要采取全面的患者护理方法。虽然在了解慢性阻塞性肺疾病合并症方面取得了进展,但仍需要更个性化和综合的治疗方法。本综述强调需要提高认识、制定个性化治疗计划,并进一步开展有效干预措施的研究。