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Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
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Published on: April 26, 2024

Screening for depression in chronic obstructive pulmonary disease.

Laura J Julian1, Steven E Gregorich, Gillian Earnest

  • 1Department of Medicine, University of California San Francisco, CA 94143-0920, USA. laura.julian@ucsf.edu

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|November 27, 2009
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Summary

The Geriatric Depression Scale (GDS-15) effectively screens for mood disorders in Chronic Obstructive Pulmonary Disease (COPD) patients. This tool helps identify individuals at risk, improving care for this common comorbidity.

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Area of Science:

  • Pulmonary Medicine
  • Psychiatry
  • Gerontology

Background:

  • Depression and Chronic Obstructive Pulmonary Disease (COPD) are significant causes of disability.
  • Identifying depression in COPD patients is crucial for managing this common comorbidity and improving outcomes.

Purpose of the Study:

  • To evaluate the 15-item Geriatric Depression Scale (GDS-15) as a screening tool for mood disorders in individuals with COPD.
  • To determine the GDS-15's utility in detecting Major Depressive Disorder (MDD) and other mood disorders within the COPD population.

Main Methods:

  • A cross-sectional study involving 188 COPD patients, stratified by age and COPD severity (GOLD staging).
  • Screening cut-points were determined using threshold selection and Receiver Operating Characteristic (ROC) curves.
  • The GDS-15 was used for screening, with diagnoses confirmed by a standardized structured clinical interview.

Main Results:

  • 25% of COPD patients met criteria for any mood disorder; 11% met criteria for MDD.
  • A GDS-15 cut score of 5 demonstrated 81% sensitivity and 87% specificity for MDD.
  • A cut score of 4 showed 67% sensitivity and 82% specificity for any mood disorder.

Conclusions:

  • Mood disorders are prevalent in individuals diagnosed with COPD.
  • The GDS-15 is a valuable and practical screening instrument for identifying depression risk in COPD patients.
  • Early identification facilitates timely intervention and management of mood disorders in this population.