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Depression, somatization and steroid use in chronic obstructive pulmonary disease
A G Gift1, R M Wood, C A Cahill
1University of Maryland, School of Nursing, Baltimore 21201.
International Journal of Nursing Studies
|January 1, 1989
Summary
Steroid therapy in COPD patients is linked to higher depression levels. This suggests monitoring emotional well-being in these individuals is crucial for effective treatment.
Area of Science:
- Pulmonary Medicine
- Psychiatry
Background:
- Steroid therapy is used for Chronic Obstructive Pulmonary Disease (COPD).
- Emotional changes in COPD patients on steroids are noted, but their cause is unclear.
Purpose of the Study:
- To compare depression and somatic complaints between COPD patients receiving and not receiving steroid therapy.
- To investigate if steroid use is associated with increased depression in COPD.
Main Methods:
- A comparative study involving two groups of COPD patients (20 receiving steroids, 20 not receiving steroids).
- Self-reported depression and somatic complaints were assessed.
- Pulmonary function (FEV1) was measured.
Main Results:
- Both groups had comparable disease severity and somatic complaints.
- COPD patients receiving steroid therapy showed significantly higher levels of depression compared to those not receiving steroids.
- Mean FEV1 was similar between groups (34% vs. 30% predicted).
Conclusions:
- Steroid therapy in COPD patients is associated with a significant increase in depression.
- Clinical practice should include monitoring the emotional status of COPD patients on steroids.
- Interventions may be necessary to manage depression in this patient group.