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COPD anxiety and depression across GOLD stages
Sourabh Jain1, Satyendra Mishra2, Mahendra Singh Chouhan3
1Department of Emergency Medicine, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
Bioinformation
|June 12, 2026
Summary
Anxiety and depression are common in Chronic Obstructive Pulmonary Disease (COPD). This study found a significant link between COPD severity and psychological distress, highlighting the need for integrated mental health care.
Area of Science:
- Pulmonary Medicine
- Psychiatry
- Clinical Research
Background:
- Chronic Obstructive Pulmonary Disease (COPD) significantly impacts patients' quality of life, often co-occurring with anxiety and depression.
- The GOLD guidelines provide a framework for classifying COPD severity, but the correlation with mental health outcomes requires further investigation.
Purpose of the Study:
- To evaluate the prevalence and correlation of anxiety and depression in COPD patients.
- To assess the relationship between COPD severity, as defined by GOLD guidelines, and psychological distress.
Main Methods:
- 160 clinically stable COPD patients were enrolled.
- Anxiety and depression levels were assessed using Hindi translations of the PHQ-9 and GAD-7 questionnaires.
- Spirometry was utilized to classify COPD severity according to GOLD guidelines.
Main Results:
- Significant correlations were observed between GOLD categories and anxiety levels (Spearman's rho = 0.351, P<0.01).
- Significant correlations were also found between GOLD categories and depression levels (Spearman's rho = 0.415, P<0.01).
- The study demonstrated a significant correlation between COPD severity and psychological distress.
Conclusions:
- COPD severity is significantly correlated with psychological distress, including anxiety and depression.
- Integrated mental health care is crucial for comprehensive COPD management.
- Routine screening for anxiety and depression in COPD patients, particularly those with more severe disease, is recommended.
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