患有COPD和并发性抑郁症和焦虑症的患者的临床特征:来自全国多中心队列研究的数据
Jing Gennie Wang1, Sonali Bose2,3, Janet T Holbrook4
1Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Ohio State University, Columbus, Ohio, United States.
Chronic obstructive pulmonary diseases (Miami, Fla.)
|December 5, 2024
概括
使用MINI采访诊断COPD患者的抑郁和焦虑,发现对生活质量有重大影响. 在COPD中,这些常见的心理健康状况往往未得到充分治疗,需要综合护理.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 临床研究 临床研究
背景情况:
- 慢性阻塞性肺病 (COPD) 经常与心理健康状况有关.
- 传统的查问卷检测症状,但不能诊断COPD患者的抑郁或焦虑障碍.
- 精确诊断COPD精神健康障碍对于有效管理至关重要.
研究的目的:
- 在COPD患者中诊断抑郁和焦虑障碍,使用迷你国际神经精神病学面试 (MINI).
- 描述COPD患者被诊断患有抑郁症和焦虑症的疾病负担.
- 评估这些精神健康并发症的治疗不足情况.
主要方法:
- 多中心研究的横截面二次分析.
- 使用MINI来根据DSM-5标准诊断抑郁/焦虑障碍.
- 两变量分析比较了COPD和患者报告的诊断障碍和没有诊断障碍的个体之间的结果.
主要成果:
- 8%的COPD参与者符合MINI抑郁症标准;8%的焦虑.
- 抑郁症与增加的呼吸困难,更高的COPD负担 (CAT分数),更差的睡眠和更差的生活质量有关.
- 焦虑与较低的CAT得分,更差的生活质量和功能障碍相关.
- 大多数被诊断为抑郁症/焦虑症的患者没有接受适当的药物治疗或心理健康咨询.
结论:
- 抑郁症和焦虑症是常见的,是COPD的重要并发症.
- 这些疾病大大降低了COPD患者的生活质量.
- 缺乏治疗的心理健康问题的高患病率凸显了在COPD管理中需要综合心理健康护理的需要.
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