The comparison of anxiety and depression among patients with bronchial asthma, chronic obstructive pulmonary disease and lung tuberculosis

Document Type : Research Paper

Authors

1 Assistant professor of child and adolescent psychiatry, Psychiatry and Behavioral Research Center, Mashhad University of Medical Sciences

2 Associate professor of pulmonary diseases, Mashhad University of Medical Sciences

3 Assistant professor of psychiatry, Psychiatry and Behavioral Research Center, Mashhad University of Medical Sciences

4 Student of medicine, Mashhad University of Medical Sciences

Abstract

Introduction: Chronic physical illnesses have a high risk of mood or anxiety disorders. The objectives of this study were to determine and compare the level of anxiety and depression in tuberculosis, asthma and chronic obstructive disease.
 Materials and Methods: This research is a cross-sectional study (2011) which is done in non-probability method (easy method). The sample included 135 subjects with lung tuberculosis, bronchial asthma, and chronic obstructive pulmonary disease. All of the subjects referred to Imam Reza and Ghaem hospitals in Mashhad. The patients were investigated using Espiel-Burger and Beck Depression Inventory tests in order to find out their apparent or hidden anxiety and depression respectively. Information such as age, gender and illness type were collected too. All the information were analyzed using SPSS software.
 Results: Number of52 persons had mild depression and 6% had severe depression. More than half of the subjects (70%) had moderate anxiety level (51.9%) of which 28.1% had relatively severe anxiety. The findings of K2 test shows that there is a significant relationship between illness type and depression level (P=0.000), between illness type and state anxiety (P=0.001) and between illness type and trait anxiety (P=0.026).
 Conclusion: According to the findings of this research, there is a significant relationship between depression level and patients' anxiety. So it is concluded that there is an essential need to find out the psychological signs of the patients with respiratory illnesses and treat them completely. 

Keywords


1.Reilly JJ, Silverman EK, Shapiro SD. Chronic obstructive pulmonary disease. In: Longo DL, Kasper DL, Jameson JL, Fauci AS, Hauser SL, Lascalzo J. (editors). Principles of internal medicine. 18th ed. USA: McGraw Hill; 2012: 2151-9.
2.Urrutia I, Aguirre U, Pascual S, Esteban C, Ballaz A, Arrizubieta I, et al. Impact of anxiety and depression on disease control and quality of life in asthma patients. J Asthma 2012; 49(2): 201-8.
3.Cassem EH. Depression and anxiety secondary to medical illness. Psychiatr Clin North Am 1990; 13(4): 597-612.
4.Cassem NH, Bernstein JG. Depressed patients. In: Stern TA, Fricchione GL, Cassen WH, Jellinek MS, Rosenbanm JF. (editors). Massachusetts general hospital handbook of general hospital psychiatry. 5th ed. Philadelphia, PA: Mosby/Elsevier; 2004: 25-68.
5.Lykouras E, Ioannidis H, Voulgaris A. Depression in general hospital patients: Preliminary results. Arch Hell Med 1987; 4: 287-9.
6.Coventry PA. Does pulmonary rehabilitation reduce anxiety and depression in chronic obstructive pulmonary disease? Curr Opin Pulm Med 2009; 15(2): 143-9.
7.Pietras T, Witusik A, Panek M, Hołub M, Gałecki P, Wujcik R, et al. [Anxiety and depression in patients with obstructive diseases]. Pol Merkur Lekarski 2009; 26(156): 631-5. (Polish)
8.Ulubay G, Sarinç Ulaşli S, Akinci B, Görek A, Akçay S. [Assessment of relation among emotional status, pulmonary function test, exercise performance, and quality of life in patients with COPD]. Tuberk Toraks 2009; 57(2): 169-76. (Turkish)
9.Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck depression inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988; 8: 77-100.
10.Sardoei GhR. [Introduction in normalization of revised Beck depression inventory]. Tehran: Allameh Tabatabaei University, College of psychology and educational sciences, 1995. Available from: http://spdb.uswr.ac.ir/ViewPynnmh.aspx?Cd=101 (Persian)
11.Mahram B. [Guidance of Spiel-Berger state-trait anxiety scale, instruction and interpretation based on standardization in Mashhad city]. Ferdowsi University of Mashhad, College of psychology and educational sciences; 1993. (Persian)
12.Longo D, Fauci A, Kasper D, Hauser E, Jameson L, Loscalzo J. [Disorders of respiratory system. In: Harrisons internal medicine]. Longo D, Fauci A, Kasper D, Hauser E, Jameson L, Loscalzo J, et al. (editors). Ghorbani MH, Arbab M, Razeghi S, Afshar H. (translators). 2012. 18th ed. Tehran: Arjmand; : 96-122, 197-207. (Persian)
13.Moussas G, Tselebis A, Karkanias A, Stamouli D, Ilias I, Bratis D, et al. A comparative study of anxiety and depression in patients with bronchial asthma, chronic obstructive pulmonary disease and tuberculosis in a general hospital of chest diseases. Ann Gen Psychiatry 2008; 7: 7.
14.van Ede L, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: A systematic review. Thorax 1999; 54(8): 688-92.
15.Potoczek A, Nizankowska-Mogilnicka E, Bochenek G, Szczeklik A. [Severe COPD and gender of patients versus the presence of profound psychological trauma]. Psychiatr Pol 2008; 42(5): 719-30. (Polish)
16.Potoczek A, Nizankowska-Mogilnicka E, Bochenek G, Szczeklik A. [Links between panic disorder, depression, defense mechanisms, coherence and family functioning in patients suffering from severe COPD]. Psychiatr Pol 2008; 42(5): 731-48. (Polish)
17.Nazari T, Yassemi T, Mohammadi M, Nematzadeh Mahani K. [Prevalence of depression and anxiety among patients in internal and surgical wards] Iranian journal of psychiatry and clinical psychology 2002; 8(2): 18-25. (Persian)
18.Nasiri A, Navipour H, Ahmadi F. [Association between pulmonary disease and mood disorders in patients with COPD]. Journal of Birjand medical science 2001; 7(1): 43-6. (Persian)
19.Carvalho NS, Ribeiro PR, Ribeiro M, Nunes MP, Cukier A, Stelmach R. Comparing asthma and chronic obstructive pulmonary disease in terms of symptoms of anxiety and depression. J Bras Pneumol 2007; 33(1): 1-6.