Advances in Respiratory Medicine (Nov 2024)

Beneficial Impact of Vaccination Against SARS-CoV-2 on the Mental Health of IPF Patients

  • Ioannis Tomos,
  • Andriana I. Papaioannou,
  • Zoe I. Daniil,
  • Ilias E. Dimeas,
  • Paraskevi Kirgou,
  • Athena Gogali,
  • Konstantinos Tatsis,
  • Ilias Papanikolaou,
  • Vasilios Tzilas,
  • Argyrios Tzouvelekis,
  • Panayiota Tsiri,
  • Paschalis Steiropoulos,
  • Pachalis Ntolios,
  • Areti Xyfteri,
  • Katerina Antoniou,
  • Emmanouil Symvoulakis,
  • Aggeliki Haritou,
  • Maria Maniati,
  • Lykourgos Kolilekas,
  • Elvira-Markella Antonogiannaki,
  • Vasiliki Apollonatou,
  • Maria Kallieri,
  • Kostas Samaras,
  • Stylianos Loukides,
  • Anna Karakatsani,
  • Demosthenes Bouros,
  • Effrosyni Manali,
  • Spyros Papiris

DOI
https://doi.org/10.3390/arm92060042
Journal volume & issue
Vol. 92, no. 6
pp. 466 – 471

Abstract

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Background: Depression and anxiety represent significant comorbidities in idiopathic pulmonary fibrosis (IPF) patients, affecting their quality of life. The COVID-19 pandemic has had an uneven impact on global mental health. The Hospital Anxiety and Depression Scale (HADS) constitutes a validated tool to identify anxiety disorders and depression. The aim of this multicentre study was to evaluate the effect of COVID-19 vaccination on depression and anxiety in IPF patients. Methods: Consecutive IPF patients (median 73.5 years) who are regularly followed-up with were included in the study. Demographics, functional, and clinical were recorded. The HADS score was calculated before and one month after vaccination against COVID-19 in all participants. A Wilcoxon signed ranks test was conducted. Results: A total of 180 IPF patients (median 73.5 years) were included in the study. Among them, 145 patients (81%) received antifibrotic treatment. A significant reduction in HADS, both in anxiety and depression scales, was observed one month after vaccination against SARS-COV-2), independent of age, smoking, lung function impairment, and prior history of depression (p Conclusions: A higher Hospital Anxiety and Depression Scale score was detected before vaccination against COVID-19. It seems that vaccination also offered a beneficial effect on depression and anxiety in IPF patients, independent of age, smoking, lung function impairment, and prior history of depression.

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