Neuropsychiatric Disease and Treatment (Nov 2016)

Factors related to depression and anxiety in adults with bronchiectasis

  • Özgün Niksarlioglu EY,
  • Özkan G,
  • Günlüoglu G,
  • Uysal MA,
  • Gül S,
  • Kilic L,
  • Yeter A,
  • Çamsari G

Journal volume & issue
Vol. Volume 12
pp. 3005 – 3010

Abstract

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Elif Yelda Özgün Niksarlioglu,1 Gülcihan Özkan,2 Gülşah Günlüoğlu,1 Mehmet Atilla Uysal,1 Sule Gül,1 Lütfiye Kilic,1 Ayse Yeter,1 Güngör Çamsarı1 1Department of Chest Disease, Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, 2Department of Chest Disease, Yeniyüzyıl University Gaziosmanpasa Hospital, Istanbul, Turkey Introduction and background: Patients with chronic lung diseases frequently have depressive and anxiety symptoms, but there are very few studies looking at this in patients with bronchiectasis. Aim: This study aimed to investigate depression and anxiety and related factors among patients with non-cystic fibrosis bronchiectasis.Patients and methods: This was a prospective study of 133 patients with bronchiectasis. Patients with confirmed diagnosis of bronchiectasis with high-resolution computed tomography were enrolled in the study. Patients that were clinically stable in the previous 4 weeks were evaluated with the Hospital Depression and Anxiety scale. Symptoms, pulmonary function tests, and medical treatments were recorded.Results: The mean age of patients was 49.5±14.5 years (range, 18–77 years), and 81 (60.9%) patients were females. Twenty-eight (21.1%) patients had depression, and 53 (39.8%) had anxiety. Depression score was related to family situation (living with a partner), previous depression history and admission to an emergency department within the last year. Anxiety score was related to female gender, the family situation (living with a partner), previous depression history, and admission to an emergency department within the last year (P<0.05). Depression was positively correlated with hemoptysis, admission to an emergency department within the last year and living with a partner. Anxiety was positively correlated with education level, previous depression history, admission to an emergency department within the last year, and living with a partner.Conclusion: Patients with non-cystic fibrosis bronchiectasis are at increased risk for depression and anxiety. Untreated and undetected depressive/anxiety symptoms may increase physical disability, morbidity, and health care utilization. It is important for clinicians to be aware of the presence of depression and anxiety in bronchiectasis. Keywords: anxiety, bronchiectasis, depression, risk factor

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