Common mental disorder among patients with chronic respiratory disease

Introduction Mental disorders are common among patients with chronic respiratory disease, such as depression and anxiety. The objective of this study was to determine the prevalence of a common mental disorder, depression, among patients with chronic obstructive pulmonary disease (COPD). Patients an...

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Main Author: Mubashir Zafar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2022;volume=71;issue=1;spage=38;epage=43;aulast=Zafar
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author Mubashir Zafar
author_facet Mubashir Zafar
author_sort Mubashir Zafar
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description Introduction Mental disorders are common among patients with chronic respiratory disease, such as depression and anxiety. The objective of this study was to determine the prevalence of a common mental disorder, depression, among patients with chronic obstructive pulmonary disease (COPD). Patients and methods This is a cross-sectional study that was conducted in a public sector hospital. A total of 255 patients were selected through simple random sampling to be included. A structured and validated Patient Health questionnaire 9 was used to determine the presence of depression among patients. Logistic regression analysis was done to determine the association between depression and respiratory disease, with adjustment of duration of disease, sex, and age. Results The prevalence of mental disorder among patients with COPD was rated as moderate, moderately severe, and severe in 35.2, 27.8, and 37%, respectively. After adjustment of covariates, females [odds ratio (OR) 1.20; confidence interval (CI) 1.11–4.56], smoker (OR 1.55; CI 1.13–2.22), and more than 10-year of duration of respiratory illness (OR 1.01; CI 1.00–1.14) were statistically significant predictors of depression in patients with COPD. Conclusion Patients with chronic respiratory diseases had a high prevalence of mental disorder, and common factors such as female sex, smoking, and duration of disease associated with depression. There is a need for developing health promotion programs including counseling of patients with a psychiatrist to reduce the burden of depression among such patients.
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spelling doaj.art-47fba958a4d640e8a7d11b166021970e2022-12-21T17:21:43ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382090-99502022-01-01711384310.4103/ejcdt.ejcdt_41_20Common mental disorder among patients with chronic respiratory diseaseMubashir ZafarIntroduction Mental disorders are common among patients with chronic respiratory disease, such as depression and anxiety. The objective of this study was to determine the prevalence of a common mental disorder, depression, among patients with chronic obstructive pulmonary disease (COPD). Patients and methods This is a cross-sectional study that was conducted in a public sector hospital. A total of 255 patients were selected through simple random sampling to be included. A structured and validated Patient Health questionnaire 9 was used to determine the presence of depression among patients. Logistic regression analysis was done to determine the association between depression and respiratory disease, with adjustment of duration of disease, sex, and age. Results The prevalence of mental disorder among patients with COPD was rated as moderate, moderately severe, and severe in 35.2, 27.8, and 37%, respectively. After adjustment of covariates, females [odds ratio (OR) 1.20; confidence interval (CI) 1.11–4.56], smoker (OR 1.55; CI 1.13–2.22), and more than 10-year of duration of respiratory illness (OR 1.01; CI 1.00–1.14) were statistically significant predictors of depression in patients with COPD. Conclusion Patients with chronic respiratory diseases had a high prevalence of mental disorder, and common factors such as female sex, smoking, and duration of disease associated with depression. There is a need for developing health promotion programs including counseling of patients with a psychiatrist to reduce the burden of depression among such patients.http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2022;volume=71;issue=1;spage=38;epage=43;aulast=Zafardepressiondurationhospitalrespiratorysmoking
spellingShingle Mubashir Zafar
Common mental disorder among patients with chronic respiratory disease
Egyptian Journal of Chest Disease and Tuberculosis
depression
duration
hospital
respiratory
smoking
title Common mental disorder among patients with chronic respiratory disease
title_full Common mental disorder among patients with chronic respiratory disease
title_fullStr Common mental disorder among patients with chronic respiratory disease
title_full_unstemmed Common mental disorder among patients with chronic respiratory disease
title_short Common mental disorder among patients with chronic respiratory disease
title_sort common mental disorder among patients with chronic respiratory disease
topic depression
duration
hospital
respiratory
smoking
url http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2022;volume=71;issue=1;spage=38;epage=43;aulast=Zafar
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