Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study
Abstract Background Alexithymia is a common psychological disorder. However, few studies have investigated its prevalence and predictors in patients with chronic obstructive pulmonary disease (COPD). Therefore, we aimed to determine the prevalence and predictors of alexithymia in Chinese patients. M...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Pulmonary Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12890-023-02335-5 |
| _version_ | 1811171878608306176 |
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| author | Huaizhong Zhang Yixuan Wang Heqing Lou Yanan Zhu Zongmei Dong Dong Dong Peipei Chen Xuan Zhu Bi Chen Pan Zhang |
| author_facet | Huaizhong Zhang Yixuan Wang Heqing Lou Yanan Zhu Zongmei Dong Dong Dong Peipei Chen Xuan Zhu Bi Chen Pan Zhang |
| author_sort | Huaizhong Zhang |
| collection | DOAJ |
| description | Abstract Background Alexithymia is a common psychological disorder. However, few studies have investigated its prevalence and predictors in patients with chronic obstructive pulmonary disease (COPD). Therefore, we aimed to determine the prevalence and predictors of alexithymia in Chinese patients. Methods This cross-sectional study included 842 COPD patients to assess the prevalence and predictors of alexithymia using the 20-item Toronto Alexithymia Scale (TAS-20). We used the Hospital Anxiety and Depression Scale (HADS) to assess anxiety and depression, the modified British Medical Research Council dyspnea Rating Scale (mMRC) to assess dyspnea, St. George's Respiratory Questionnaire (SGRQ) to assess quality of life, and the age-adjusted Charlson comorbidity index (ACCI) to assess comorbidities. Alexithymia-related predictors were identified using univariate and multivariate logistic regression analyses. Results The prevalence of alexithymia in COPD patients was 23.6% (199/842). Multivariate analysis showed that age [odds ratio (OR) 0.886; 95% confidence interval (CI) 0.794–0.998], body mass index (OR 0.879; 95% CI 0.781–0.989), HADS-anxiety (OR 1.238; 95% CI 1.097–1.396), HADS-depression (OR 1.178; 95% CI 1.034–1.340), mMRC (OR 1.297; 95% CI 1.274–1.320), SGRQ (OR 1.627; 95% CI 1.401–1.890), ACCI (OR 1.165; 95% CI 1.051–1.280), and GOLD grade (OR 1.296; 95% CI 1.256–1.337) were independent predictors for alexithymia in patients with COPD. Conclusions The prevalence of alexithymia was high in Chinese COPD patients. Anxiety, depression, dyspnea, quality of life, comorbidities, and disease severity are independent risk factors, and age and BMI are predictive factors for alexithymia in COPD patients. |
| first_indexed | 2024-04-10T17:21:29Z |
| format | Article |
| id | doaj.art-4f3dadbb98f443ee9bbc27e0c5a91e41 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-04-10T17:21:29Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-4f3dadbb98f443ee9bbc27e0c5a91e412023-02-05T12:03:41ZengBMCBMC Pulmonary Medicine1471-24662023-01-012311910.1186/s12890-023-02335-5Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional studyHuaizhong Zhang0Yixuan Wang1Heqing Lou2Yanan Zhu3Zongmei Dong4Dong Dong5Peipei Chen6Xuan Zhu7Bi Chen8Pan Zhang9Department of Psychiatry, Xuzhou Cancer HospitalDepartment of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and PreventionDepartment of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and PreventionDepartment of Respiratory Medicine of the Affiliated Hospital of Xuzhou Medical UniversityDepartment of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and PreventionDepartment of Psychiatry, Xuzhou Cancer HospitalDepartment of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and PreventionDepartment of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and PreventionDepartment of Respiratory Medicine of the Affiliated Hospital of Xuzhou Medical UniversityDepartment of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and PreventionAbstract Background Alexithymia is a common psychological disorder. However, few studies have investigated its prevalence and predictors in patients with chronic obstructive pulmonary disease (COPD). Therefore, we aimed to determine the prevalence and predictors of alexithymia in Chinese patients. Methods This cross-sectional study included 842 COPD patients to assess the prevalence and predictors of alexithymia using the 20-item Toronto Alexithymia Scale (TAS-20). We used the Hospital Anxiety and Depression Scale (HADS) to assess anxiety and depression, the modified British Medical Research Council dyspnea Rating Scale (mMRC) to assess dyspnea, St. George's Respiratory Questionnaire (SGRQ) to assess quality of life, and the age-adjusted Charlson comorbidity index (ACCI) to assess comorbidities. Alexithymia-related predictors were identified using univariate and multivariate logistic regression analyses. Results The prevalence of alexithymia in COPD patients was 23.6% (199/842). Multivariate analysis showed that age [odds ratio (OR) 0.886; 95% confidence interval (CI) 0.794–0.998], body mass index (OR 0.879; 95% CI 0.781–0.989), HADS-anxiety (OR 1.238; 95% CI 1.097–1.396), HADS-depression (OR 1.178; 95% CI 1.034–1.340), mMRC (OR 1.297; 95% CI 1.274–1.320), SGRQ (OR 1.627; 95% CI 1.401–1.890), ACCI (OR 1.165; 95% CI 1.051–1.280), and GOLD grade (OR 1.296; 95% CI 1.256–1.337) were independent predictors for alexithymia in patients with COPD. Conclusions The prevalence of alexithymia was high in Chinese COPD patients. Anxiety, depression, dyspnea, quality of life, comorbidities, and disease severity are independent risk factors, and age and BMI are predictive factors for alexithymia in COPD patients.https://doi.org/10.1186/s12890-023-02335-5Chronic obstructive pulmonary diseaseAlexithymiaPrevalencePredictive factorsCross-sectionalInvestigation |
| spellingShingle | Huaizhong Zhang Yixuan Wang Heqing Lou Yanan Zhu Zongmei Dong Dong Dong Peipei Chen Xuan Zhu Bi Chen Pan Zhang Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study BMC Pulmonary Medicine Chronic obstructive pulmonary disease Alexithymia Prevalence Predictive factors Cross-sectional Investigation |
| title | Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study |
| title_full | Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study |
| title_fullStr | Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study |
| title_full_unstemmed | Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study |
| title_short | Prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in China: a cross-sectional study |
| title_sort | prevalence of and factors associated with alexithymia among patients with chronic obstructive pulmonary disease in china a cross sectional study |
| topic | Chronic obstructive pulmonary disease Alexithymia Prevalence Predictive factors Cross-sectional Investigation |
| url | https://doi.org/10.1186/s12890-023-02335-5 |
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