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Respiratory Medicine 2016
October 17-18, 2016
Volume 6, Issue 5(Suppl) J Pulm Respir Med
ISSN: 2161-105X JPRM, an open access journal
conferenceseries .com
October 17-18, 2016 Chicago, USA
Respiratory and Pulmonary Medicine
2nd International Conference on
Gillani S Seemab, J Pulm Respir Med 2016, 6:5(Suppl)
Depression and its frequency in patients with chronic obstructive pulmonary disease (COPD)
Gillani S Seemab and M H Kamran
USA
Introduction: COPD is one of the most prevailing chronic respiratory illnesses which are progressive and irreversible. Many
people die prematurely from its complications. Depression is a common co-morbidity in patients with COPD who are facing
embarrassing symptoms like dyspnea and productive cough. Early diagnosis and treatment of depression in COPD patients
is now taken to be an important aspect for COPD management. Depression has a significant impact on COPD patients and
their families. Prolonged illness may cause hopelessness and depressive symptoms like self-neglect, low energy and sleep
disturbance. No such data exist for patients in our population.
Objective: To find out the frequency of depression in patients with chronic obstructive pulmonary disease.
Materials & Methods: 100 consecutive patients with diagnosed COPD (on history, physical examination, chest X-ray and
spirometry), with FEV1/FVC<70% and <12% reversibility after inhaled bronchodilator and fulfilling the inclusion and
exclusion criteria were included in the study.
Results: N=100 patients with COPD, 85% males and 15% females. Mean age was 54.79+10.55 years. Mean duration of disease
was 5.35+3.24. Mean for duration of treatment was 5.34+3.24 years. Mean number of smoking pack years was 23.24+8.9. Overall
47 patients (47%) were found to have depression. There were only 15 (31.9%) patients with mild to moderate depression, 14
(29.7%) with moderate to severe depression and 18 (38.2%) with severe depression. Depression was seen in 45.7% patients with
age >50 years and in 48.7% patients with age <50 years. Those with smoking <20 pack years, 41.3% were having depression
whereas those with smoking >20 pack years 51.8% were found to have depression. Depression was seen in 6.67% patient with
mild COPD, 44.6% patients with moderate COPD, 58.6% with severe COPD and 80% patients with very severe COPD.
Conclusion: There was a high frequency of depression in patients with COPD. Depression was found to be associated with
longer duration of disease, higher number of smoking pack years and with increasing severity of COPD. Keeping in view this
higher percentage of depression in COPD patients in our population, it’s necessary to focus on this important co-morbidity in
order to improve the quality of life and to reduce the health care burden.
Biography
Gillani Seemab is a clinical psychologist His international experience includes various programs, contributions and participation in different countries for diverse
fields of study. His research interests reflect in his wide range of publications in various national and international journals.