PT  - JOURNAL ARTICLE
AU  - Karen Heslop
AU  - Usman Butt
AU  - Alan Anderson
AU  - Chris Stenton
AU  - Julia Newton
AU  - Debbie Carrick-Sen
AU  - Christine Baker
AU  - Graham Burns
AU  - Anthony De Soyza
TI  - Prevalence of anxiety and depression in 196 patients with chronic obstructive pulmonary disease (COPD)
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - P532
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/P532.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/P532.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - IntroductionAnxiety and depression are common co-morbidities associated with COPD. A systematic review and meta-analysis reported prevalence 36% for anxiety and 40% for depression (1).Aims and ObjectivesThis prospective study aimed to identify the prevalence of anxiety and depression symptoms in COPD patients attending out-patient respiratory clinics within a UK NHS Trust.MethodsPatients with COPD were screened in Clinic in 2011 by completing the Hospital Anxiety & Depression Scale (HADS) (2). Data from 196 patients were analysed.ResultsThe mean age was 65.3 years (range 31 - 97) and 88 (45%) male. Using NICE 2010 airflow severity criteria 28 had mild obstruction; 69 moderate; 59 severe and 42 very severe. Significant rates of anxiety were seen: 78% of patients had HADS-anxiety (HADS-A) scores 8 or over and 55% of patients had HADS-depression (HADS-D) scores 8 or over. Both the HADS anxiety & depression scores decreased with increasing age (t=2.8, p0.01 for HADS-A; t=2.9, p0.01 for HADS- D).View this table:Mean HADS ResultsConclusionThe prevalence of anxiety and depression is higher in this population than in prior studies. Symptoms of anxiety and depression appear commoner in younger patients and are unrelated to COPD airflow severity. There were no significant associations with COPD NICE severity stage or gender. It is important to screen for both in COPD patients and consider appropriate treatment.References1. Yohannes A. Age Ageing. 2006; 35: 457 - 459.2. Zigmond A. & Snaith RP. 1983; 67, 361-370.