PT  - JOURNAL ARTICLE
AU  - Birgit Schwaighofer
AU  - Danijel Jelusic
AU  - Michael Wittmann
AU  - Michael Schuler
AU  - Konrad Schultz
TI  - Psychological co-morbidities in patients with COPD: Which changes can be observed during inpatient pulmonary rehabilitation (PR)?
DP  - 2014 Sep 01
TA  - European Respiratory Journal
PG  - P636
VI  - 44
IP  - Suppl 58
4099  - http://erj.ersjournals.com/content/44/Suppl_58/P636.short
4100  - http://erj.ersjournals.com/content/44/Suppl_58/P636.full
SO  - Eur Respir J2014 Sep 01; 44
AB  - Introduction: Anxiety and affective disorders are frequent co-morbidities in patients with COPD as well as negative prognostic predictors.This is why rehabilitation guidelines postulate systematic assessments to screen for major depression (MD) and anxiety symptoms (AS). Scientific sources highlight positive effects in reduction of symptoms for 6 weeks and longer lasting rehabilitations.Objectives: The aim of this research was to find out how many of COPD patients show a MD or AS and whether a PR of 3 weeks can reduce symptoms.Methods: From Feb 13 - Jan 14 356 patients with COPD were systematically screened by PHQ-9 and GAD-7 in terms of MD and AS at admission (T0) and dismissal (T1). Differences were analysed using crosstables and McNemar-test.Results: At T0 31,2% of all patients showed criteria of a MD (PHQ9≥10) and 26,2% met the criteria of relevant AS (GAD7≥10). 69 patients (19,4%) revealed clinical relevant symptoms for MD and AS. At dismissal percentages shortened of MD to 17,7% and for clinical relevant AS to 14,1%. In patients with MD as well as AS the part of affected patients dropped to 10,1% (n=36). All reductions of scores in comparison from T0 to T1 were significant.Conclusions: The results of this research suggest that even in 3 weeks PR a relevant reduction of anxiety and depression symptoms can be determined.