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The impact of depression and anxiety on the risk of exacerbation in adults with bronchiectasis: a prospective cohort study

Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li, Yun Feng, Bei Mao, Jiu-Wu Bai, Shuo Liang, Ke-Bin Cheng, Shu-yi Gu, Xiao-Li Sun, Jian-Xiong Li, Ai Ge, Man-Hui Li, Jia-Wei Yang, Lu Bai, Han-Yu Yu, Jie-Ming Qu, Jin-Fu Xu
European Respiratory Journal 2023 61: 2201695; DOI: 10.1183/13993003.01695-2022
Yong-Hua Gao
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
6Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li and Yun Feng contributed equally to this work
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Hui-Zhen Zheng
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
6Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li and Yun Feng contributed equally to this work
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Hai-Wen Lu
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
6Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li and Yun Feng contributed equally to this work
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Yuan-Yuan Li
3Department of Respiratory Medicine, Branch of National Clinical Research Center for Respiratory Disease, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
6Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li and Yun Feng contributed equally to this work
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Yun Feng
4Department of Respiratory and Critical Care Medicine, Ruijin Hospital Affiliated Shanghai Jiao Tong University School of Medicine, Shanghai, China
5Institute of Respiratory Diseases, School of Medicine, Shanghai Jiaotong University, Shanghai, China
6Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li and Yun Feng contributed equally to this work
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Bei Mao
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Jiu-Wu Bai
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Shuo Liang
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Ke-Bin Cheng
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Shu-yi Gu
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Xiao-Li Sun
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Jian-Xiong Li
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Ai Ge
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Man-Hui Li
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Jia-Wei Yang
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
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Lu Bai
3Department of Respiratory Medicine, Branch of National Clinical Research Center for Respiratory Disease, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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Han-Yu Yu
3Department of Respiratory Medicine, Branch of National Clinical Research Center for Respiratory Disease, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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Jie-Ming Qu
4Department of Respiratory and Critical Care Medicine, Ruijin Hospital Affiliated Shanghai Jiao Tong University School of Medicine, Shanghai, China
5Institute of Respiratory Diseases, School of Medicine, Shanghai Jiaotong University, Shanghai, China
7Jie-Ming Qu and Jin-Fu Xu contributed equally to this article as lead authors and supervised the work
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Jin-Fu Xu
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China
2Institute of Respiratory Medicine, School of Medicine, Tongji University, Shanghai, China
7Jie-Ming Qu and Jin-Fu Xu contributed equally to this article as lead authors and supervised the work
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  • For correspondence: jfxu@tongji.edu.cn
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Exacerbations significantly contribute to impaired quality of life (QoL), accelerated lung function decline and premature mortality in bronchiectasis [1]. Prevention of exacerbations is one of the key goals in international guidelines for bronchiectasis [2, 3]. Thus, identifying risk factors associated with exacerbation will be important to design and deliver the right interventions to the right people, and are an active area of research [4].

Abstract

Depression was associated with an increased risk of exacerbations in patients with bronchiectasis and may be a crucial “treatable trait” for exacerbation prevention https://bit.ly/3iCwPWa

Footnotes

  • Author contributions: Conception and design of the study: Yong-Hua Gao, Jin-Fu Xu and Jie-Ming Qu. Data acquisition: Yong-Hua Gao, Jin-Fu Xu, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li, Yun Feng, Bei Mao, Jiu-Wu Bai, Shuo Liang, Ke-Bin Cheng, Shu-yi Gu, Xiao-Li Sun, Jian-Xiong Li, Ai Ge, Man-Hui Li, Jia-Wei Yang, Lu Bai and Han-Yu Yu. Analysis of the data: Yong-Hua Gao, Jin-Fu Xu, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li and Yun Feng. Yong-Hua Gao and Jin-Fu Xu drafted the initial manuscript. Yong-Hua Gao, Jin-Fu Xu and Jie-Ming Qu contributed to the data interpretation and edited the manuscript for important scientific content. All the authors agree to be accountable for all aspects of the work in regard to accuracy and integrity.

  • Conflict of interest: All authors have nothing to disclose.

  • Support statement: This work was supported by the National Natural Science Foundation of China (81925001 to Jin-Fu Xu; 82270047 to Yong-Hua Gao), Shanghai Pujiang Program (21PJD061 to Yong-Hua Gao), the Innovation Program of Shanghai Municipal Education Commission (202101070007-E00097 to Jin-Fu Xu), Program of Shanghai Municipal Science and Technology Commission (21DZ2201800 to Jin-Fu Xu), the Innovative research team of high-level local universities in Shanghai, and the Innovative team of Shanghai Pulmonary Hospital. Funding information for this article has been deposited with the Crossref Funder Registry.

  • Received July 14, 2022.
  • Accepted January 7, 2023.
  • Copyright ©The authors 2023. For reproduction rights and permissions contact permissions{at}ersnet.org
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The impact of depression and anxiety on the risk of exacerbation in adults with bronchiectasis: a prospective cohort study
Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li, Yun Feng, Bei Mao, Jiu-Wu Bai, Shuo Liang, Ke-Bin Cheng, Shu-yi Gu, Xiao-Li Sun, Jian-Xiong Li, Ai Ge, Man-Hui Li, Jia-Wei Yang, Lu Bai, Han-Yu Yu, Jie-Ming Qu, Jin-Fu Xu
European Respiratory Journal Feb 2023, 61 (2) 2201695; DOI: 10.1183/13993003.01695-2022

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The impact of depression and anxiety on the risk of exacerbation in adults with bronchiectasis: a prospective cohort study
Yong-Hua Gao, Hui-Zhen Zheng, Hai-Wen Lu, Yuan-Yuan Li, Yun Feng, Bei Mao, Jiu-Wu Bai, Shuo Liang, Ke-Bin Cheng, Shu-yi Gu, Xiao-Li Sun, Jian-Xiong Li, Ai Ge, Man-Hui Li, Jia-Wei Yang, Lu Bai, Han-Yu Yu, Jie-Ming Qu, Jin-Fu Xu
European Respiratory Journal Feb 2023, 61 (2) 2201695; DOI: 10.1183/13993003.01695-2022
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