Revista espanola de geriatria y gerontologia · 2010
[Dyspnoea and psychopathology in the elderly patient with chronic obstructive pulmonary disease].
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Medinas Amorós María Magdalena, Más Tous Carmen, Ferrer Pérez Victoria, Martín López Belén, Alorda Quetglas Catalina, Renom Sotorra Feliu
Аннотация
UNLABELLED: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease with dyspnoea perception as a main symptom. In severe stages, dyspnoea can constitute a risk factor for depression, anxiety and somatization disorders.
OBJECTIVE: The objective was to evaluate the presence of these psychopathologies based on dyspnoea and severity stages in patients with COPD.
MATERIALS AND METHODS: Patients (n = 51) were evaluated by means of the Hospital Anxiety and Depression Scale, the dyspnoea scale (MRC), the General Health Questionnaire (GHQ-28) and spirometric criteria.
RESULTS: The increase in dyspnoea level and disease severity lead to a progressive worsening of anxiety, depressive and somatic symptoms with clinical relevance (P < 0.05). There was a significant correlation between those parameters (P < 0.05).
CONCLUSIONS: The early detection and treatment of these psychopathologies associated with dyspnoea and progression of the disease must be taken into account in this complex pathology.
OBJECTIVE: The objective was to evaluate the presence of these psychopathologies based on dyspnoea and severity stages in patients with COPD.
MATERIALS AND METHODS: Patients (n = 51) were evaluated by means of the Hospital Anxiety and Depression Scale, the dyspnoea scale (MRC), the General Health Questionnaire (GHQ-28) and spirometric criteria.
RESULTS: The increase in dyspnoea level and disease severity lead to a progressive worsening of anxiety, depressive and somatic symptoms with clinical relevance (P < 0.05). There was a significant correlation between those parameters (P < 0.05).
CONCLUSIONS: The early detection and treatment of these psychopathologies associated with dyspnoea and progression of the disease must be taken into account in this complex pathology.