Plenary
Lecture
Anxiety and depression in COPD
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Dr. Milena Adina Man
University of Medicine and Pharmacy "Iuliu
Hatieganu"
Cluj-Napoca, Romania
E-mail:
manmilenaadina@yahoo.com
Abstract: COPD is a disease
with multiple co morbidities. Two
of the most common and least
treated co morbidities are anxiety
and depression. The prevalence of
depression and anxiety associated
with COPD vary considerably
because the psychological
consequences are rarely screened,
because the variety of scales and
methods used to measure such
symptoms and because the different
degrees of illness severity across
studies.
The Participants in our study were
recruited from patients with COPD,
older 40 years old, with Forced
Expiratory Volume in one second
(FEV1) less than 80%, and FEV1/FVC
less 70%, without malignancy,
hepatic or renal insufficiency,
diabetes mellitus, instable angina
pectoris, myocardial infarction
within the previous year, cardiac
arrhythmias, or other significant
diseases, hospitalized in
Pneumology Clinic Leon Daniello
Cluj, between September 2009-march
2010. The patients were
interviewed with Beck Depression
Inventory and Beck Anxiety
Inventory, and Saint George
Questioners for quality of life.
We try to evaluate the risk
factors for depression and anxiety
like age, gender, lack of social
support, severity of disease
(COPD), main symptoms, long term
use of systemic corticosteroids,
value of FEV1, educational level,
presence of co morbidity, the
total score for depression and
anxiety ( for quantification of
symptoms). The psychological
manifestations of COPD are treated
in only a minority of patients.
Untreated depression and anxiety
have major implications for
compliance with medical treatment
(lower adherence), increased
frequency of hospital admission,
and are associated with poor
quality of life (may also be a
significant predictor of mortality
following hospitalization)
Patients with COPD should be
screened for depression and for
anxiety by their respiratory
doctor and should be treated by
physician with skills and
knowledge of mental disorders.
Brief Biography of the Speaker:
Senior Chest Physician, Head of
the Pulmonary Department Spitalul
Clinic de Pneumftiziologie, "Leon
Daniello" Cluj-Napoca, Romania
from 2006
Senior Lecturer, University of
Medicine and Pharmacy,
Cluj-Napoca, Romania from 2004
Participated to WSEAS Conference
in Prague, Cambridge, Athena,
Bucharest, ERS Congress, National
Conference
Published books and articles in
the field of competences
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