The Impact of Anxiety and Depression in Chronic Obstructive Pulmonary Disease

Author:

Rahi Mandeep Singh1ORCID,Thilagar Bright2,Balaji Swetha3,Prabhakaran Sivaguha Yadunath4ORCID,Mudgal Mayuri5ORCID,Rajoo Suganiya6,Yella Prashanth Reddy7ORCID,Satija Palak7,Zagorulko Alsu8,Gunasekaran Kulothungan9ORCID

Affiliation:

1. Department of Pulmonary and Critical Care Medicine, Yale New Haven Health, Lawrence + Memorial Hospital, New London, CT 06320, USA

2. Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA

3. Division of Endocrinology and Metabolism, Department of Medicine, University of Illinois, Chicago, IL 60607, USA

4. Department of Internal Medicine, Kasturba Medical College, Mangalore 575001, India

5. Department of Medicine, Camden Clark Medical Center, School of Medicine, West Virginia University, Parkersburg, WV 26101, USA

6. Department of Hematology and Oncology, WakeMed, Raleigh Campus, Raleigh, NC 27610, USA

7. Department of Internal Medicine, Yuma Regional Medical Center, 2400 S Avenue A, Yuma, AZ 85364, USA

8. Department of Psychiatry, Illinois Center for Neurological and Behavioral Medicine, Des Plaines, IL 60016, USA

9. Department of Pulmonary Diseases and Critical Care, Yuma Regional Medical Center, Yuma, AZ 85364, USA

Abstract

Patients with COPD (chronic obstructive pulmonary disease) are at a higher risk of comorbid conditions such as anxiety and/or depression, which in turn increase their symptom burden and rehospitalizations compared to the general population. It is important to investigate the pathophysiology and clinical implications of mental health on patients with COPD. This review article finds that COPD patients with anxiety and/or depression have a higher rehospitalization incidence. It reviews the current screening and diagnosis methods available. There are pharmacological and non-pharmacologic interventions available for treatment of COPD patients with depression based on severity. COPD patients with mild depression benefit from pulmonary rehabilitation and cognitive behavioral therapy, whereas patients with severe or persistent depression can be treated with pharmacologic interventions.

Publisher

MDPI AG

Subject

Pulmonary and Respiratory Medicine

Reference75 articles.

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