Depression and anxiety disorders in chronic obstructive pulmonary disease patients: Prevalence, disease impact, treatment.

IF 3.9 4区 医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2024-12-19 DOI:10.5498/wjp.v14.i12.1797
Chang-Jian Qiu, Shuang Wu
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Abstract

Chronic obstructive pulmonary disease (COPD) is a common respiratory disorder that often co-occurs with depression and anxiety, worsening disease progression and reducing quality of life. A thorough review of the existing literature was conducted, including searches in PubMed, Embase, PsycINFO, and Cochrane Library databases up to 2024. This review encompasses a critical analysis of studies reporting on the prevalence, impact, and management of depression and anxiety in COPD patients. We found a high prevalence of psychological comorbidities in COPD patients, which were associated with worse disease outcomes, including increased exacerbations, hospitalizations, and reduced health-related quality of life. Diagnosing and managing these conditions is complex due to overlapping symptoms, necessitating a comprehensive patient care approach. While there has been progress in understanding COPD comorbidities, there is a need for more personalized and integrated treatments. This review emphasizes the need for increased awareness, tailored treatment plans, and further research for effective interventions.

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慢性阻塞性肺疾病患者的抑郁和焦虑障碍:患病率、疾病影响、治疗
慢性阻塞性肺疾病(COPD)是一种常见的呼吸系统疾病,通常与抑郁和焦虑共同发生,使疾病进展恶化,降低生活质量。对现有文献进行了彻底的回顾,包括在PubMed, Embase, PsycINFO和Cochrane图书馆数据库中搜索到2024年。本综述包括对COPD患者抑郁和焦虑的患病率、影响和管理的研究报告的批判性分析。我们发现慢性阻塞性肺病患者中心理合并症的患病率很高,这与较差的疾病结局相关,包括加重、住院和与健康相关的生活质量降低。由于症状重叠,诊断和管理这些疾病很复杂,需要全面的患者护理方法。虽然在了解COPD合并症方面取得了进展,但仍需要更加个性化和综合的治疗方法。本综述强调有必要提高认识,制定有针对性的治疗计划,并进一步研究有效的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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