Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression.

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-10-01 DOI:10.1016/j.rcpeng.2024.12.002

Pablo Salomón Montes-Arcón, Adalberto Campo-Arias, John Carlos Pedrozo-Pupo

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Abstract

Background and objectives: Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.

Methods: A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).

Results: The study included 408 patients aged between 40 and 102 years (mean 72.9±10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR=1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR=1.99; 95%CI, 1.23-3.23).

Conclusions: The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.

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慢性阻塞性肺疾病加重与抑郁的关系

背景与目的：抑郁发作在慢性阻塞性肺疾病（COPD）患者中很常见。这些发作与大量临床和社会心理变量有关。然而，在哥伦比亚加勒比地区，COPD恶化与抑郁症之间的关系尚未得到广泛研究。目的是在哥伦比亚圣玛尔塔的门诊病人样本中确定COPD恶化和抑郁之间的关系。方法：设计一项COPD成人患者参与的横断面分析研究。记录了COPD加重的次数（无加重对一次或多次加重）和抑郁的风险。通过计算比值比（OR）和95%置信区间（95% ci）建立粗相关性和校正相关性。结果：纳入408例患者，年龄40 ~ 102岁，平均72.9±10.2岁，其中58.8%为男性。105名患者（25.9%）报告了一次或多次COPD加重，114名患者（27.9%）有抑郁风险。加重与抑郁之间的粗略关系有统计学意义(OR=1.80；95%CI, 1.12-2.89)和调整性别后(OR=1.99；95%可信区间,1.23 - -3.23)。结论：哥伦比亚圣玛尔塔门诊患者COPD加重次数与抑郁症有关。哥伦比亚需要进行纵向研究。

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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Revista Colombiana de psiquiatria (English ed.)

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