Incidence of Anxiety and Depression in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis

  • Xiaotao Wang Jiamusi University, China
  • Li Lei Jiamusi University, China
  • Peng Deng Jiamusi University, China
Keywords: COPD, anxiety and depression, Meta-analysis

Abstract

Objective: To systematically evaluate the incidence of COPD with anxiety and depression in the past 5 years.

Methods: The databases of CNKI, Wanfang, VIP, CBM, PubMed, WebofScience, TheCochraneLibrary and EMbase were searched by computer. The study type was cross-sectional study or other types of study that included baseline data.  Outcome indicators included the incidence of anxiety or depression; The cross-sectional study evaluation scale recommended by AHRQ was used to evaluate the quality of the included literature, and StataSE 16 was used to complete the meta-analysis.

Results: A total of 35 literatures were included, including 27 Chinese literatures and 9 English literatures. Meta-analysis results showed that: The overall incidence of COPD combined with anxiety or depression was 50.00%, the overall incidence of COPD combined with anxiety was 40%, the incidence of COPD combined with depression was 42%, and the incidence of COPD combined with anxiety and depression was 20%.

Conclusion: The incidence of COPD combined with anxiety and depression is high. Clinicians and patients' families should pay attention to COPD, and the psychological problems of patients, and prevent the occurrence of anxiety and depression.

References

[1] Halpin, D. M. G., Criner, G. J., Papi, A., et al. (2021). Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. The 2020 GOLD Science Committee Report on COVID-19 and Chronic Obstructive Pulmonary Disease [J]. Am J Respir Crit Care Med, 203(1), 24-36. https://doi.org/10.1164/rccm.202009-3533SO
[2] Tsai, S. C., Lu, C. C., Bau, D. T., et al. (2021). Approaches towards fighting the COVID19 pandemic (Review) [J]. Int J Mol Med, 47(1), 3-22. https://doi.org/10.3892/ijmm.2020.4794.
[3] Halbert, R. J., Natoli, J. L., Gano, A., et al. (2006). Global burden of COPD: systematic review and meta-analysis [J]. Eur Respir J., 28(3), 523-32. https://doi.org/10.1183/09031936.06.00124605
[4] Recio, Iglesias, J., Diez-Manglano, J., Lopez, Garcia, F., et al. (2020). Management of the COPD Patient with Comorbidities: An Experts Recommendation Document [J]. Int J Chron Obstruct Pulmon Dis, 15(1015-1037). https://doi.org/10.2147/COPD.S242009
[5] Negewo, N. A., Gibson, P. G., & Mcdonald, V. M. (2015). COPD and its comorbidities: Impact, measurement and mechanisms [J]. Respirology, 20(8), 1160-71. https://doi.org/10.1111/resp.12642
[6] Laurin, C., Labrecque, M., Dupuis, G., et al. (2009). Chronic obstructive pulmonary disease patients with psychiatric disorders are at greater risk of exacerbations [J]. Psychosom Med, 71(6), 667-674. https://doi.org/10.1097/PSY.0b013e3181a82849
[7] Pumar, M. I., Gray, C. R., Walsh, J. R., et al. (2014). Anxiety and depression-Important psychological comorbidities of COPD [J]. J Thorac Dis, 6(11), 1615-1631. https://doi.org/10.3978/j.issn.2072-1439.2014.09.28
[8] Yohannes, A. M., Willgoss, T. G., Baldwin, R. C., et al. (2010). Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: prevalence, relevance, clinical implications and management principles [J]. Int. J. Geriatr Psychiatry, 25(12), 1209-21. https://doi.org/10.1002/gps.2463
[9] Al Aqqad, S. M. H., Tangiisuran, B., Hyder Ali, I. A., et al. (2017). Hospitalisation of multiethnic older patients with AECOPD: exploration of the occurrence of anxiety, depression and factors associated with short-term hospital readmission [J]. Clin Respir J., 11(6), 960-967. https://doi.org/10.1111/crj.12448
[10] Adhia, A. (2021). Anxious? Don't Forget... So is Grandpa [J]. Sr Care Pharm, 36(5), 226-227. https://doi.org/10.4140/TCP.n.2021.226.
[11] Barrueco-Otero, E., Refoyo Matellán, B., Martín Puente, J., et al. (2011). [Prevalence of Depressive Symptoms, Predictive Factors, and Diagnosis of Suspicion of Depression in Patients with COPD] [J]. Aten Primaria, 54(3), 102236. https://doi.org/10.1016/j.aprim.2021.102236
[12] Choi, J. S., Kwak, S. H., Son, N. H., et al. (2021). Sex differences in risk factors for depressive symptoms in patients with COPD: The 2014 and 2016 Korea National Health and Nutrition Examination Survey [J]. BMC Pulm Med, 21(1), 180. https://doi.org/10.1186/s12890-021-01547-x
[13] Elhadidi, S. K., Elessawy, A. F., Elhefny, R. A., et al. (2020). Prevalence of psychological morbidities among patients with chronic obstructive pulmonary disease [J]. Egyptian Journal of Chest Diseases and Tuberculosis, 69(2), 345-3451. https://doi.org/10.4103/ejcdt.ejcdt_178_19
[14] Hieba, E. G., Rehab, M. S., Noha, A. O. (2021). Anxiety among Egyptian patients with stable chronic obstructive pulmonary disease and its effect on their functional assessment [J]. Egyptian Journal of Chest Diseases and Tuberculosis, 70(3), 344-50. https://doi.org/10.4103/ejcdt.ejcdt_132_20
[15] Husain, M. O., Chaudhry, I. B., Blakemore, A., et al. (2021). Prevalence of depression and anxiety in patients with chronic obstructive pulmonary disease and their association with psychosocial outcomes: A cross-sectional study from Pakistan [J]. SAGE Open Med, 9(20503121211032813. https://doi.org/10.1177/20503121211032813
[16] Ivziku, D., Clari, M., Piredda, M., et al. (2019). Anxiety, depression and quality of life in chronic obstructive pulmonary disease patients and caregivers: an actor-partner interdependence model analysis [J]. Qual Life Res, 28(2), 461-472. https://doi.org/10.1007/s11136-018-2024-z
[17] Kapisiz, O., & Eker, F. (2018). Evaluation of the relationship between the levels and perceptions of dyspnea and the levels of anxiety and depression in chronic obstructive pulmonary disease (COPD) patients [J]. Journal of Psychiatric Nursing, 9(2), 88-95. https://doi.org/10.14744/phd.2018.53244
[18] Lee, J., Nguyen, H. Q., Jarrett, M. E., et al. (2018). Effect of symptoms on physical performance in COPD [J]. Heart Lung, 47(2), 149-156. https://doi.org/10.1016/j.hrtlng.2017.12.007.
[19] Lim, J. U., Park, C. K., Kim, T. H., et al. (2019). The Difficulty Of Improving Quality Of Life In COPD Patients With Depression And Associated Factors [J]. Int. J. Chron Obstruct Pulmon Dis, 14(2331-2341). https://doi.org/10.2147/copd.S216746
[20] Lima, C. A., Oliveira, R. C., Oliveira, S. A. G., et al. (2020). Quality of life, anxiety and depression in patients with chronic obstructive pulmonary disease [J]. Revista brasileira de enfermagem, 731(e20190423. https://doi.org/10.1590/0034-7167-2019-0423
[21] Long, J., Ouyang, Y., Duan, H. Z., et al. (2020). Multiple Factor Analysis of Depression and/or Anxiety in Patients with Acute Exacerbation Chronic Obstructive Pulmonary Disease [J]. International Journal of Chronic Obstructive Pulmonary Disease, 15(1449-1464). https://doi.org/10.2147/copd.S245842
[22] O'toole, J., Woo, H., Putcha, N., et al. (2022). Comparative Impact of Depressive Symptoms and FEV1% on Chronic Obstructive Pulmonary Disease [J]. Annals of the American Thoracic Society, 19(2), 171-178. https://doi.org/10.1513/AnnalsATS.202009-1187OC
[23] Pertseva, T. O., Konopkina, L. I., & Guba, Y. V. (2018). Possible predictors of depressive syndrome in patients with chronic obstructive pulmonary disease [J]. Medical Perspectives-Medicni Perspektivi, 23(2), 41-45.
[24] Pollok, J., Van Agteren, J. E. M., Esterman, A. J., et al. (2019). Psychological therapies for the treatment of depression in chronic obstructive pulmonary disease [J]. Cochrane Database of Systematic Reviews, 3. https://doi.org/10.1002/14651858.CD012347.pub2
[25] Price, J. D., Amerson, N. L., Barbour, K. E., et al. (2020). Prevalence of Frequent Mental Distress Among Illinois Adults With Chronic Conditions: Estimates From the Behavioral Risk Factor Surveillance System, 2011 to 2017 [J]. Am J Health Promot, 34(6), 608-613. https://doi.org/10.1177/0890117120906960
[26] Rantala, H. A., Leivo-Korpela, S., Lehtimäki, L., et al. (2022). Assessing Symptom Burden and Depression in Subjects With Chronic Respiratory Insufficiency [J]. J. Palliat Care, 37(2), 134-41. https://doi.org/10.1177/08258597211049592.
[27] Rysiak, E., Prokop, I., Zareba, I., et al. (2019). Depressive Disorders In Copd Patients - Economic Aspect [J]. Acta Poloniae Pharmaceutica, 76(1), 167-174. https://doi.org/10.32383/appdr/93665.
[28] Schuler, M., Wittmann, M., Faller, H., et al. (2018). The interrelations among aspects of dyspnea and symptoms of depression in COPD patients - a network analysis [J]. Journal of Affective Disorders, 240(33-40). https://doi.org/10.1016/j.jad.2018.07.021
[29] Thapa, N., Maharjan, M., Shrestha, T. M., et al. (2017). Anxiety and depression among patients with chronic obstructive pulmonary disease and general population in rural Nepal [J]. BMC Psychiatry, 17(1), 397. https://doi.org/10.1186/s12888-017-1550-5
[30] Vestergaard, J. H., Sivapalan, P., Sorensen, R., et al. (2020). Depressive symptoms among patients with COPD according to smoking status: a Danish nationwide case-control study of 21184 patients [J]. Erj Open Research, 6(4). https://doi.org/10.1183/23120541.00036-2020
[31] Wang, J., Willis, K., Barson, E., et al. (2021). Navigating complexity in mental health care: Clinicians' perspectives of mental health illnesses in people with COPD [J]. Respirology, 26(SUPPL 2), 121. https://doi.org/10.1111/resp.14021
[32] Wrzeciono, A., Czech, O., Buchta, K., et al. (2021). Assessment of Stress, Depressive and Anxiety Symptoms in Patients with COPD during In-Hospital Pulmonary Rehabilitation: An Observational Cohort Study [J]. Medicina-Lithuania, 57(3). https://doi.org/10.3390/medicina57030197.
[33] Yohannes, A. M., Mülerová, H., Lavoie, K., et al. (2017). The Association of Depressive Symptoms With Rates of Acute Exacerbations in Patients With COPD: Results From a 3-year Longitudinal Follow-up of the ECLIPSE Cohort [J]. J. Am Med Dir Assoc, 18(11), 955-959.e6. https://doi.org/10.1016/j.jamda.2017.05.024
[34] Yohannes, A. M., Murri, M. B., Hanania, N. A., et al. (2022). Depressive and anxiety symptoms in patients with COPD: A network analysis [J]. Respir Med, 198(106865). https://doi.org/10.1016/j.rmed.2022.106865
[35] Zohal, M., Mohammadi, L., Shamloo, F., et al. (2019). Prevalence and Associated Depression Risk Factors in Patients with Chronic Obstructive Pulmonary Disease in Qazvin, Iran (2014) [J]. European Journal of Therapeutics, 25(3), 159-163. https://doi.org/10.5152/EurJTher.2018.287.
[36] Yi Xueyang & Gu Guifang (2021). Correlation between locus of control and coping style, anxiety and depression in patients with stable chronic obstructive pulmonary disease [J]. General nursing, 19(15), 2032-2035. https://doi.org/10.12104/j.issn.1674-4748.2021.15.004
[37] Jian-rui Dai (2018). Evaluation of drugs and cognitive behavior intervention for patients with chronic obstructive pulmonary disease(COPD)with anxiety and depression in community [D]; Qingdao University.
[38] Liu He-ping, Wu Hong-mei, Liu Yang, et al. (2020). Correlation between Anxiety Depression Symptoms of Patients with Chronic Obstructive Pulmonary Disease and CAT Score [J]. Journal of Kunming Medical University, 41(12), 29-35.https://doi.org/10.12259/j.issn.2095-610X.S20201212
[39] Yang Yu & Min Liu (2019). Unconditional Logistic regression analysis of risk factors for anxiety and depression in elderly patients with chronic obstructive pulmonary disease [J]. China Journal of Modern Medicine, 29(21). https://doi.org/10.3969/j.issn.2095-1752.2018.28.344.
[40] JI Juan. (2019). Influential Factors and Preventive Measures Related to Depressive Symp-toms in Patients with Chronic Obstructive Pulmonary Disease [J]. The system of medical, 4(18). https://doi.org/10.3969/j.issn.1005-8982.2019.21.013
[41]Liu Rong, Shao Wenchao, Zhao Xue, et al. (2018). Analys is of the relative factors of depresion in hospitalized elderly patients with chronic diseases [J]. Chin J Geriatr, 37(1). https://doi.org/10.3760/cma.j.issn.0254-9026.2018.01.009
[42] Zhu Jinchao (2018). Correlation analysis of chronic obstructive pulmonary disease with anxiety and depression and distribution of TCM syndrome types [D]. Shandong University of Traditional Chinese Medicine. https://doi.org/10.3969/j.issn.1674-4721.2019.22.055
[43] Li Zengyan, Yao Feifei, WANG Fuxia, et al. (2019). Depression in Patients With Chronic Obstructive Pulmonary Disease [J]. Continuing Medical education in China, 11(2), [23] Li Xi. The correlative analysis of risk factors of chronic obstructive pulmonary disease with anxiety / depression [D]. University of south China, 2018. https://doi.org/10.1111/j.1440-1843.2012.02148.x.
[44] Underner, M., Cuvelier, A., Peiffer, G., et al. (2018). The influence of anxiety and depression on COPD exacerbations] [J]. Rev Mal Respir, 35(6), 604-25. https://doi.org/10.1016/j.rmr.2018.04.004.
[45] Zhang, M. W., Ho, R. C., Cheung, M. W., et al. (2011). Prevalence of depressive symptoms in patients with chronic obstructive pulmonary disease: a systematic review, meta-analysis and meta-regression [J]. Gen Hosp Psychiatry, 33(3), 217-223. doi: 10.1016/j.genhosppsych.2011.03.009.
[46] Cafarella, P. A., Effing, T. W., Usmani, Z. A., et al. (2012). Treatments for anxiety and depression in patients with chronic obstructive pulmonary disease: a literature review [J]. Respirology, 17(4), 627-638. https://doi.org/10.1111/j.1440-1843.2012.02148.x
[47] Di Marco, F., Verga, M., Reggente, M., et al. (2006). Anxiety and depression in COPD patients: The roles of gender and disease severity [J]. Respir Med, 100(10), 1767-74. https://doi.org/10.1016/j.rmed.2006.01.026
[48] Neuman, A., Gunnbjornsdottir, M., Tunsater, A., et al. (2006). Dyspnea in relation to symptoms of anxiety and depression: A prospective population study [J]. Respir Med, 100(10), 1843-1849. https://doi.org/10.1016/j.rmed.2006.01.016.
[49] Mykletun, A., Overland, S., Aaro, L. E., et al. (2008). Smoking in relation to anxiety and depression: evidence from a large population survey: the HUNT study [J]. Eur Psychiatry, 23(2), 77-84. https://doi.org/10.1016/j.eurpsy.2007.10.005
[50] Zhang, H., Wang, X., Lin, J., et al. (2013). Reduced regional gray matter volume in patients with chronic obstructive pulmonary disease: a voxel-based morphometry study [J]. AJNR Am J Neuroradiol, 34(2), 334-9. https://doi.org/10.3174/ajnr.A3235
[51] Yu, T., Frei, A., Ter Riet, G., et al. (2018). Impact of Stressful Life Events on Patients with Chronic Obstructive Pulmonary Disease [J]. Respiration, 95(2), 73-79. https://doi.org/10.1159/000481714
[52] Zohal, M. A., Rafiei, S., Rastgoo, N., et al. (2020). Exposure to stressful life events among patients with chronic obstructive pulmonary disease: A prospective study [J]. Adv Respir Med, 88(5), 377-82. https://doi.org/10.5603/ARM.a2020.0122
[53] Balcells, E., Gea, J., Ferrer, J., et al. (2010). Factors affecting the relationship between psychological status and quality of life in COPD patients [J]. Health Qual Life Outcomes, 8(108). https://doi.org/10.1186/1477-7525-8-108
1 indicated SAS/SDS, 2 indicated HAMA/HAMD, 3 indicated HADS, and 4 indicated
Published
2022-11-16
Section
Articles