Location of Repository

État psychologique chez les hommes et les femmes souffrant de maladie pulmonaire obstructive chronique : influence sur le taux de réexacerbation

By Catherine Laurin

Abstract

Cette thèse doctorale vise à évaluer, chez les hommes et les femmes atteints d'une maladie pulmonaire obstructive chronique (MPOC) en état stable, la prévalence des troubles psychiatriques, la présence de symptômes de détresse psychologique, d'anxiété et de dépression, la qualité de vie ainsi que l'impact prospectif des troubles psychiatriques sur l'évolution de la maladie, plus spécifiquement sur le taux de réexacerbations traitées sur une base externe et traitées à l'hôpital. Elle se compose de quatre chapitres. Le premier constitue une introduction résumant l'état des recherches en lien avec la présente thèse. Les deuxième et troisième chapitres comportent deux articles scientifiques. Enfin, le quatrième chapitre présente une discussion générale sur les principaux résultats des articles et souligne les implications cliniques des résultats. Il aborde également les défis du transfert des connaissances et suggère des moyens de transmission des résultats et de ses implications. Il précise la contribution et les limites de la thèse, propose des pistes de recherches et se termine sur une conclusion générale. Les résultats rapportés dans le premier article indiquent une forte prévalence de troubles psychiatriques (troubles de l'humeur et d'anxiété) chez les patients atteints de MPOC (49 %), près de deux fois plus élevée chez les femmes que chez les hommes. Les femmes manifestent de façon statistiquement significative plus de symptômes de détresse psychologique, anxieux et dépressifs, une moins grande confiance en leur capacité de contrôler leurs symptômes respiratoires et une moins bonne qualité de vie. Les résultats énoncés dans le deuxième article démontrent que les troubles psychiatriques sont étroitement associés au nombre et au risque d'exacerbations, particulièrement celles traitées sur une base externe. La proportion de variance de ces exacerbations attribuable à la morbidité psychiatrique est de 25 % dans le présent échantillon. ______________________________________________________________________________ MOTS-CLÉS DE L’AUTEUR : Maladie pulmonaire obstructive chronique, Différences hommes-femmes, Différences entre les sexes, Exacerbations, Sexe, Troubles psychiatriques, Symptômes anxieux, Symptômes dépressifs, Détresse psychologique, Qualité de vie, Devis prospectif, Devis transversal

Topics: Broncho-pneumopathie chronique obstructive, Différence selon le sexe, Épidémiologie psychiatrique, Impact psychologique
Year: 2008
OAI identifier: oai:www.archipel.uqam.ca:887

Suggested articles

Citations

  1. (1992). Time to recovery, chronicity, and levels of psychopathology in major depression. A 5-year prospective follow-up of 431 subjects. Archives ofGeneral Psychiatry, 49(10), 809-816. doi
  2. (2001). Risk factors for hospitalization for a chronic obstructive pulmonary disease exacerbation. Efram study. American Journal ofRespiratory and Critical Care Medicine, 164(6),1002-1007.
  3. (2001). The association between depressive symptoms and health status in patients with chronic obstructive pulmonary disease. General Hospital Psychiatry, 23,56-61. doi
  4. (2002). Mortality after hospitalization for copd. Chest, 121(5),1441-1448. doi
  5. (2006). Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression. Psychosomatics, 47(4),312-319. doi
  6. (2006a). Depression, anxiety and health status after hospitalisation for copd: A multicentre study in the nordic countries. Respiratory Medicine, 100(1), 87-93. doi
  7. (n) M ± SD or %
  8. 10. Personnes à contacter Si vous avez des questions au sujet de cette étude, s'il survient un incident quelconque ou si vous désirez vous retirer de l'étude, vous pouvez contacter en tout temps soit la coordonnatrice de l'étude, Catherine
  9. 11. Seemungal
  10. 12. Rodriguez-Roisin R. Toward a Consensus Definition for COPD Exacerbations. Chest. 2000;117:398S-401. doi
  11. 13. Burge doi
  12. 14. Pauwels R, Calverley P, Buist AS, et al.
  13. 18. Ng T-P, Niti M, Tan W-C, Cao Z, doi
  14. 21. Chen Y-J, Narsavage GL. Factors Related to Chronic Obstructive Pulmonary Disease Readmission in Taiwan. Western Journal ofNursing Research. 2006;28(1): 105-124. doi
  15. 26. Gudmundsson G, Gislason T, Janson C, et al. Depression, anxiety and health status after hospitalisation for COPD: A multicentre study in doi
  16. 29. Dahlen l, Janson C. Anxiety and Depression Are Related to the Outcome of doi
  17. 3. American Thoracic Society, European Respiratory Society. Standards for the Diagnosis and Management doi
  18. 30. Gudmundsson G, Gis1ason T, Janson
  19. 38. Nelder JA, Wedderburn TWM. Generalized
  20. 39. Kaplan EL, Meier
  21. 4. 3. 2 Contraintes associées aux intervenants
  22. 4.1 Section 1 :
  23. 4.1.1.3 Différences entre les sexes concernant
  24. 4.3.1 Contraintes associées aux patients et informations à leur transmellre Pour certains patients, il est difficile de reconnaître et de partager leur souffrance psychologique, en particulier chez les hommes et chez les patients plus âgés, peu habitués
  25. 40. Cox DR. Regression models and life tables.
  26. 42.
  27. 45. Yohannes AM, Baldwin RC, Connolly MJ. Depression and anxiety in elderly doi
  28. 46. Burgess A, Kunik ME, Stanley MA. Chronic
  29. 48.
  30. 5. Niewoehner DE. The
  31. 50. Seligman M. Helplessness: On depression, development,
  32. 51. Yohannes AM, Baldwin RC, Connolly Ml. Mood disorders in elderly patients with chronic obstructive pulmonary disease. doi
  33. 56. Padgett DA, Glaser R. How stress influences the immune response. TRENDS doi
  34. 58. Cohen S, Tuyrrell D, A.J., Smith A, P. Negative Life Events, Perceived Stress, Negative Affect, and Susceptibility to the Common Cold. Journal ofPersonality and Social Psychology. 1993 ;64( 1): 131-140. doi
  35. 6. Yohannes AM. Predictors of hospital admission and mortality in patients with chronic obstructive doi
  36. 61. Kunik ME, Braun U, Stanley MA, et al. One session cognitive behavioural therapy for elderly patients with chronic obstructive pulmonary disease. Psychological Medicine. 2001 ;31 (4):717-723. doi
  37. 62. Gift AG, Moore T, Soeken K. Relaxation to reduce dyspnea and anxiety in COPD patients. Nursing Research. 1992;41 :242-246. doi
  38. 63. Paz-Diaz H, Montes de Oca M, Lopez JM, Celli BR. Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD. Americanjournal ofphysical medicine & rehabilitation. 2007;86(1 doi
  39. A. (1987). Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease. Annals ofInternaI Medicine, 106(2), 196-204.
  40. After Hospitalization for COPD. Chest. 2002;121(5):1441-1448.
  41. Aghanwa, H. S., & Erhabor, G. E. (2001). Specific psychiatric morbidity among patients with chronic obstructive pulmonary disease in a nigerian general hospital. Journal of Psychosomatic Research, 50(4), 179-183. doi
  42. al.
  43. Alvarez-Gutierrez F, Gobartt E, Lopez F, Martin A. Exacerbations, hospital admissions and impaired health status in chronic obstructive pulmonary disease. Quality ofLife Research. doi
  44. American Psychiatric Association. (1994). Diagnostic and statistical manual ofmental disorders (4th ed.). Washington, DC: American Psychiatric Association. doi
  45. American Psychiatric Association. (2000). Diagnostic and statistical manual ofmental disorders, text revision (4th edition ed.). Washington, DC: American Psychiatric Association.
  46. American Review ofRespiratory Disease, 145, 1321-1327.
  47. American Thoracic Society, & European Respiratory Society. (2004). Standards for the diagnosis and management ofpatients with copd. New York, Lausanne: American Thoracic Society, European Respiratory Society.
  48. American Thoracic Society. (1995). Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. American Journal ofRespiratory and Critical Care Medicine, 152, nS-121.
  49. Andenaes, R., Kalfoss, M. H., & Wahl, A. (2004). Psychological distress and quality of life in hospitalized patients with chronic obstructive pulmonary disease. Journal ofAdvanced Nursing, 46(5),523-530. doi
  50. Anderson, R J., Freedland, K. E., Clouse, RE., & Lustman, P. 1. (2001). The prevalence of comorbid depression in adults with diabetes: A meta-analysis. Diabetes Care, 24(6), 1069-1078. doi
  51. Antonelli-Incalzi, R., Imperiale, C., Bellia, V., Catalano, F., Scichilone, N., Pistelli, R, et al. (2003). Do gold stages of copd severity really correspond to differences in health status? European Respiratory Journal, 22(3),444-449. doi
  52. Archives ofPhysical Medicine and Rehabilitation, 84(8), 1154-1157.
  53. Archives ofPhysical Medicine and Rehabilitation. 2003;84(8): 1154-1157.
  54. Association pulmonaire du Canada, Institut canadien d'information sur la santé, Santé Canada, & Statistique Canada. (2001). Les maladies respiratoires au canada. Ottawa: Santé Canada.
  55. Association pulmonaire du Canada. (2005). Maladie pulmonaire obstructive chronique (mpoc): Rapport d'évaluation national. Ottawa: Association pulmonaire du Canada, Société canadienne de Thoracologie.
  56. Association pulmonaire du Canada. (2006). Les femmes et la mpoc: Un rapport national. Ottawa: Association pulmonaire canadienne, Société canadienne de thoracologie, Professionnels canadiens de la santé respiratoire.
  57. Association.
  58. B, ochoa de Echaguen A,
  59. Ballenger,1. C., Davidson, 1. R., Lecrubier, Y, & Nutt, D. J. (2001). A proposed algorithm for improved recognition and treatment of the depressionlanxiety spectrum in primary care. Primary care companion to the Journal ofclinical psychiatry, 3(2),44-52. doi
  60. Bankier, B., Januzzi, 1. L., & Littman, A B. (2004). The high prevalence of multiple psychiatric disorders in stable outpatients with coronary heart disease. Psychosomatic Medicine, 66(5), 645-650. doi
  61. Beck, AT., Steer, R. A, & Brown, G. K. (1996). Manualfor beck depression inventory: Second edition (bdi-ii). San Antonio, Texas: The Psychological Corporation.
  62. Beekman, A. T. F., de Beurs, E., van Balkom, A J. L. M., Deeg, D. 1. H., van Dyck, R., & van Tilburg, W. (2000). Anxiety and depression in later life: Co-occurrence and communality of risk factors. American Journal ofPsychiatry, 157(1),89-95.
  63. Bernaards CM, Twisk JWR, Snel J, Van Mechelen W, Kemper HCG. Is calculating
  64. BJ, doi
  65. Blake, R. B., Vandiver, T. A, Braun, S., Bertuso, D. D., & Straub, V. (1990). A randomized controlled evaluation of psychosocial intervention in adults with chronic lung disease. Family Medicine, 22(5),365-370.
  66. Bouchet, C., Guillemin, F., Hoang Thi, T. H., Cornette, A, & Briançon, S. (1996). Validation du questionnaire st georges pour mesurer la qualité de vie chez les insuffisants respiratoires chroniques. Revue des maladies respiratoires, 13,43-46.
  67. Bourbeau, J. (1999). Les maladies respiratoires obstructives: Faire prévoir les urgences pour ne pas devoir y aller. Bulletin de l'unité Maladies infectieuses, 4(6),2-3.
  68. Bray, R. M., Fairbank, 1. A, & Marsden, M. A (1999). Stress and substance use among military women and men. American Journal ofDrug and Alcohol Abuse, 25(2), 239-256. doi
  69. British Journal ofGeneral
  70. Burge, S., & Wedzicha, 1. A (2003). Copd exacerbations: Definitions and classifications. European Respiratory Journal, 21 (41), 46S-53. doi
  71. Burgess, A, Kunik, M. E., & Stanley, M. A (2005). Chronic obstructive pulmonary disease: Assessing and treating psychological issues in patients with copd. Geriatries, 60(12), 18 21.
  72. Cao, Z., Ong, K. c., Eng, P., Tan, W. C., & Ng, T. P. (2006). Frequent hospital readmissions for acute exacerbation of copd and their associated factors. Respirology, 11(2), 188-195. doi
  73. Carrozzi L. Epidemiology of chronic obstructive pulmonary disease doi
  74. Celli
  75. Chen, Y-J., & Narsavage, G. L. (2006). Factors related to chronic obstructive pulmonary disease readmission in taiwan. Western Journal ofNursing Research, 28(1), 105-124. doi
  76. Cognitive Therapy and Research. 1992;16(2):229-245.
  77. COPD. doi
  78. CorporationiGraywind Publications Incorporated;
  79. Coultas, D. B., Edwards, D. W., Bamett, B., & Wludyka, P. (2007). Predictors of depressive symptoms in patients with copd and health impact. COPD: Journal ofChronic Obstructive Pulmonary Disease, 4(1),23 - 28. doi
  80. Creed, F. (1990). Psychological disorders in rheumatoid arthritis: A growing consensus? Annals ofthe rheumatic diseases, 49(10), 808-812. Cully, 1. A, Graham, D. P., Stanley, M. A, Ferguson, C. 1., Sharafkhaneh, A., Souchek, 1., et al.
  81. Curtis, J. R., Deyo, R. A, & Hudson, L. D. (1994). Health-related quality of life among patients with chronic obstructive pulmonary disease. Thorax, 49, 162-170. doi
  82. Dahlen, L, & Janson, C. (2002). Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease. Chest, 122(5), 1633-1637. doi
  83. de Godoy, D. V., & de Godoy, R. F. (2003). A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. doi
  84. Department of Health and Human Services, Public Health Service, & National Institutes of Mental Health. (2000). Depression: National Institute of Health. doi
  85. Dépistage de la détresse psychologique Il est essentiel de dépister la maladie psychiatrique chez les patients porteurs de MPOC afin d'offrir des services et des
  86. Di Marco, F., Verga, M., Reggente, M., Maria Casanova, F., Santus, P., Blasi, F., et al. (2006). Anxiety and depression in copd patients: The roles of gender and disease severity. doi
  87. Di Matteo, R. M., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment. Archives ofInternaI Medicine, 160( 14), 2101 2107.
  88. Donaldson, G. C., Seemungal, T. A. R., Bhowmik, A, & Wedzicha, 1. A (2002). Relationship between exacerbation frequency and lung function decline in chronic obstructive pulmonary disease. Thorax, 57(10), 847-852. doi
  89. Dowrick, C. (2005). Somatic symptoms and depression: Diagnostic confusion and clinical neglect. British Journal ofGeneral Practice, 829-830.
  90. Dowson, C. A, Town, G. L, Frampton, c., & Mulder, R. T. (2004). Psychopathology and illness beliefs influence copd self-management. Journal ofPsychosomatic Research, 56(3),333 340. doi
  91. F. M., et al. (2005). Associations of depressive symptoms with gender, body mass index and dyspnea in primary care copd patients. Family Practice, 22(6),604-607. doi
  92. FalIer
  93. Fede G, Parati G, Pagani M. Impact of Chronic Psychosocial Stress on Autonomie Cardiovascular Regulation in Otherwise Healthy Subjects. Hypertension. 2005;46(5): 1201-1206. doi
  94. Frasure-Smith, N., Lesperance, F., & Talajic, M. (1995). Depression and 18-month prognosis after myocardial infarction. Circulation, 91(4), 999-1005. Garcia-Aymerich, 1., Monso, E., Marrades, R. M., Escarrabill, 1., Felez, M. A, Sunyer, 1., et al. doi
  95. Gift, A G., Moore, 1., & Soeken, K. (1992). Relaxation to reduce dyspnea and anxiety in copd patients. Nursing Research, 41,242-246. doi
  96. Global Initiative for Chronic Obstructive Pulmonary Disease. (2005). Global strategyfor the diagnosis, management, and prevention ofchronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute, World Health Organization. doi
  97. Gottlieb, S. S., Khatta, M., Friedmann, E., Einbinder, L., Katzen, S., Baker, B., et al. (2004). The influence of age, gender, and race on the prevalence of depression in heart failure patients. doi
  98. Gudmundsson, G., Gislason, 1., Lindberg, E., Hallin, R., Ulrik, C., Brondum, E., et al. (2006b). Mortality in copd patients discharged from hospital: The role oftreatment and co morbidity. Respiratory Research, 7(109), 1-8.
  99. Guell, R., Resqueti, V., Sangenis, M., Morante, F., Martorell, B., Casan, P., et al. (2006). Impact ofpulmonary rehabilitation on psychosocial morbidity in patients with severe copd. Chest, 129(4),899-904.
  100. Hadjistavropoulos, H. D., Craig, K. D., & Hadjistavropoulos, T. (1998). Cognitive and behavioral responses to illness information: The role ofhealth anxiety. Behaviour Research and Therapy, 36(2), 149-164. doi
  101. Hankinson J, Brusasco V, et al. Standardisation of spirometry. European Respiratory Journal. 2005;26(2):319-338. 36. Brown TA, Di Nardo PA, Barlow DH. Anxiety Disorders
  102. Hospital Admission in a Cohort of Ambulatory COPD Patients: A Multiple doi
  103. Hynninen, K. M. 1., Breitve, M. H., Wiborg, A. B., Pallesen, S., & Nordhus, 1. H. (2005). doi
  104. J'accepte volontairement de participer à cette étude. Je
  105. Jackson, R., & Baldwin, B. O. B. (1993). Detecting depression in elderly medically iii patients: The use of the geriatric depression scale compared with medical and nursing observations. Age and Ageing, 22(5),349-353. doi
  106. JC, doi
  107. Jones, P. W., & Agusti, AG. N. (2006). Outcomes and markers in the assessment of elu'onic obstructive pulmonary disease. European RespiratoryJournal, 27(4),822-832.
  108. Jorm, A F. (2000). Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span. Psychological Medicine, 30, 11-22. doi
  109. JOtles, P., Lareau, S., & Mahler, D. A (2005). Measuring the effects of copd on the patient. Respiratory Medicine, 99, s II-s18. doi
  110. Jotles, P., Quirk, F. H., & Baveystock, C. M. (1991). The st.Georges respiratory questionnaire. Respiratory Medicine, 85, 25S-37. doi
  111. Jotles, P., Quirk, F. H., Baveystock, C. M., & Littlejohns, P. (1992). A self-complete measure of health status for chronic airflow limitation. The st. George's respiratory questionnaire.
  112. jour urgence _ Nbr jour en pneumologie _ Type et sévérité de l'exacerbation: _ Type de traitement prescrit au congé: _ 0
  113. Journal ofthe American College ofCardiology, 43(9), 1542-1549.
  114. Julien M, Maltais F, et al. Reduction of Hospital Utilization in Patients With Chronic Obstructive Pulmonary Disease: A Disease-Specific Self-management Intervention. Archives ofInternai doi
  115. Kessler, R., Stahl, E., Vogelmeier, C., Haughney, 1., Trudeau, E., Lofdahl, c.-G., et al. (2006). Patient understanding, detection, and experience of copd exacerbations: An observational, interview-based study. Chest, 130(1),133-142. doi
  116. Lacasse, Y., Goldstein, R. S., & Guyatt, G. R (1997). Respiratory rehabilitation in chronic obstructive pulmonary disease: Summary of a systematic overview of the literature. Reviews in Clinical Gerontology, 7,327-347.
  117. Mannino, D. M. (2002). Copd: Epidemiology, prevalence, morbidity and mortality, and disease heterogeneity. Chest, 121, 121S-126.
  118. Niewoehner, D. E. (2006). The impact of severe exacerbations on quality of life and the clinical course of chronic obstructive pulmonary disease. American Journal ofMedicine, 119(10, Suppl 1), 38-45.
  119. occurrence of lung cancer in man. Acta - Unio Internationalis Contra Cancrum. 1953;9(3):531-541. doi
  120. Pomerleau, C. S. (1997). Co-factors for smoking and evolutionary psychobiology. Addiction, 92(4),397-408.
  121. Predict
  122. Psychiatrie
  123. psychobiology. Addiction. 1997;92(4):397-408.
  124. Ramsey SD, Hobbs FOR. Chronic Obstructive Pulmonary Disease, Risk Factors, and Outcome Trials: doi
  125. Respiratory Medicine, 1OO( 10), 1767-1774.
  126. RM, et al. Risk Factors for Hospitalization for a Chronic Obstructive Pulmonary Disease Exacerbation. doi
  127. Sin, D. D., & Tu, 1. V. (2001). Inhaled corticosteroids and the risk ofmortality and readmission in elderly patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 164(4),580-584.
  128. TABLEAU 2: ÉTUDES SUR LA PRÉVALENCE DES TROUBLES PSYCHIATRIQUES 124 Tableau 2. Etudes sur la prévalence des troubles psychiatriques Auteurs N Provenance Instruments de Résultats concernant la prévalence (F = femme) des patients
  129. Vous demeurerez libre de vous retirer de l'étude en tout temps sans que cela vous cause préjudice ou
  130. Wagner OP, Wagner RP, Zimmerman JE, Knaus WA. Hospital and l-year survival of patients admitted to intensive care units with acute exacerbation of chronic obstructive pulmonary disease. Journal ofAmerican Medical Association. 1995;274(23): 1852-1857.
  131. Wc. Factors associated with outcomes of acute exacerbations of chronic obstructive pulmonary disease. doi
  132. Weaver, T. E., Richmond, T. S., & Narsavage, G. L. (1997). An explanatory model offunctional status in chronic obstructive pulmonary disease. Nursing Research, 46, 26-31.
  133. with chronic obstructive pulmonary disease: a systematic review. Thorax. 2003;58(5):394-398. 55. O'Leary A. Self-Efficacy and Health: Behavioral and Stress-Physiological Mediation.
  134. Z,
  135. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67,361-370.

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.