Cruz, Joana

Figueiredo, Daniela

Gabriel, Raquel

Jâcome, Cristina

Marques, Alda

Oliveira, Ana

Pereira, Ana

American Journal of Respiratory and Critical Care Medicine

English

Repositório Institucional da Universidade de Aveiro

18/04/13 Printing Toolabout:blank 1/2 [Poster Board # 706] Anxiety And Depression At Early COPD: (Dis)Similarities BetweenPatients And Their Family Caregivers, [Publication Page: A5123]D. Figueiredo, PhD, R. Gabriel, MSc, J. Cruz, MSc, C. Jacome, MSc, A. Pereira, MSc, A.L. Oliveira,Licenciate's degree, A.S.P.D.D. Marques, Phd Aveiro/PTRationale: Chronic Obstructive Pulmonary Disease (COPD) is highly incapacitating resulting inprogressive loss of independence and reduced quality of life. These impacts contribute significantly to thepsychological distress found in patients with COPD. Family caregivers, who provide the bulk of supportto these patients, have also to deal with these challenges, which might affect their own mental health.However, this has not been explored in both patients and family caregivers, particularly at early grades ofCOPD. This study aimed to assess anxiety and depression symptoms in patients at early COPD and theirfamily caregivers.Methods: A cross-sectional study was conducted. Patients with COPD grades 1 and 2 and theircaregivers were recruited. A structured questionnaire based on the International Classification ofFunctioning, Disability and Health was used to collect socio-demographic data and participants’ self-rated physical and mental health. Spirometry was performed to confirm the COPD grade. Caregiversreported the duration of the care provided (hours/week). Anxiety and depression were measured with theHospital Anxiety and Depression Scale (HADS) and a cutoff of ≥8 was used to consider the presence ofeach symptom. Descriptive statistics, χ2 tests and Spearman correlations (ρ) were applied using SPSS19.0.Results: The sample included 100 patients with COPD (68.55±11.96years old; 60 males; FEV175.88±18.26%predicted) and 100 caregivers (58.36±12.88years old; 72 females). Participants wereprimarily couples (n=66). The prevalence of symptoms in patients was 56% for anxiety, 35% fordepression and 28% for both. Regarding caregivers, 63% presented anxiety symptoms, 29% depressionand 25% both. When considering the family unit, 36 dyads had anxiety and 12 depression symptoms. Inpatients, the presence of depression was related to the degree of relationship (p=0.004) and in caregiverswas related to the duration of care (p=0.006). Anxiety and depression were inversely related to theacademic qualifications in both groups (p<0.05). Both symptoms were moderately related to patients’and caregivers’ self-rated physical (p<0.05; ρanxiety=0.456 and ρdepression=0.222 for patients;ρanxiety=0.296 and ρdepression=0.368 for caregivers) and mental health (p<0.05; ρanxiety=0.406 andρdepression=0.270 for patients; ρanxiety=0.458 and ρdepression=0.328 for caregivers).Conclusions: Patients at early COPD and their family caregivers suffer from anxiety and depressionsymptoms. Therefore, like in other chronic diseases, COPD has significant impacts not only on patients’mental health, but also on caregivers’. Therefore, assessing the psychological impact of COPD in earlygrades is crucial to develop appropriate interventions aiming to promote families’ functional and healthyadjustment to the disease.Am J Respir Crit Care Med 187;2013:A5123Session Info: Poster Discussion Session, [C107] PULMONARY REHABILITATION:ORGANIZATION AND OUTCOMESDay/Date: Tuesday, May 21, 201318/04/13 Printing Toolabout:blank 2/2Session Time: 2:00 PM - 4:30 PMPoster Viewing: 2:00 PM - 3:00 PMDiscussion: 3:00 PM - 4:30 PMRoom: Room 203 A-B (200 Level) Pennsylvania Convention CenterView publication stats

Anxiety and depression at early COPD: (dis)Similarities Between Patients And Their Family Caregivers

https://ria.ua.pt/bitstream/10773/27808/3/2013_Figueiredo_Anxiety%20and%20depression%20at%20early%20COPD%20%28002%29.pdf

Anxiety and depression at early COPD: (dis)Similarities Between Patients And Their Family Caregivers

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Repositório Institucional da Universidade de Aveiro