Evaluation of psychological status in patients with asthma and COPD.
Evaluation of psychological status in patients with asthma and COPD.
复制标题
哮喘合并COPD患者的心理状态评估。
DOI：
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Baghban Haghigh
中科院分区：
文献类型：
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作者：
A. Asnaashari;A. Talaei;Baghban Haghigh
慢性阻塞性肺疾病（COPD）和哮喘是主要的公共卫生问题，似乎与精神疾病密切相关。本研究旨在比较支气管哮喘和慢性阻塞性肺疾病患者的心理状况，并探讨其与肺阻塞程度的关系。这项横断面研究计划在伊朗东北部马什哈德市的Ghaem医院呼吸门诊和33名健康对照者中比较67名稳定阻塞性肺患者（17名哮喘，24名喘息性支气管炎和26名COPD）的心理状态。根据GOLD标准确定肺阻塞的严重程度。采用Beck抑郁量表、汉密尔顿焦虑量表和SCL-90-R问卷进行心理状况测定。哮喘组、COPD组、喘息性支气管炎组和对照组的一般精神病理学患病率分别为64.7%、42.3%、33.3%和36.4%。哮喘、COPD和喘息性支气管炎患者抑郁的发生率分别为66.7%、54.2%和44.4%。焦虑的发生率在哮喘、COPD和喘息性支气管炎中分别为46.7%、45.8%和40.7%。焦虑评分与婚姻状况和对收入的满意度有关。哮喘和COPD患者患精神疾病的风险相同，都需要在呼吸科诊所进行心理评估。治疗师必须更多地关注患有严重肺部疾病的患者。
Chronic obstructive pulmonary disease (COPD) and asthma are major public health problems, which seems to have close association with psychiatric disorders. The present study was conducted to compare the psychological status between asthmatic and COPD patients and clarify the relationship with severity of pulmonary obstruction. This cross-sectional study was planned to compare the psychological status in 67 stable obstructive lung patients (17 asthma, 24 asthmatic bronchitis and 26 COPD) referred to respiratory clinic of Ghaem hospital and 33 healthy controls, in Mashhad city, north east of Iran. Severity of pulmonary obstruction was determined based on GOLD criteria. "Beck Depression Inventory", "Hamilton Anxiety Rating Scale" and "SCL-90-R" questionnaires were used to determine the psychological status. Prevalence of general psychopathology in asthma, COPD, asthmatic bronchitis and control groups were 64.7%, 42.3%, 33.3% and 36.4% respectively. Psychological status was directly related to severity of pulmonary obstruction (p=0.048), Prevalence of depression in asthmatic, COPD and asthmatic bronchitis groups were 66.7%, 54.2% and 44.4% respectively. Depression score was related to severity of pulmonary obstruction (p=0.000).Prevalence of anxiety in asthma, COPD and asthmatic bronchitis were 46.7%, 45.8% and 40.7% respectively. Anxiety score was related to marital status and satisfaction with income Asthmatic and COPD patients are at equal risk of developing psychiatric disorders and both require psychological evaluations in respiratory clinics. Therapists must pay more attention to patients with severe pulmonary disease.
影响因子：
7
作者：
Scott, Kate M.;Von Korff, Michael;Haro, Josep Maria
通讯作者：
Haro, Josep Maria