Prevalence of depressive symptoms and depression in patients with severe oxygen-dependent chronic obstructive pulmonary disease.

摘要: PURPOSE: To measure the prevalence rate of significant depressive symptoms and depression examine their consequences on quality life in patients with severe oxygen-dependent chronic obstructive pulmonary disease (COPD). METHODS: Between November 1997 March 1998, authors conducted a cross-sectional study among COPD registered at Quebec City area respiratory home care service. Depression were assessed using Geriatric Scale Medical Outcome Survey--Short Form 36 (SF-36). RESULTS: 109 (63 men; mean age: 71) (median FEV1: 34%) surveyed. Of them, 105 long-term oxygen therapy (LTOT), which had been introduced (median) 19 months earlier. Sixty-two (57%; 95% Cl: 47-66) demonstrated symptoms; addition, 20 (18%; 12-27) severely depressed. Only 6% those who met criteria for taking an antidepressant drug. We found moderate correlations between scores obtained from 7 8 domains SF-36. CONCLUSION: Significant are highly prevalent LTOT. There is strong evidence that under-recognized under-treated this group patients.