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Anxiety, Stress and Depression on COPD Patients. A Qualitative Research

Published online by Cambridge University Press:  23 March 2020

E. Kotrotsiou ,
E. Tzounis ,
Z. Daniil ,
C. Hatzoglou ,
N. Skenteris  and
K. Gourgoulianis
E. Kotrotsiou
Affiliation:
University of Applied Sciences of Thessaly, Nursing, Postgraduate Program in Primary Health Care, Laboratory Science of Care, Larissa, Greece
E. Tzounis
Affiliation:
Primary National Health Network, Health Unit, Volos, Greece
Z. Daniil
Affiliation:
University of Thessaly, Medicine, Larissa, Greece
C. Hatzoglou
Affiliation:
University of Thessaly, Medicine, Postgraduate Program of Primary Health Care, Larissa, Greece
N. Skenteris
Affiliation:
University of Thessaly, Medicine, Postgraduate Program of Primary Health Care, Larissa, Greece
K. Gourgoulianis
Affiliation:
University of Thessaly, Medicine, Postgraduate Program of Primary Health Care, Larissa, Greece

Abstract

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Introduction

COPD is a common disease, has an impact not only on psychical but also on psychological well-being. Anxiety, stress, depression are common comorbidities for COPD patients.

Objectives

This paper proposes to study from a qualitative point of view the effect of depression on COPD patients.

Aims

A qualitative methodology was chosen in order to explore 75 (male n = 69, female n = 6) COPD patients’ symptoms and signs of anxiety, stress and depression.

Methods

Data were collected through semi-structured interviews. All patients also completed the Beck Inventory and the GDS 15 questionnaires. The interviews were conducted both in the general university hospital of Larissa and in patients’ homes.

Results

We enrolled 75 patients (15: normal, 17: mild depression, 7: moderate and 1 severe). Persistent low mood and lack of interest was expressed by most of the participants. “Before I get this thing, I was in a good mood, but not now”. Poor self-management was associated with anxiety disorders and high temper: “I withdrew, due to my health”…“I was really stressed, and depressed, and quick-tempered”. COPD diagnosis was difficult for some patients: “At the beginning, I wasn’t in the mood for anything, just sleeping and more of watching TV”. Other patients seemed to be in a good mood: “I was never scared of anything, I am happy”.

Conclusions

This research shows that depressive and anxiety symptoms are common among COPD patients. Depression has a significant impact on the daily life of patients while breathlessness made patients feel housebound and social isolated.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-poster walk: Consultation liaison psychiatry and psychosomatics–Part 1
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. s243
Copyright
Copyright © European Psychiatric Association 2017
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