Korean J Fam Med.  2011 May;32(4):234-242. 10.4082/kjfm.2011.32.4.234.

Factors Associated with Depressive Symptom in Chronic Obstructive Pulmonary Disease Based on the Third (2005) and Fourth (2008) Korea National Health and Nutritional Examination Survey (KNHANES III, IV)

• Kim SH
• Kim JS
• Choi JY
• Lee KY
• Park TJ
• Lee JH

• KMID: 2234804
• DOI: http://doi.org/10.4082/kjfm.2011.32.4.234

Abstract

BACKGROUND
Depressive symptoms accompanied by chronic obstructive pulmonary disease (COPD) can be influenced by socioeconomic status, associated chronic diseases and the current smoking status. This study was conducted to assess factors that are associated with depressive symptoms accompanied by COPD, using the data obtained from the Korea National Health and Nutritional Survey (KNHANES) conducted in 2005 and 2008.
METHODS
From the third (2005) and the fourth (2008) KNHANES, 407 (0.9%) with physician-diagnosed COPD were selected. Of the 407 subjects, only 180 (0.4%) who reported having depressive symptoms were included in this study. The associations of depressive symptoms with socioeconomic status, associated chronic diseases and smoking status were investigated.
RESULTS
Of the total 180 subjects, 45 (25%) had depressive symptoms. There were 102 males (55%) and 78 females (45%) with a slight predilection for males. In multivariate analysis, significant predictors of depressive symptoms were dependent activities of daily living (odds ratio [OR], 2.42; 95% confidence interval [CI], 2.06 to 2.84) and association with number of chronic diseases (OR of one, two, and three, 1.40, 1.72, 2.60; 95% CI of one, two, and three, 1.20 to 1.63,1.41 to 2.10,1.99 to 3.39).
CONCLUSION
This study provides the basis for managing COPD patients in a clinical setting by understanding the number and characteristics of COPD patients with depressive symptoms. The results of this study suggest that primary physicians should manage COPD patients with consideration of risk factors for depressive symptom.

Keyword

Pulmonary Disease, Chronic Obstructive; Depression; Smoking; KNAHNES

MeSH Terms

Activities of Daily Living
Chronic Disease
Depression
Female
Humans
Korea
Male
Multivariate Analysis
Nutrition Surveys
Pulmonary Disease, Chronic Obstructive
Risk Factors
Smoke
Smoking
Social Class
Smoke