Korean J Med.
2012 Oct;83(4):468-475.
Screening for Depression in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review
- Affiliations
-
- 1Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
- 2Institute for Evidence-Based Medicine, Korea University, Seoul, Korea.
- 3Department of Psychiatry, St. Paul's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.
- 4Department of International Medicine, National Medical Center, Seoul, Korea.
- 5Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ymoh55@amc.seoul.kr
Abstract
- BACKGROUND/AIMS
Chronic obstructive pulmonary disease (COPD) often coexists with co-morbid conditions that significantly affect the prognosis. Although depression frequently coexists with COPD, little about how to screen for depression in COPD patients is known. We report the effectiveness of depression screening in patients with COPD and of the instruments used for this purpose.
METHODS
We performed a systematic literature review of the domestic (Research Information Sharing Service, KoreaMed, and Kmbase) and international (Medline, Embase, Cochrane library) databases using "COPD AND depression AND screening tools" as key words.
RESULTS
No study directly evaluated the effectiveness of screening for depression in COPD patients. However, depression was present more frequently in patients with COPD. COPD patients with depression were also more likely to be in poor health. A total of eight screening instruments for depression were translated into Korean. All had similar reliabilities and internal consistencies.
CONCLUSIONS
Screening of COPD patients for depression is necessary because individuals with this condition are more likely to suffer from depression, which has a negative impact on health. The choice of depression screening instruments may need to be based on considerations of simplicity.
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