J Korean Neuropsychiatr Assoc.  2013 May;52(3):163-172.

Survey of Depression in the Elderly Patients with Chronic Obstructive Pulmonary Disease

Affiliations
  • 1Department of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan, Korea. yjkwon@schmc.ac.kr
  • 2Department of Pulmonology, College of Medicine, Soonchunhyang University, Cheonan, Korea.
  • 3Department of Endocrinology, College of Medicine, Soonchunhyang University, Cheonan, Korea.
  • 4Department of Cardiology, College of Medicine, Soonchunhyang University, Cheonan, Korea.

Abstract


OBJECTIVES
Depression is commonly comorbid in the elderly patients with physical illness. This study examined the prevalence of depression in the elderly with chronic obstructive pulmonary disease (COPD).
METHODS
The eighty-seven patients with COPD were enrolled. The subjects are over 60 years old. The medical and psychiatric history, Hamilton Rating Scale for Depression (HDRS), Patient Health Questionnaire-9 (PHQ-9), Patient Health Questionnaire-2 (PHQ-2), Geriatric Depression Scale-Short form Korean (GDS-SF-K), Mini-Mental Status Exam Korean version (MMSE-KC) were investigated. Global Initiative for Chronic Obstructive Lung Disease (GOLD), which predict the severity of COPD, also investigated.
RESULTS
The prevalence of depression was estimated to be 24.7% (male 19.3% ; female 35.7%) in HDRS, 31.0% (male 24.6% ; female 43.3%) in PHQ-9, 8.0% (male 10.5% ; female 3.3%) in PHQ-2, 23.0% (male 17.5% ; female 33.3%) in GDS-SF-K. The severity of COPD (GOLD) was associated with the prevalence of depression (HDRS, p=0.027 ; PHQ-9, p=0.045 ; PHQ-2, p=0.112 ; GDS-SFK, p=0.089).
CONCLUSION
The prevalence of elderly depression with COPD ranged from about 20% to 30%, the prevalence of depression is nearly two times more common in women. The severity of COPD (GOLD) was associated with the prevalence of depression. The self-reporting scale, such as GDS-SF-K, PHQ-9 and PHQ-2 is the effective screening test of depression.

Keyword

Elderly depression; Severity of chronic obstructive pulmonary disease; Physical illness; Prevalence; Self-reporting scale

MeSH Terms

Aged
Depression
Female
Humans
Mass Screening
Prevalence
Pulmonary Disease, Chronic Obstructive
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