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Depression in elderly outpatients with disabling chronic obstructive pulmonary disease
Author(s)Abebw M Yohannes, Jamal Roomi, Robert C Baldwin
Journal titleAge and Ageing, vol 27, no 2, March 1998
Pagespp 155-160
KeywordsDepression ; Heart disease ; Out-patients.
AnnotationDepression is common in both young adults and older people with chronic obstructive pulmonary disease (COPD). The authors compared the prevalence of depressive symptomatology in older outpatients with stable disabling COPD with that in healthy controls and age-matched patients with other disabilities, and also assessed the relation between degree of disability, quality of life and depressive symptoms. Subjects were 96 older people with COPD, 55 normal controls, and 53 disabled controls. 44 subjects with COPD (46%), 6 normal controls (11%) and 14 disabled controls (26%) scored in the "caseness" range for depressive ideation on the Brief Assessment Schedule Depression Cards (BASDEC) screening questionnaire. A multiple regression analysis was performed for the COPD group to identify factors predictive of BASDEC score. Predictive variables were total quality of life score, Chronic Respiratory Questionnaire, and level of activities of daily living (Nottingham ADL scale). Spirometry results and exercise tolerance (6 min walk distance) did not help predict BASDEC score. Depressive symptoms are common in older patients with COPD, but prevalence and/or severity of depressive symptoms may be greater in those who are most disabled. (RH).
Accession NumberCPA-981208222 A
ClassmarkENR: CQH: LFB

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