The Evaluation Of Psychological Status In Newly Diagnosed COPD Patients

-Aims: We aimed to assess the effect of taking diagnosis of COPD and using bronchodilator therapy on the psychological status of COPD patients.

-Methods: It is a cross-sectional study including newly diagnosed COPD outpatients.
Spirometry, Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory (BDI) and St. George's Respiratory Questionnaire (SGRQ) were performed at the first visit (date of new diagnosis) and six months later as the second visit.

-Results: Ninety new-diagnosed COPD patients (71 men and 19 women) with a mean age of 61.7±9.8 were included. There were high scores of anxiety in 23.5% and depression in 38.2%(HADS)-52.9% (BDI) patients at the first visit. The symptoms of anxiety decreased to 19%,depression to 33.3% (HADS)/ 47.6% (BDI) six months later. There was an improvement in psychological status and quality of life (p<0.001). There was a negative correlation between SGRQ score and FEV1 levels (p=0.045) and positive correlation of SGRQ score with HAD and BDI scores (p=0.041 and 0.011). Participants who quitted smoking in 6 months period had statistically lower anxiety-depression scores (p=0.003 and 0.026).

-Conclusion: Depression and anxiety states are frequent among COPD patients. Pulmonary symptoms may regress with the bronchodilator therapy at newly diagnosed COPD patients, which can cause an improvement in pulmonary functions, psychological status, and quality of life.Psychological aspects need to be carefully assessed in patients with new diagnosis of COPD.