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KMID : 0368820130520030163
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Journal of the Korean Neuropsychiatr Association
2013 Volume.52 No. 3 p.163 ~ p.172
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Survey of Depression in the Elderly Patients with Chronic Obstructive Pulmonary Disease
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Sung Seung-Hwan
Lee Hwa-Young
Shim Se-Hoon
Jeong Hee-Yeun
Choi Jae-Sung
Lee Ho-Sung
Kwon Young-Joon
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Abstract
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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 Questionare-9 (PHQ-9), Patient Health Questionare-2 (PHQ-2), Geriatric Depression Scale-Short form Korean (GDS-SF-K), Mini-Mental Status Exam 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.
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KEYWORD
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Elderly depression, Severity of chronic obstructive pulmonary disease, Physical illness, Prevalence, Self-reporting scale
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