Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 3/2013

01-04-2013

Depression and anxiety symptoms in bronchiectasis: associations with health-related quality of life

Auteurs: Casilda Olveira, Gabriel Olveira, Inmaculada Gaspar, Antonio Dorado, Ivette Cruz, Federico Soriguer, Alexandra L. Quittner, Francisco Espildora

Gepubliceerd in: Quality of Life Research | Uitgave 3/2013

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background and purpose

Bronchiectasis causes pulmonary infections and loss of lung function, resulting in chronic respiratory symptoms and worsening health-related quality of life. The aims of this study were to measure symptoms of depression and anxiety in a sample of patients with bronchiectasis and evaluate their relationship to health outcomes and health-related quality of life.

Methods

This cross-sectional study included adolescents and adults with bronchiectasis. Patients completed the hospital anxiety and depression scale and the St. George respiratory questionnaire. Health outcome data, including clinical, radiological and spirometric values, were recorded from medical charts.

Results

Ninety-three participants with bronchiectasis of any aetiology were recruited: 20 % had elevated depression-related scores and 38 % had elevated anxiety-related scores. Increased symptoms of depression and anxiety were significantly associated with age; anxiety was associated with more frequent exacerbations. Regression analyses indicated that after controlling for demographic (gender and age) and clinical variables (exacerbations frequency, daily sputum, aetiology and spirometry), both depression and anxiety symptoms predicted significantly worse health-related quality of life. In comparison with other predictors, psychological symptoms explained the largest amount of variance in health-related quality of life.

Conclusions

Symptoms of depression and anxiety were significant predictors of health-related quality of life in patients with bronchiectasis, independently of respiratory involvement, gender, age or other variables.
Literatuur
2.
go back to reference Vendrell, M., de Gracia, J., Olveira, C., Martínez, M. A., Girón, R., Máiz, L., et al. (2008). Diagnosis and treatment of bronchiectasis. Recommendations of the spanish society of pulmonology and thoracic surgery(SEPAR). Archivos de Bronconeumologia, 44, 629–640. PubMedCrossRef Vendrell, M., de Gracia, J., Olveira, C., Martínez, M. A., Girón, R., Máiz, L., et al. (2008). Diagnosis and treatment of bronchiectasis. Recommendations of the spanish society of pulmonology and thoracic surgery(SEPAR). Archivos de Bronconeumologia, 44, 629–640. PubMedCrossRef
3.
go back to reference Pasteur, M. C., Bilton, D., & Hill, A. T., On behalf of The British Thoracic Society Bronchiectasis (non-CF) Guidelines Group. (2010). British thoracic society for non-CF bronchiectasis. Thorax, 65, i1–i58. PubMedCrossRef Pasteur, M. C., Bilton, D., & Hill, A. T., On behalf of The British Thoracic Society Bronchiectasis (non-CF) Guidelines Group. (2010). British thoracic society for non-CF bronchiectasis. Thorax, 65, i1–i58. PubMedCrossRef
4.
go back to reference O’Leary, C. J., Wilson, C. B., Hansell, D. M., Cole, P. J., Wilson, R., & Jones, P. W. (2002). Relationship between psychological well-being and lung health status in patients with bronchiectasis. Respiratory Medicine, 96, 686–692. PubMedCrossRef O’Leary, C. J., Wilson, C. B., Hansell, D. M., Cole, P. J., Wilson, R., & Jones, P. W. (2002). Relationship between psychological well-being and lung health status in patients with bronchiectasis. Respiratory Medicine, 96, 686–692. PubMedCrossRef
5.
go back to reference Abbott, J., Hart, A., Morton, A., & Gee, L. (2008). Conway S. Health-related quality of life in adults with cystic fibrosis: The role of coping. Journal of Psychosomatic Research. Abbott, J., Hart, A., Morton, A., & Gee, L. (2008). Conway S. Health-related quality of life in adults with cystic fibrosis: The role of coping. Journal of Psychosomatic Research.
6.
go back to reference Olveira, G., Olveira, C., Gaspar, I., Cruz, I., Dorado, A., Pérez-Ruiz, E., et al. (2010). Validation of the Spanish version of the revised cystic fibrosis quality of life questionnaire in adolescents and adults (CFQR 14 + Spain). Archivos de Bronconeumologia, 46, 165–175. PubMedCrossRef Olveira, G., Olveira, C., Gaspar, I., Cruz, I., Dorado, A., Pérez-Ruiz, E., et al. (2010). Validation of the Spanish version of the revised cystic fibrosis quality of life questionnaire in adolescents and adults (CFQR 14 + Spain). Archivos de Bronconeumologia, 46, 165–175. PubMedCrossRef
8.
go back to reference Martínez-García, M. A., Perpiñá Tordera, M., Román Sánchez, P., & Soler Cataluña, J. J. (2005). Internal consistency and validity of the Spanish version of the St. George’s respiratory questionnaire for use in patients with clinically stable bronchiectasis. Archivos de Bronconeumologia, 41, 110–117. PubMedCrossRef Martínez-García, M. A., Perpiñá Tordera, M., Román Sánchez, P., & Soler Cataluña, J. J. (2005). Internal consistency and validity of the Spanish version of the St. George’s respiratory questionnaire for use in patients with clinically stable bronchiectasis. Archivos de Bronconeumologia, 41, 110–117. PubMedCrossRef
9.
go back to reference Padilla, A., Olveira, G., Olveira, C., Dorado, A., Plata, A. J., Gaspar, I., et al. (2007). Validity and reliability of the St George’s respiratory questionnaire in adults with cystic fibrosis. Archivos de Bronconeumologia, 43, 205–211. PubMedCrossRef Padilla, A., Olveira, G., Olveira, C., Dorado, A., Plata, A. J., Gaspar, I., et al. (2007). Validity and reliability of the St George’s respiratory questionnaire in adults with cystic fibrosis. Archivos de Bronconeumologia, 43, 205–211. PubMedCrossRef
10.
go back to reference Martínez-García, M. A., Perpiñá-Tordera, M., Román-Sánchez, P., & Soler-Cataluña, J. J. (2005). Quality-of-life determinants in patients with clinically stable bronchiectasis. Chest, 128(739–45), 12. Martínez-García, M. A., Perpiñá-Tordera, M., Román-Sánchez, P., & Soler-Cataluña, J. J. (2005). Quality-of-life determinants in patients with clinically stable bronchiectasis. Chest, 128(739–45), 12.
11.
go back to reference Quittner, A. L., Schechter, M., Rasouliyan, R., Haselkom, T., Pasta, D. J., & Wagener, J. S. (2010). Impact of socioeconomic status, race, and ethnicity on quality of life in patients with cystic fibrosis. Chest, 137, 642–650. PubMedCrossRef Quittner, A. L., Schechter, M., Rasouliyan, R., Haselkom, T., Pasta, D. J., & Wagener, J. S. (2010). Impact of socioeconomic status, race, and ethnicity on quality of life in patients with cystic fibrosis. Chest, 137, 642–650. PubMedCrossRef
12.
go back to reference Cruz, I., Marciel, K. K., Quittner, A. L., & Schechter, M. S. (2009). Anxiety and depression in cystic fibrosis. Seminars in Respiratory and Critical Care Medicine, 30, 569–578. PubMedCrossRef Cruz, I., Marciel, K. K., Quittner, A. L., & Schechter, M. S. (2009). Anxiety and depression in cystic fibrosis. Seminars in Respiratory and Critical Care Medicine, 30, 569–578. PubMedCrossRef
13.
go back to reference Katon, W., Lin, E. H., & Kroenke, K. (2007). The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. General Hospital Psychiatry, 29, 147–155. PubMedCrossRef Katon, W., Lin, E. H., & Kroenke, K. (2007). The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. General Hospital Psychiatry, 29, 147–155. PubMedCrossRef
14.
go back to reference Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. J., & Goodwin, R. D. (2008). Anxiety disorders and comorbid medical illness. General Hospital Psychiatry, 30, 208–225. PubMedCrossRef Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. J., & Goodwin, R. D. (2008). Anxiety disorders and comorbid medical illness. General Hospital Psychiatry, 30, 208–225. PubMedCrossRef
15.
go back to reference U.S. Preventive Task Force (2009). Screening for depression in adults: U.S. Preventive services task force recommendation stastement. Annals of Internal Medicine 151:784–792. U.S. Preventive Task Force (2009). Screening for depression in adults: U.S. Preventive services task force recommendation stastement. Annals of Internal Medicine 151:784–792.
16.
go back to reference Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., et al. (2004). Disability and quality of life impact of mental disorders in Europe: results from the European study of the epidemiology of mental disorders (ESEMeD) project. Acta Psychiatrica Scand., 109, 38–46. CrossRef Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., et al. (2004). Disability and quality of life impact of mental disorders in Europe: results from the European study of the epidemiology of mental disorders (ESEMeD) project. Acta Psychiatrica Scand., 109, 38–46. CrossRef
17.
go back to reference Haro, J. M., Palacín, C., Vilagut, G., Martínez, M., Bernal, M., Luque, I., et al. (2006). Prevalencia de los trastornos mentales y factores asociados: resultados del estudio ESEMeD-España. Medical Clinics (Barc), 126, 445–451. CrossRef Haro, J. M., Palacín, C., Vilagut, G., Martínez, M., Bernal, M., Luque, I., et al. (2006). Prevalencia de los trastornos mentales y factores asociados: resultados del estudio ESEMeD-España. Medical Clinics (Barc), 126, 445–451. CrossRef
18.
go back to reference Riekert, K. A., Bartlett, S. J., Boyle, M. P., Krishnan, J. A., & Rand, C. S. (2007). The association between depression,lung function, and health-related quality of life among adults with cystic fibrosis. Chest, 132, 231–237. PubMedCrossRef Riekert, K. A., Bartlett, S. J., Boyle, M. P., Krishnan, J. A., & Rand, C. S. (2007). The association between depression,lung function, and health-related quality of life among adults with cystic fibrosis. Chest, 132, 231–237. PubMedCrossRef
19.
go back to reference Naidich, D. P., McCauley, D. I., Khouri, N. F., Stitik, F. P., & Siegelman, S. S. (1982). Computed tomography of bronchiectasis. Journal of Computer Assisted Tomography, 6, 437–444. PubMedCrossRef Naidich, D. P., McCauley, D. I., Khouri, N. F., Stitik, F. P., & Siegelman, S. S. (1982). Computed tomography of bronchiectasis. Journal of Computer Assisted Tomography, 6, 437–444. PubMedCrossRef
20.
go back to reference Roca, J., Sanchis, J., Agustí Vidal, A., Segarra, F., Navajas, D., Rodriguez-Roisin, R., et al. (1986). Spirometric reference values for a Mediterranean population. Bulletin Européen de Physiopathologie Respiratoire, 22, 217–224. PubMed Roca, J., Sanchis, J., Agustí Vidal, A., Segarra, F., Navajas, D., Rodriguez-Roisin, R., et al. (1986). Spirometric reference values for a Mediterranean population. Bulletin Européen de Physiopathologie Respiratoire, 22, 217–224. PubMed
21.
go back to reference Bhalla, M., Turcios, N., Aponte, V., Jenkins, M., Leitman, B. S., McCauley, D. I., et al. (1991). Cystic fibrosis: Scoring system with thin-section CT. Radiology, 179, 783–788. PubMed Bhalla, M., Turcios, N., Aponte, V., Jenkins, M., Leitman, B. S., McCauley, D. I., et al. (1991). Cystic fibrosis: Scoring system with thin-section CT. Radiology, 179, 783–788. PubMed
22.
go back to reference ATS statement. (2002). Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine 66:111–117. ATS statement. (2002). Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine 66:111–117.
23.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scand., 67, 361–370. CrossRef Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scand., 67, 361–370. CrossRef
24.
go back to reference Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry, 25, 277–283. PubMedCrossRef Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry, 25, 277–283. PubMedCrossRef
25.
go back to reference Kunik, M. E., Roundy, K., Veazey, C., Souchek, J., Richardson, P., Wray, N. P., et al. (2005). Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest, 127, 1205–1211. PubMedCrossRef Kunik, M. E., Roundy, K., Veazey, C., Souchek, J., Richardson, P., Wray, N. P., et al. (2005). Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest, 127, 1205–1211. PubMedCrossRef
26.
go back to reference Goldbeck, L., Besier, T., Hinz, A., Singer, S., Quittner, A. L., & TIDES study group. (2010). Prevalence of anxious and depressive symptoms in German patients with Cystic Fibrosis. Chest, 138, 929–936. PubMedCrossRef Goldbeck, L., Besier, T., Hinz, A., Singer, S., Quittner, A. L., & TIDES study group. (2010). Prevalence of anxious and depressive symptoms in German patients with Cystic Fibrosis. Chest, 138, 929–936. PubMedCrossRef
27.
go back to reference Sawicki, G. S., Sellers, D. E., & Robinson, W. M. (2011). Associations between illness perceptions and health-related quality of life in adults with cystic fibrosis. Journal of Psychosomatic Research, 70(2), 161–167. PubMedCrossRef Sawicki, G. S., Sellers, D. E., & Robinson, W. M. (2011). Associations between illness perceptions and health-related quality of life in adults with cystic fibrosis. Journal of Psychosomatic Research, 70(2), 161–167. PubMedCrossRef
28.
go back to reference Burker, E. J., Sedway, J., & Carone, S. (2004). Psychological and educational factors: Better predictors of work status tan FEV1 in adults with cystic fibrosis. Pediatric Pulmonology, 38, 413–418. PubMedCrossRef Burker, E. J., Sedway, J., & Carone, S. (2004). Psychological and educational factors: Better predictors of work status tan FEV1 in adults with cystic fibrosis. Pediatric Pulmonology, 38, 413–418. PubMedCrossRef
29.
go back to reference Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., et al. (2008). ACCP workshop panel on anxiety and depression in COPD. Anxiety and depression in COPD: current understanding, unanswered questions, and research needs. Chest, 134, 43S–56S. PubMedCrossRef Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., et al. (2008). ACCP workshop panel on anxiety and depression in COPD. Anxiety and depression in COPD: current understanding, unanswered questions, and research needs. Chest, 134, 43S–56S. PubMedCrossRef
30.
go back to reference Quittner AL, Cruz I, Blackwell LS, Schechter MS. (2010). The international depression and anxiety epidemiological study (TIDES): Preliminary results from the United States. Pediatric Pulmonology, 45(Suppl. 33), 445S. Quittner AL, Cruz I, Blackwell LS, Schechter MS. (2010). The international depression and anxiety epidemiological study (TIDES): Preliminary results from the United States. Pediatric Pulmonology, 45(Suppl. 33), 445S.
31.
go back to reference Quittner, A. L., Cruz, I., & Marciel, K. K. (2009). A new PRO for non-CF bronchiectasis: Associations between the QOL-B and health outcomes. [Abstract]. European Respiratory Journal, 34(Suppl. 53), 1010S. Quittner, A. L., Cruz, I., & Marciel, K. K. (2009). A new PRO for non-CF bronchiectasis: Associations between the QOL-B and health outcomes. [Abstract]. European Respiratory Journal, 34(Suppl. 53), 1010S.
Metagegevens
Titel
Depression and anxiety symptoms in bronchiectasis: associations with health-related quality of life
Auteurs
Casilda Olveira
Gabriel Olveira
Inmaculada Gaspar
Antonio Dorado
Ivette Cruz
Federico Soriguer
Alexandra L. Quittner
Francisco Espildora
Publicatiedatum
01-04-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 3/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0188-5