Impact of Depression on Patients With Idiopathic Pulmonary Fibrosis
| Autor: | Vasilios Tzilas, Argyris Tzouvelekis, Maria Dassiou, Chrysoula Antonou, Evangelos Bouros, Demosthenes Bouros, Theodoros Karampitsakos, Sofia Kourtidou, Matthaios Katsaras |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
antifibrotics
medicine.medical_specialty prevalence Pulmonary function testing 03 medical and health sciences FEV1/FVC ratio Idiopathic pulmonary fibrosis 0302 clinical medicine Pharmacotherapy Quality of life DLCO Internal medicine Medicine 030212 general & internal medicine Prospective cohort study Depression (differential diagnoses) Original Research lcsh:R5-920 business.industry General Medicine idiopathic pulmonary fibrosis medicine.disease quality of life 030228 respiratory system depression lcsh:Medicine (General) business |
| Zdroj: | Frontiers in Medicine, Vol 7 (2020) Frontiers in Medicine |
| ISSN: | 2296-858X |
| DOI: | 10.3389/fmed.2020.00029 |
| Popis: | Introduction: Depression is prevalent in patients with Idiopathic Pulmonary Fibrosis (IPF). The impact of depression on quality of life and its correlation with disease severity in patients with IPF has not been thoroughly evaluated on prospective studies.Patients and Methods: Between 2016 and 2017, we prospectively enrolled 101 patients (80 male, mean age (years) ± SD: 70.8 ± 8.1) with IPF (mean GAP score ± SD: 4.7 ± 1.8) without previous diagnosis of depression. Depressive symptoms were evaluated with Beck's depression inventory-II (BDI-II). Disease severity was evaluated with pulmonary function (FVC, DLCO) and exercise capacity measures. Symptom burden was assessed by cough and dyspnea scales. Health Related Quality of Life (HRQL) was assessed with two questionnaires.Results: Data for analysis was available from 98 patients (97%). Forty two patients (42.9%) presented with depressive symptoms scoring≥14. A significant association between depressive symptoms and measures of: 1) disease severity: a) GAP score: r = 0.32, p = 0.007, b) DLCO: r = −0.28, p = 0.007, c) 6MWD: r = −0.39, p = 0.017, 2) symptom burden: a) cough: r = −0.57, p < 0.001, b) dyspnea (Borg: r = 0.54, p < 0.001, mMRC: r = 0.55, p < 0.001, SOBQ: r = 0.57, p < 0.001 and 3) HRQL: a) SGRQ: (Total score: r = 0.68, p < 0.001, Activity Score: r = 0.60, p < 0.001, Impact score: r = 0.68, p < 0.001, Symptoms score: r = 0.60, p < 0.001, b) K-BILD: r = −0.66, p < 0.001), was identified. There was no statistically significant difference in BDI-II (p = 0.62) and SGRQ (p = 0.64) 1 year after treatment with antifibrotics.Conclusions: Patients with IPF and severe functional impairment tend to have increased risk for depression development and poor quality of life. Further prospective studies should investigate the role of antidepressant drug therapy in patients with IPF and comorbid depression. |
| Databáze: | OpenAIRE |
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