The effects of depression, anxiety and sleep disturbances on cognitive impairment in patients with chronic obstructive pulmonary disease
| Autor: | Abdulkadir Tunç, Belma Doğan Güngen, Adil Can Güngen, Bekir Enes Demiyürek, Yeşim Güzey Aras, Yusuf Aydemir |
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| Přispěvatelé: | Aras, YG, Tunc, A, Gungen, BD, Gungen, AC, Aydemir, Y, Demiyurek, BE, Sakarya Üniversitesi/Tıp Fakültesi/Dahili Tıp Bilimleri Bölümü, Güzey Aras, Yeşim, Aydemir, Yusuf |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
COPD Cognitive Neuroscience Beck Anxiety Inventory Beck Depression Inventory Cognition medicine.disease respiratory tract diseases Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Internal medicine medicine Anxiety Neurosciences & Neurology Effects of sleep deprivation on cognitive performance medicine.symptom Psychiatry Psychology 030217 neurology & neurosurgery Depression (differential diagnoses) Research Article |
| Zdroj: | Cognitive neurodynamics. 11(6) |
| ISSN: | 1871-4080 |
| Popis: | The purpose of this study was to investigate the effects of depression, anxiety and sleep disturbances on cognitive functions in chronic obstructive pulmonary disease (COPD) patients. In this prospective case-control study, demographic data, smoking history, depression, anxiety, sleep quality and cognitive status of 48 COPD patients and 36 healthy volunteers aged 40-90 years were recorded. The Beck depression inventory (BDI), the Beck anxiety inventory (BAI), and Pittsburgh Sleep Quality Index (PSQI) were used to assess depression, anxiety and sleep quality, respectively in COPD patients. Cognitive performance was studied by the mini-mental state examination. The mean age of patients with COPD was 65.3 +/- 9.4 years, and disease duration was 9.6 +/- 7.8 years. Male sex ratio, smoking, BDI score, BAI score, total PSQI score, sleep latency, sleep duration, average use of sleep aids and sleep disturbances in patients with COPD were significantly higher than the control group (p < 0.05). When cognitive impairment was compared by age, FVC, FEV, FEV/FVC, PEF values and smoking, no statistically significant relationship was found (p > 0.05). A statistically significant relationship was established between cognitive impairment and severity of disease, presence of anxiety, presence of depression and sleep quality. In our study, we found that sleep disorders, depression and anxiety comorbid with COPD increased cognitive impairment as well as the severity of disease. We believe that this finding is important in terms of reducing the risk of cognitive impairment, preventing misdiagnosis and treatment of the aforementioned comorbid diseases. |
| Databáze: | OpenAIRE |
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