Abstract
Background: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide and imparts substantial economic burden on individuals and health systems. Anxiety and depression were almost three times more common in COPD patients compared to the participants from the general population.
Objectives: To assess the psychological status and coping measures of individuals living with chronic obstructive pulmonary diseases.
Methods: Analytical cross-sectional research was conducted in medical outpatient department of Kathmandu Medical College Teaching Hospital from 2019 Nov 20 to 2020 May 20 after institutional ethical clearance. Total 185 individuals diagnosed with chronic obstructive pulmonary disease seeking medical care were included in the study by using purposive sampling. Data collection was done through face-to-face interview technique using Hopkins Symptoms Checklist-10 and Brief Cope inventory. The collected data were analysed using SPSS software version 20.
Results: Based on a cut-off value of ?1.85 of Hopkins symptoms checklist-10, almost all (180, 97.3%) patients had mental distress. Frequently used approach coping subscales by the patients were emotional support (82, 44.2%), religion (81, 42%), planning (80, 41.8%), and active coping (80, 41.7%). Similarly, mostly used avoidance coping were: denial (80, 41.8%), venting (79, 41.1%), and self-blame (78, 40.6%).
Conclusion: Almost all patients living with chronic obstructive pulmonary diseases had predicted mental distress and they were using both approach and avoidance coping measures.
References
World Health Organisation. (2013). Chronic obstructive pulmonary disease (COPD) [Fact Sheet]. Available from: [Full Text]
American Thoracic Society. (2014). What is chronic obstructive pulmonary disease (COPD)? [Full Text]
World Health Organisation. Chronic obstructive pulmonary disease (COPD). Fact sheet No. 315. Available from: [Full Text]
Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):e442. [PubMed | Full Text | DOI]
Shetty BSP, D'Souza G, Anand MP. Effect of indoor air pollution on chronic obstructive pulmonary disease (COPD) deaths in southern asia - A systematic review and meta-analysis. Toxics. 2021 Apr 16;9(4): 85. [PubMed | Full Text | DOI]
Nepal Health Research Council, (2010). Prevalence of non communicable disease in Nepal hospital based study. Ram Shah Path, Kathmandu: SS printing Press. [Full Text]
Hynninen KMJ, Breitve MH, Wiborg AB, Pallesen S, Nordhus IH. Psychological characteristics of patients with chronic obstructive pulmonary disease: A review. J Psychosom Res. 2005;59:429-43. [PubMed | Full Text | DOI]
Tsai TY, Livneh H, Lu MC, Tsai PY, Chen PC, Sung FC. Increased risk and related factors of depression among patients with COPD: A population-based cohort study. BMC Public Health. 2013;13:976. [Full Text | DOI]
Sharma S, Shakya U, Gorkhali B, Neupane S. Prevalence of anxiety and depression in patients with chronic obstructive pulmonary disease. Nepal Med Coll J. 2018;20(4):155-62. [Full Text]
Waseem SMA, Hossain M, Azmi SA, Rizvi S, Ahmad Z, Zaidi SH. Assessment of anxiety and depression in COPD patients - A pilot study. Current Neurobiology. 2012;3(2):112-6. [Full Text | DOI]
Strand BH, Dalgard OS, Tambs K, Rognerud M. Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36) Nord J Psychiatry. 2003;57(2):113-8. [PubMed | Full Text | DOI]
Carver CS. You want to measure coping but your protocol is too long: Consider the brief cope. Int J Behav Med. 1997;4(1):92-100. [PubMed | Full Text | DOI]
Bhowmik K, Adhikari A, Choudhury S, Ahmed MM. Prevalence of depression and its risk factors among patients with chronic obstructive pulmonary disease in a tertiary level hospital in west bengal india. South East Asia Journal of Public Health. 2013;2(2):34-40. [Full Text | DOI]
Yohannes AM, Willgoss TG, Baldwin RC, Connolly MJ. Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: Prevalence, relevance, clinical implications, and management principles. Int J Geriatr Psychiatry. 2010;25(12):1209-21. [PubMed | Full Text | DOI]
Thapa N, Maharjan M, Shrestha TM, Gauchan S, Pun P, Thapa YB. Anxiety and depression among patients with chronic obstructive pulmonary disease and general population in rural Nepal. BMC Psychiatry. 2017;17(1):397. [PubMed | Full Text | DOI]
Kasi PM, Naqvi HA, Afghan AK, Khawar T, Khan FH, Khan UZ, et al. Coping styles in patients with anxiety and depression. ISRN Psychiatry. 2012;2012:128672. [PubMed | Full Text | DOI]
Khanal P, Khatiwada M. Psychological distress and coping among caregivers of patient with mental disorder: A hospital-based cross-sectional study. Journal of Karnali Academy of Health Sciences. 2021;4(2):1-7. [Full Text]