Anxiety and depression are related to dyspnea and clinical control but not with thoracoabdominal mechanics in patients with COPD

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art_BORGES-SANTOS_Anxiety_and_depression_are_related_to_dyspnea_and_2015.PDF (462.52 KB)
Citações na Scopus
20
Tipo de produção
article
Data de publicação
2015
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE BV
Autores
Citação
RESPIRATORY PHYSIOLOGY & NEUROBIOLOGY, v.210, p.1-6, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To investigate the relationship between the presence of symptoms of anxiety or depression with breathing pattern and thoracoabdominal mechanics at rest and during exercise in COPD. Methods: Cross-sectional study enrolled 54 patients with COPD ranked according to Hospital Anxiety and Depression Scale (HAD) score and compared to dyspnea, clinical control, hypercapnia, breathing pattern and thoracoabdominal mechanics at rest and during exercise. Results: Seventeen patients with COPD had no symptoms, 12 had anxiety symptoms, 13 had depressive symptoms and 12 had both symptoms. COPD with depressive symptoms presented greater degree of dyspnea (p < 0.01). Poor clinical control was observed in COPD with anxious and/or depressive symptoms (p < 0.05). Breathing pattern and thoracoabdominal mechanics were similar among all groups at rest and during exercise. Conclusions: COPD with symptoms of depression report more dyspnea. Anxiety and depression are associated with poor clinical control without impact on breathing pattern and thoracoabdominal mechanics in COPD.
Palavras-chave
COPD, Thoracic mechanics, Anxiety, Depression, Dyspnea, Clinical control
URI
https://observatorio.fm.usp.br/handle/OPI/9766
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/20