Lung

, Volume 192, Issue 4, pp 519–524

Collateral Damage: Depressive Symptoms in the Partners of COPD Patients

  • Andriana I. Papaioannou
  • Stamatoula Tsikrika
  • Konstantinos Bartziokas
  • Foteini Karakontaki
  • Emmanouil Kastanakis
  • Filia Diamantea
  • Aikaterini Haniotou
  • Spyros Papiris
  • Vlassis Polychronopoulos
  • Stelios Loukides
  • Konstantinos Kostikas
Article

DOI: 10.1007/s00408-014-9595-4

Cite this article as:
Papaioannou, A.I., Tsikrika, S., Bartziokas, K. et al. Lung (2014) 192: 519. doi:10.1007/s00408-014-9595-4

Abstract

Background

Depression is a frequent comorbidity in COPD patients and is associated with greater physical impairment, increased health-care utilization, and worse outcomes. The presence of depressive symptoms in the partners of COPD patients has not been evaluated.

Methods

We evaluated the partners of 230 consecutive COPD patients included in a prospective study. Depressive symptoms were evaluated using Beck’s Depression Inventory (BDI) on the first day of admission for COPD exacerbation. Patients were followed-up for 1 year.

Results

Significant depressive symptoms were present in 39.6 % of the COPD patients and in 40.9 % of their partners. Beck scores were higher in the partners of patients with severe airflow obstruction and in those with ≥2 exacerbations and ≥1 hospitalizations for COPD exacerbation during the 1-year follow-up. The BDI score of the patients’ partners was significantly correlated with the BDI score of the COPD patients (rs = 0.422). In multivariate analysis, depressive symptoms in the COPD patients were an independent predictor of depressive symptoms in their partners (OR 4.136, 95 % CI 1.991–8.594; p < 0.001).

Conclusions

A large proportion of the partners of COPD patients present significant depressive symptoms. The identification of those patients and their partners represents a possible target for intervention.

Keywords

COPD Depression Acute exacerbation of COPD Hospitalization for COPD exacerbation Disease severity Partners 

Abbreviations

AECOPD

Acute exacerbations of chronic obstructive pulmonary disease

BDI

Beck’s depression inventory

CCIS

Charlson’s comorbidity index score

CI

Confidence interval

COPD

Chronic obstructive pulmonary disease

FEV1

Forced expiratory volume in 1 second

FiO2

Fraction of inhaled oxygen

OR

Odds ratio

PO2

Partial pressure of oxygen

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Andriana I. Papaioannou
    • 1
  • Stamatoula Tsikrika
    • 1
  • Konstantinos Bartziokas
    • 2
  • Foteini Karakontaki
    • 1
  • Emmanouil Kastanakis
    • 1
  • Filia Diamantea
    • 1
  • Aikaterini Haniotou
    • 2
  • Spyros Papiris
    • 3
  • Vlassis Polychronopoulos
    • 1
  • Stelios Loukides
    • 3
  • Konstantinos Kostikas
    • 3
    • 4
  1. 1.3rd Respiratory Medicine DepartmentSismanogleion General HospitalAthensGreece
  2. 2.Respiratory Medicine DepartmentAmalia Fleming General HospitalAthensGreece
  3. 3.2nd Respiratory Medicine DepartmentUniversity of Athens Medical SchoolAthensGreece
  4. 4.KarditsaGreece

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