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Affective Comorbidity Associated with Symptoms, Lung Function, and Differences Between Patients with COPD for Biomass and Tobacco Smoke Exposure

Abstract

Anxiety and depression are common entities in patients diagnosed with Chronic Obstructive Pulmonary Disease (COPD). This study aimed to determine the prevalence of affective comorbidity (depression and anxiety) associated with lung function, functional capacity, dyspnea, and quality of life; as well as the differences between groups of patients diagnosed with COPD associated with biomass (COPD-BE) and patients with COPD secondary to tobacco (COPD-TS). Comparative cross-sectional observational study. Multiple hierarchical regression models, analysis of variance, and covariance were carried out. A total of 291 COPD patients were evaluated, symptoms of depression were found to be higher in patients with COPD-BE than in patients with COPD-TS (5.3 ± 4.2 versus 4.2 ± 4, 1, p = 0.016), as well as anxiety complications (4.1 ± 3.8 versus 3.8 ± 3.3, p = 0.095), although with anxiety it was not statistically significant, being adjusted for age and FEV1. Patients with COPD-BE had higher prevalence of depression, compared to COPD-TS (41.2% versus 27.7%, p = 0.028). In the multivariate regression models, the variables of dyspnea and quality of life were associated with depression and anxiety, explaining 25% and 24% of the variability, respectively. Depression is higher in COPD-BE patients compared to COPD-TE patients, it is necessary to consider affective comorbidity in routine evaluation and provide a comprehensive intervention to prevent the effects on other clinical conditions of the disease.

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Acknowledgements

We thank to the Council of Science and Technology Mexico (CONACYT) for a doctoral grant that AH-P received [Granter Number: 286181], and the participating health professionals and patients with COPD who made this study possible by their enthusiastic participation.

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Authors

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AH collected the data and drafted the manuscript. RP and IV revised the manuscript for submission. AH and AR completed the analysis and assisted in drafting paper. BM provided overall guidance on paper structure and content and revised early drafts. All authors read and approved the final manuscript.

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Correspondence to Andrea Hernández-Pérez.

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The authors declare that they have no competing interests.

Research Involving Human and Animal Rights

All Procedures performed in studies involving human participants were in accordance with the ethical standards of National Institute of Respiratory Diseases Ismael Cosío Villegas Mexico and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by the authors.

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Informed consent was obtained from all individual participants included in the study.

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Hernández-Pérez, A., Vargas-Núñez, I., Moreno-Jiménez, B. et al. Affective Comorbidity Associated with Symptoms, Lung Function, and Differences Between Patients with COPD for Biomass and Tobacco Smoke Exposure. J Clin Psychol Med Settings (2021). https://doi.org/10.1007/s10880-021-09828-7

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Keywords

  • Depression
  • Anxiety
  • Comorbidity
  • Chronic obstructive pulmonary disease