Impact of the Psychiatric Comorbidities in Chronic Obstructive Pulmonary Disease

Authors

  • Lucretia Anghel ”Dunărea de Jos” University, Galaţi, Romania
  • Bogdan Ioan Stefanescu linical Emergency County Hospital "Sf.Apostol Andrei" Galaţi, Romania
  • Diana Patras Clinical Emergency County Hospital "Sf.Apostol Andrei", Galaţi, Romania
  • Liliana Baroiu Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania
  • Ioana Anca Stefanopol Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania
  • Anamaris Ciubara Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

DOI:

https://doi.org/10.18662/brain/13.1/277

Keywords:

Chronic obstructive pulmonary disease, anxiety, depression, outcome, cognitive-behavioral therapy

Abstract

Chronic obstructive pulmonary disease (COPD) is one of the main causes of death with a significant impact on the quality of life and mental health of the patients as well as on the health system. The social costs of COPD are significant, because this pathology has a negative impact on patients's professional performance and daily activity. The major risk factors for COPD are age and smoking. Extrapulmonary comorbidities are frequently associated with COPD and may have an influence on the symptoms severity, and the frequency of the exacerbations, hospitalizations and mortality. Psychiatric disorders, especially anxiety and depression, have been observed in clinical trials with an increased prevalence of COPD. The relationship between anxiety, depression and COPD is complex. Psychiatric pathology is involved in influencing the pathophysiology of COPD with a proven impact on the patient's prognosis. COPD sleep disorders can aggravate pre-existing psychiatric pathology, the relationship between the two pathologies being bidirectional. The aim of this paper is to review the latest clinical trials on the existing evidence of psychiatric comorbidities impact on the evolution and prognosis of COPD and the therapeutic alternatives for their improvement. The conclusion of the present study is that anxiety and depression should be periodically assessed by a multidisciplinary team in order to provide a complete management (pharmacological, pulmonary rehabilitation and cognitive-behavioral therapy), improving the patient's quality of life and prognosis.

Author Biographies

Lucretia Anghel, ”Dunărea de Jos” University, Galaţi, Romania

Associate Professor, Clinical Medical Department, Faculty of Medicine and Pharmacy, ”Dunărea de Jos” University, Galaţi, Romania

Bogdan Ioan Stefanescu, linical Emergency County Hospital "Sf.Apostol Andrei" Galaţi, Romania

Doctor, Clinical Surgical Department, Clinical Emergency County Hospital "Sf.Apostol Andrei" Galaţi, Romania

Diana Patras, Clinical Emergency County Hospital "Sf.Apostol Andrei", Galaţi, Romania

Resident doctor, Gastroenterology Department, Clinical Emergency County Hospital "Sf.Apostol Andrei", Galaţi, Romania

Liliana Baroiu, Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

Associate Professor, Clinical Medical Department, Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

Ioana Anca Stefanopol, Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

Lecturer, Morphofunctional Science Department, Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

Anamaris Ciubara, Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

Professor, Clinical Medical Department, Faculty of Medicine and Pharmacy,”Dunărea de Jos” University, Galaţi, Romania

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Published

2022-03-02

How to Cite

Anghel, L. ., Stefanescu, B. I., Patras, D., Baroiu, L., Stefanopol, I. A., & Ciubara, A. (2022). Impact of the Psychiatric Comorbidities in Chronic Obstructive Pulmonary Disease. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 13(1), 202-212. https://doi.org/10.18662/brain/13.1/277

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