Anxiety Clinical Trial
Official title:
The Effect of Escitalopram on Exacerbation Rates and Quality of Life in Patients With Anxiety Associated With Severe COPD
Anxiety and depression are common in patients with severe chronic obstructive pulmonary
disease (COPD). Frequently exacerbation's of breathlessness are associated with panic/fear
and indeed this may be the main cause for the for hospital admission. Patients prone to a
tendency to experience and communicate somatic distress in response to psychosocial stress
and to seek medical help for it are top of the "frequent flyer" league, costing the health
care economy dearly. This is a particular problem in Hull with the high levels of smoking
and urban deprivation combining to place the city at the bottom of the Department of Health
COPD league tables.
Our hypothesis is that an effective treatment for anxiety will reduce the number of episodes
of hospital admission by reducing the panic/fear element of mild COPD exacerbation's thus
allowing the patient time to access the existing community based support services.
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