Chronic Lung Disease Clinical Trial
Official title:
Anxiety and Depression in Chronic Airways Diseases
Chronic airways diseases involve alterations in the person's social roles, relationships and
self-perception so demands continual psychological adjustment .
Also Kunik studied patients with chronic breathing disorders for depression and anxiety and
found that 65% of patients were positive for depression and anxiety.
Shackell found that patients' anxiety and fears of breathlessness and dying extended into the
night and were aggravated by feelings of isolation and frustration. One patient reported that
they often thought 'am I going to see the next morning?'
This fear and sense of helplessness can lead to panic and evidence suggests that patients
with chronic breathlessness often call for emergency assistance during the night According to
GOLD report 2017, anxiety and depression in chronic obstructive pulmonary disease patients
are both associated with poor prognosis.
Much of the evidence explored so far relates to chronic obstructive pulmonary disease. While
other chronic lung diseases have received less attention In addition to, several studies have
been found relationship between asthma and psychological disturbance .One review of
literature describes an increased prevalence of psychological co-morbidity in asthmatic
adults and another research suggests that anxiety and depression are more common in patients
with moderate to severe asthma than in the general population Gift. found significantly
greater self-reported depression scores among patients with chronic obstructive pulmonary
disease receiving prednisone compared to patients not receiving any steroids.
Interestingly, the psychiatric sequel of steroid treatment are often sudden in onset and
appear to generally occur within 2 weeks after steroid introduction
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