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Faculty of Medicine >
Department of Physical Therapy >
Student Research and Publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25243

Title: Inpatient pulmonary rehabilitation: the relationship between anxiety, depression and clinical outcome measures of COPD
Authors: Aganon, Maria
Barrett, Lauren
Darling, Catherine
Lee, Michelle
Towns, Megan
Advisor: Brooks, Dina
Hill, Kylie
Department: Physical Therapy
Keywords: inpatient rehabilitation
chronic obstructive pulmonary disease
anxiety
depression
hospital anxiety
depression scale
Issue Date: 2009
Abstract: Purpose: To describe the prevalence of feelings of anxiety and depression in people with chronic obstructive pulmonary disease (COPD) admitted to inpatient pulmonary rehabilitation, using the Hospital Anxiety and Depression Scale (HADS), and to explore associations between these feelings and clinical outcomes. A secondary purpose was to examine whether the Chronic Respiratory Questionnaire (CRQ) could screen for feelings of anxiety and depression. Methods: A chart review was conducted (n=188) of people with COPD admitted to a rehabilitation hospital in Toronto, Ontario over 2 years. Data was collected from the HADS, CRQ and clinical outcomes of disease severity, dyspnea, fatigue, health-related quality of life and functional exercise capacity. Results: The HADS identified feelings of anxiety (35%) and depression (37%) in the cohort. HADS scores were significantly correlated with the CRQ domains (range: r= -0.341 to -0.610, p< 0.01), and with measures of dyspnea (range: r=0.263- 0.277, p<0.01). Conclusions: Feelings of anxiety and depression are common in this population. The HADS showed moderate-weak correlations with the CRQ, therefore the CRQ may not be useful in screening for feelings of anxiety and depression. The findings highlight the importance of screening for anxiety and depression with tools designed for this purpose, to facilitate treatment for people in inpatient pulmonary rehabilitation programs.
Description: Affiliated institutions include: University of Toronto (D. Brooks), West Park Healthcare Centre (K. Hill)
URI: http://hdl.handle.net/1807/25243
Appears in Collections:Student Research and Publications

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