Disnea y psicopatología en el paciente anciano con enfermedad pulmonar obstructiva crónica |
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Authors: | María Magdalena Medinas Amorós Carmen Más TousVictoria Ferrer Pérez Belén Martín LópezCatalina Alorda Quetglas Feliu Renom Sotorra |
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Institution: | a Unidad de Psicología, Hospital Joan March, Complejo Hospitalario de Mallorca, Bunyola, Islas Baleares, España b Universidad de las Islas Baleares, Palma de Mallorca, Baleares, España c Servicio de Neumología, Hospital Joan March, Complejo Hospitalario de Mallorca, Bunyola, Islas Baleares, España |
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Abstract: | Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease with dyspnoea perception as a main symptom. In severe stages, dyspnoea can constitute a risk factor for depression, anxiety and somatization disorders.ObjectiveThe objective was to evaluate the presence of these psychopathologies based on dyspnoea and severity stages in patients with COPD.Materials and methodsPatients (n=51) were evaluated by means of the Hospital Anxiety and Depression Scale, the dyspnoea scale (MRC), the General Health Questionnaire (GHQ-28) and spirometric criteria.ResultsThe increase in dyspnoea level and disease severity lead to a progressive worsening of anxiety, depressive and somatic symptoms with clinical relevance (P<0.05). There was a significant correlation between those parameters (P<0.05).ConclusionsThe early detection and treatment of these psychopathologies associated with dyspnoea and progression of the disease must be taken into account in this complex pathology. |
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Keywords: | EPOC Ansiedad Depresió n Somatizació n Disnea |
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