title: Anxiety and depression-Important psychological comorbidities of COPD.
abstract: Anxiety and depression are common and important comorbidities in patients with chronic obstructive pulmonary disease (COPD). The pathophysiology of these psychological comorbidities in COPD is complex and possibly explained by common risk factors, response to symptomatology and biochemical alterations. The presence of anxiety and/or depression in COPD patients is associated with increased mortality, exacerbation rates, length of hospital stay, and decreased quality of life and functional status. There is currently no consensus on the most appropriate approach to screening for anxiety and depression in COPD. Treatment options include psychological [relaxation, cognitive behavioural therapy (CBT), self-management] and pharmacological interventions. Although there is some evidence to support these treatments in COPD, the data are limited and mainly comprised by small studies. Pulmonary rehabilitation improves anxiety and depression, and conversely these conditions impact rehabilitation completion rates. Additional high quality studies are urgently required to optimise screening and effective treatment of anxiety and depression in patients with COPD, to enhance complex chronic disease management for these patients.
authors.affiliation: 1 Department of Thoracic Medicine and Department of Infectious Diseases, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 2 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia ; 3 Mental Health Department, The Prince Charles Hospital, Metro North Mental Health, Brisbane, Queensland, Australia ; 4 Physiotherapy Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 5 Psychology Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 6 Allied Health Department, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia.
authors.forename: Marsus I
authors.initials: MI
authors.lastname: Pumar
authors.affiliation: 1 Department of Thoracic Medicine and Department of Infectious Diseases, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 2 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia ; 3 Mental Health Department, The Prince Charles Hospital, Metro North Mental Health, Brisbane, Queensland, Australia ; 4 Physiotherapy Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 5 Psychology Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 6 Allied Health Department, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia.
authors.forename: Curt R
authors.initials: CR
authors.lastname: Gray
authors.affiliation: 1 Department of Thoracic Medicine and Department of Infectious Diseases, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 2 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia ; 3 Mental Health Department, The Prince Charles Hospital, Metro North Mental Health, Brisbane, Queensland, Australia ; 4 Physiotherapy Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 5 Psychology Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 6 Allied Health Department, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia.
authors.forename: James R
authors.initials: JR
authors.lastname: Walsh
authors.affiliation: 1 Department of Thoracic Medicine and Department of Infectious Diseases, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 2 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia ; 3 Mental Health Department, The Prince Charles Hospital, Metro North Mental Health, Brisbane, Queensland, Australia ; 4 Physiotherapy Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 5 Psychology Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 6 Allied Health Department, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia.
authors.forename: Ian A
authors.initials: IA
authors.lastname: Yang
authors.affiliation: 1 Department of Thoracic Medicine and Department of Infectious Diseases, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 2 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia ; 3 Mental Health Department, The Prince Charles Hospital, Metro North Mental Health, Brisbane, Queensland, Australia ; 4 Physiotherapy Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 5 Psychology Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 6 Allied Health Department, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia.
authors.forename: Tricia A
authors.initials: TA
authors.lastname: Rolls
authors.affiliation: 1 Department of Thoracic Medicine and Department of Infectious Diseases, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 2 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia ; 3 Mental Health Department, The Prince Charles Hospital, Metro North Mental Health, Brisbane, Queensland, Australia ; 4 Physiotherapy Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 5 Psychology Department, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia ; 6 Allied Health Department, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia.
authors.forename: Donna L
authors.initials: DL
authors.lastname: Ward
keywords: Chronic obstructive pulmonary disease (COPD); anxiety; comorbidities; depression; diagnosis; therapy