Correlation study between baseline dyspnea index and hospital-associated anxiety and depression in chronic obstructive pulmonary disease – A pilot study

Abstract

Context: Chronic obstructive pulmonary disease (COPD) is defined as a disease characterized by the presence of airflow obstruction that is attributed to either chronic bronchitis or emphysema. Dyspnea is one of the common symptoms of COPD where it is associated with limited physical activity and increased anxiety and depression. Anxiety and depression are frequent in patients with COPD and it increases as the severity of disease progresses. This article will serve us to know about the correlation between anxiety and depression with the Baseline Dyspnea Index in COPD Patients. Aims: The aim of this study was to study the correlation of Baseline Dyspnea Index and Hospital-associated anxiety and depression in COPD patients. Settings and Design: Settings-Bahusaheb Talegaon Rural Hospital, Pune Maharashtra, India. Design-Correlation study, Validated Hospital anxiety and depression scale was used along with Baseline Dyspnea Index to check correlation in COPD Patients. Subjects and Methods: This correlation study received institutional ethical approval. All participants according to inclusion criteria coming to the rural hospital were selected. Informed consent was obtained from each participant. Baseline Dyspnea Index and Hospital Anxiety-Depression scale. Statistical Analysis Used: Statistical analysis of data was reported, using instant application in that nonparametric test (Spearman's correlation coefficient) was used. Results: The result shows that there was a positive correlation between anxiety and the Baseline Dyspnea Index (functional impairment) in COPD Patients. Whereas there was a negative correlation of depression and the Baseline Dyspnea Index. Conclusions: The present study included COPD patients which state that the Baseline Dyspnea Index has a significant relation with anxiety in which functional impairment has greater significance. Depression does not have a significant relationship with the Baseline Dyspnea Index.