Frequency of depressive syndrome in patients with bronchial asthma and chronic obstructive pulmonary disease

Abstract

<b>Aim:</b> to give a comparative assessment of the incidence of depression in patients with bronchial asthma and chronic obstructive pulmonary disease. <b>Material and methods:</b> 55 patients with BA and 45 patients with COPD, with varying severity of the course, who were hospitalized at the Republican Scientific and Practical Medical Center for Phthisiology and Pulmonology of the Ministry of Health of the Republic of Uzbekistan, were prescreened to determine the depressive syndrome according to ICD-10 (F32). The criteria for a depressive syndrome was the presence of a combination of 2-3 main and 2-4 additional symptoms. <b>Results:</b> A comparative assessment of the incidence of depressive syndrome among patients with pulmonological profile revealed the presence of depressive syndrome in 42.8% of patients with COPD and 36.4% of patients with BA. In the overwhelming majority of patients with COPD (66.7%), the presence of depressive states is diagnosed in a more severe course of the disease with pronounced manifestations of ventilation disorders and hypoxia. In BA patients, depressive states were formed with a milder course of the disease. As with COPD (50%), so with asthma (40%), the development of depressive disorders is observed more often in women and is determined by the short duration of the disease up to 5 years. In the formation of a depressive state in men with BA (33%) and COPD (40%), there was a factor of a longer duration of the disease (more than 15 years). <b>Conclusions:</b> The high frequency of depressive disorders, against the background of somatic pathology determined by BA and COPD, requires earlier diagnosis and correction in order to reduce theseverity of the underlying disease