CAJ | 학술논문

COPD是导致患者死亡和残疾的重要原因,同时合并焦虑和抑郁是患者两个重要的精神障碍,两者增加患者躯体不适,导致生活质量下降、病死率增加.目前抗抑郁药物、肺康复、认知行为治疗、教育等方法对治疗抑郁和焦虑效果都不确定.本文从流行病学、高危因素、焦虑和抑郁的治疗探讨目前COPD并发焦虑和抑郁的现状.
COPD시도치환자사망화잔질적중요원인,동시합병초필화억욱시환자량개중요적정신장애,량자증가환자구체불괄,도치생활질량하강、병사솔증가.목전항억욱약물、폐강복、인지행위치료、교육등방법대치료억욱화초필효과도불학정.본문종류행병학、고위인소、초필화억욱적치료탐토목전COPD병발초필화억욱적현상.
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and disability in the elderly.The two common psychiatric conditions in COPD are anxiety and depression.Depression and anxiety are associated with a greater level of physical disability,impaired quality of life and elevated risk of mortality.The findings of the available literature suggest that antidepressant drug therapy,pulmonary rehabilitation,cognitive behavioral therapy and education are inconclusive in the treatment of anxiety and depression.This review also highlights our current understanding of the etiology,causative factors and implications for treatment.