Study of Prevalence of Depression in COPD Patients

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder associated with significant morbidity and mortality. Depression is a common comorbidity that worsens disease outcomes, yet often remains underdiagnosed. This study aimed to assess the prevalence of depression among COPD patients and its association with sociodemographic factors.

Methods: A cross-sectional study was conducted at Mahatma Gandhi Medical College and Hospital, Jaipur, including 200 COPD patients aged >18 years. Depression was assessed using the Hamilton Depression Rating Scale (HDRS-17). Data were analyzed using descriptive statistics and chi-square tests, with p < 0.05 considered significant.

Results: Of the 200 patients, 45% had depression, with 16% mild, 23% moderate, and 6% severe cases. A significant association was found between age and depression (p = 0.03), with the highest prevalence in the 40–59 year group. No significant associations were observed with gender, education, occupation, residence, religion, or marital status.

Conclusion: Depression is a frequent comorbidity in COPD, affecting nearly half of patients, with moderate depression most common. These findings highlight the importance of routine screening and integrated care approaches that address both physical and psychological aspects of COPD to improve overall outcomes.